Home / South Dakota / Britton
Wheatcrest Hills Healthcare Center
1311 Vander Horck St., Britton, SD 57430 · Marshall County · (605) 448-2251
60 certified beds, about 44 residents a day · For profit - Corporation · Medicare and Medicaid since 1997
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 435105 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 4, 2025, inspectors cited 4 health deficiencies (the South Dakota average is 6.7, the national average 9.2).
Of 14 health citations since July 2023, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 4 fines totaling $37,553 in the last three years; the largest was $15,643, and the latest is dated December 4, 2025.
Nurses and nurse aides worked 2.69 hours per resident per day, against 3.79 across South Dakota and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
32.4% of nursing staff left within the year CMS measured (South Dakota average 48.2%).
CMS links it to Evergreen Healthcare Group, an affiliated group of 43 nursing homes.
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.
107/23
110/23
103/24
507/24
110/24
106/25
412/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
3D
8E
0F
Potential for minimal harm
0A
0B
0C
December 4, 2025Standard inspection · 4 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, record review, and policy review the provider failed to identify and implement pressure ulcer (skin and/or underlying tissue injury due to prolonged pressure) preventative interventions for residents identified at risk for developing pressure ulcers for:*One of one sampled resident (9) who developed a stage IV (4; open wound with full-thickness skin and tissue loss. Bone, tendon, or muscle may be visible) pressure ulcer to her right buttocks.*One of one sampled resident (27) who developed a stage II (2; open wound or blister with partial-thickness skin loss) pressure ulcer to the side of her right foot.
- E 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, and policy review the provider failed to ensure proper hand washing and glove use was followed during two of two observed meal services in the kitchen and dining room.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and policy review the provider failed to ensure:*One of one certified nursing assistant (CNA)/certified medication aide (CMA) (M) and one of one licensed practical nurse (LPN) (D) performed hand hygiene with medication administration for five of five missed opportunities.*One of one LPN (D) wore a gown while she assessed a wound on a resident (36) who was on enhanced barrier precautions (EBP) (glove and gown use when providing contact care).
- D Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure the safety and prevention for potential entrapment or injury for four of four sampled residents (1, 9, 15, and 27) who had side rails on their bed, and had documented alternatives attempted prior to the installation of side rails for two of two (1 and 15) sampled residents who were recently admitted .
June 18, 2025Complaint inspection · 1 citation
- E Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure an ongoing restorative nursing program was completed according to residents' care planned needs for twelve of twelve sampled residents (1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12) at risk for a decline in range of motion (ROM).
October 30, 2024Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), record review, observation, interview, policy review, and manufacturer's instructions review, the provider failed to ensure the safety of one of one sampled resident (1) who sustained an injury when staff did not use the full-body mechanical lift (a mechanical device and sling used to lift a person's body) as directed in the manufacturer's instructions, facility policy, and the resident's care plan. Failure to use the mechanical lift as instructed contributed to the resident 1's injury. This citation is considered past non-compliance based on review of the corrective actions the provider implemented immediately following the incident.
July 10, 2024Standard inspection, Complaint inspection · 5 citations
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on record review, interview, observation, review of the facility reported incident (FRI) submitted to the South Dakota Department of Health (SD DOH), the provider failed to ensure four of four sampled residents (2, 26,32 and 34) had not been verbally berated or denied food by one of one certified food manager (CFM) D.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation and interview the provider failed to ensure that four of four sampled residents (3, 7, 32, and 43) had their call lights answered in a timely manner.
- E Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on observation, interview, resident council meeting, and policy review the provider failed to offer nine of twelve sampled residents (2, 3, 7, 16, 19, 20, 22, 26 and 32) meal alternatives.
- D 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, and policy review the provider failed to ensure: *Proper glove use and hand hygiene were performed during two meal services by two of two dietary staff (dietary cook I and certified food manager D). *The food thermometer was sanitized appropriately during two meal services by three of four dietary staff (dietary cook I, certified food manager D, and dietary cook O).
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), observation, interview, record review, and policy review, the provider: *Failed to follow the nebulizer (neb) machine manufacturer's instructions which resulted in resident (12) receiving a burn. *Failed to follow the physician's order to discontinue the resident's (12) self-administration of his neb (breathing) treatments after he had received a burn.
