Home / South Dakota / Wessington Springs
Weskota Manor Inc
608 1st Street Ne, Wessington Springs, SD 57382 · Jerauld County · (605) 539-1621
40 certified beds, about 31 residents a day · Non profit - Corporation · Medicare and Medicaid since 2017
CMS Care Compare ratings, data as of September 1, 2026 · CCN 435133 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 15, 2026, inspectors cited 3 health deficiencies (the South Dakota average is 6.7, the national average 9.2).
None of its 6 health citations since August 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.40 hours per resident per day, against 3.79 across South Dakota and 3.86 nationally. Registered nurses accounted for 1.10 of those hours.
37.5% of nursing staff left within the year CMS measured (South Dakota average 48.2%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.
January 15, 2026Standard inspection · 3 citations
- E Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review, interview, and policy review the provider failed to ensure:*A bed-hold notice information was provided when six of six sampled residents (1, 5, 7, 11, 26, and 33) transferred to the hospital to those residents or their representatives.*The Office of State Long-Term Care Ombudsman was notified when a resident discharged from the facility or was transferred to the hospital for six of six sampled residents (1, 5, 7, 11, 26, and 33) and two of two sampled residents (7 and 34)who were discharged home.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, interview, and policy review, the provider failed to ensure one of one sampled resident's (5) Minimum Data Set (MDS) (a tool used to evaluate a resident's health status and to develop an individualized care plan to manage the resident's care needs) assessment was accurately coded for the Pre-admission Screening and Resident Review (PASRR) and one of one sampled resident's (17) MDS assessment was accurately coded for areas of pressure ulcers.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, and policy review, the provider failed to monitor the room temperature to ensure medications were stored within safe temperature ranges in one of one medication room.
August 14, 2024Standard inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, policy review, and manufacturer's instructions review the provider failed to ensure food items for resident consumption were appropriately labeled, stored, and served in a safe and sanitary manner for the following: *Three of three commercial and one of one resident refrigerators that contained food items that were not labeled, dated, or discarded by the use-by date. *Two of two dry food storage areas that contained dry food items that were not labeled or dated. *One of one commercial freezer that contained food items that were not labeled, dated, or appropriately stored. *One of one food service manager (C) did not properly sanitize the food thermometer while temping the food items before serving them to the residents. *The kitchen and food service equipment was not maintained in a clean condition.
- E Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on interview, and policy review, the provider failed to ensure fourteen of fifteen sampled residents (1,2,5,7,10,11,16,17,19,21,23,26 and 33) had been screened for post-traumatic stress disorder (PTSD) upon admission.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure that 17 of 17 expired Influenza vaccine injections were removed from the medication refrigerator prior to the expiration date.
August 17, 2023Standard inspection · 0 citations
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | South Dakota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.40 | 3.79 | 3.86 |
| Registered nurses | 1.10 | 0.80 | 0.69 |
| All nursing staff on weekends | 3.01 | 3.26 | 3.42 |
| Nurse aides | 2.24 | ||
| Licensed practical nurses | 0.06 | ||
| Nursing staff turnover (share who left in a year) | 37.5% | 48.2% | 45.8% |
| Registered nurse turnover | 16.7% | 34.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.64 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.55 on weekdays and 3.01 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.55 in April to June 2025 to 3.40 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.40 | 1.10 | 3.55 | 3.01 | 12.5% | 0 of 90 | 31 |
| Oct to Dec 2025 | 3.63 | 1.07 | 3.81 | 3.19 | 13.5% | 0 of 92 | 30 |
| Jul to Sep 2025 | 3.35 | 0.83 | 3.56 | 2.81 | 8.3% | 0 of 92 | 34 |
| Apr to Jun 2025 | 3.55 | 0.76 | 3.77 | 3.02 | 20.4% | 0 of 91 | 34 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| South Dakota, Jan to Mar 2026 | 3.76 | 0.79 | 3.97 | 3.25 | 9.1% | 1.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for South Dakota
| Job | Median | Middle half | Employed |
|---|---|---|---|
| South Dakota, all employers | |||
| CNAs (nursing assistants) | $18.65 | $17.71 to $21.12 | 6,860 |
| LPNs and LVNs | $25.36 | $23.88 to $29.47 | 2,050 |
| Registered nurses | $37.53 | $31.29 to $40.52 | 14,710 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | South Dakota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 21.9 | 21.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 6.1 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.8 | 5.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.3 | 19.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.6 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.4 | 24.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.8 | 1.8 |
Owners and operators
Legal business name: WESKOTA MANOR INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bender, David | Corporate director | Individual | 08/01/2024 | |
| Bergeleen, Darlene | Corporate director | Individual | 03/01/2020 | |
| Dean, Thomas | Corporate director | Individual | 03/01/2023 | |
| Jungemann, Stephanie | Corporate director | Individual | 03/01/2015 | |
| Mohling, Cory | Corporate director | Individual | 03/01/2013 | |
| Arnott, Gail | Corporate officer | Individual | 03/01/2006 | |
| Bergeleen, Brian | Corporate officer | Individual | 03/01/2008 | |
| Deines, James | Corporate officer | Individual | 03/01/2007 | |
| Horizon Health Care Inc | Operational/managerial control | Organization | 01/01/2024 | |
| Lim, Lance | Operational/managerial control | Individual | 01/01/2023 | |
| Voneye, Nikki | Operational/managerial control | Individual | 12/01/2018 | |
| Horizon Health Care Inc | Adp of the SNF | Organization | 04/22/2026 | |
| Lim, Lance | Adp of the SNF | Individual | 01/01/2023 | |
| Voneye, Nikki | Adp of the SNF | Individual | 01/01/2019 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on January 15, 2026: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on January 15, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on January 15, 2026: "Ensure each resident receives an accurate assessment."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on August 14, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.01 hours per resident per day, below the South Dakota average of 3.26.
Other nursing homes nearby
- Prairie View Healthcare Center Woonsocket, 14.2 mi · 3 of 5 stars · 11 citations
- Avantara Huron Huron, 24.9 mi · 2 of 5 stars · 22 citations
South Dakota contacts for a concern about a nursing home
These are the official offices in South Dakota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: South Dakota Department of Health, Office of Health Facilities Licensure and Certification, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: South Dakota Long-Term Care Ombudsman Program, Department of Human Services. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: South Dakota Department of Health Nursing Facility Reports, where South Dakota publishes its own records on licensed homes.
Common questions
- What is Weskota Manor Inc's Medicare star rating?
- CMS rates Weskota Manor Inc 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Weskota Manor Inc get at its last inspection?
- 3 health deficiencies at the standard inspection on January 15, 2026. The South Dakota average is 6.7.
- Has Weskota Manor Inc been fined?
- CMS lists no fines in the last three years.
- Does Weskota Manor Inc accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Weskota Manor Inc?
- CMS lists 14 owners and managers. Legal business name: WESKOTA MANOR INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.