March 28, 2024Complaint inspection · 1 citation
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteA. Based on South Dakota Department of Health (SD DOH) facility reported incident (FRI), record review, and interview the provider failed to follow the individualized care plan that reflected the removal of dentures for one of one sampled resident (1), who required evaluation and treatment at the emergency department. provide care as directed in the care plans for the following:
October 17, 2023Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, interview, observation, personnel file review, in-service and audit review, manufacturer's review, policy review, and job description review, the provider failed to ensure: *One of five sampled residents (6) was safely transferred according to manufacturer's instructions using a full-body mechanical lift by one of one certified nursing assistant (CNA) (D) that resulted in a bruise to the resident's right upper arm. *A device assessment for the proper mechanical lift to be used and documentation of the proper sling size were completed for one of five sampled residents (6) prior to the use of a full-body mechanical lift.
July 19, 2023Standard inspection · 1 citation
- E 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 a system was implemented for tracking and securing three government-controlled medications awaiting destruction that were expired or had been discontinued in one of one medication room.
Fire safety inspections
2 fire safety citations on file: 1 on July 10, 2024, 1 on July 19, 2023.
Every fire safety citation2 citations
- E Meet other general requirements.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| December 4, 2025 | Fine | $5,541 |
| October 30, 2024 | Fine | $8,338 |
| July 10, 2024 | Fine | $8,031 |
| July 10, 2024 | Fine | $15,643 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 2.69 | 3.79 | 3.86 |
| Registered nurses | 0.64 | 0.80 | 0.69 |
| All nursing staff on weekends | 2.42 | 3.26 | 3.42 |
| Nurse aides | 1.90 | ||
| Licensed practical nurses | 0.16 | ||
| Nursing staff turnover (share who left in a year) | 32.4% | 48.2% | 45.8% |
| Registered nurse turnover | 20.0% | 34.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.04 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 2.81 on weekdays and 2.42 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.91 in April to June 2025 to 2.69 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 | 2.69 | 0.64 | 2.81 | 2.42 | 11.4% | 0 of 90 | 44 |
| Oct to Dec 2025 | 2.73 | 0.56 | 2.85 | 2.44 | 2.2% | 0 of 92 | 44 |
| Jul to Sep 2025 | 2.74 | 0.57 | 2.87 | 2.39 | 0.9% | 0 of 92 | 45 |
| Apr to Jun 2025 | 2.91 | 0.64 | 3.09 | 2.46 | 4.2% | 0 of 91 | 40 |
| 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.
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 | 6.4 | 21.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.8 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 10.2 | 5.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.8 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.7 | 19.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.8 | 24.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 8.5 | 19.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 25.3 | 12.0 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 1.8 | 1.8 |
Owners and operators
Legal business name: WHEATCREST HILLS SNF OPERATIONS, LLC. CMS links this home to Evergreen Healthcare Group, a group of 43 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Pacific Northwest SNF Operations Holdings (sd) LLC | 5% or greater direct ownership interest | Organization | 100% | 08/31/2023 |
| Herzka, Yisroel | Indirect ownership interest | Individual | 08/31/2023 | |
| Yenowitz, Yitzchok | Indirect ownership interest | Individual | 08/31/2023 | |
| Lowe, Leonor | Managing control - governing body | Individual | 08/31/2023 | |
| Spielman, Shimon | Corporate officer | Individual | 08/31/2023 | |
| Yenowitz, Yitzchok | Corporate officer | Individual | 08/31/2023 | |
| Couve Financial Services LLC | Operational/managerial control | Organization | 08/31/2023 | |
| Couve Healthcare Consulting LLC | Operational/managerial control | Organization | 08/31/2023 | |
| Pacific Northwest Opco Management LLC | Operational/managerial control | Organization | 08/31/2023 | |
| South Dakota SNF Consulting LLC | Operational/managerial control | Organization | 08/31/2023 | |
| Wheatcrest Hills SNF Operations, LLC | Operational/managerial control | Organization | 08/31/2023 | |
| Holland, Autumn | Operational/managerial control | Individual | 08/31/2023 | |
| Lowe, Leonor | Operational/managerial control | Individual | 08/31/2023 | |
| Mundt, Ada | Operational/managerial control | Individual | 08/31/2023 | |
| Purintun, Scott | Operational/managerial control | Individual | 08/31/2023 | |
| Spielman, Shimon | Operational/managerial control | Individual | 08/31/2023 | |
| Yenowitz, Yitzchok | Operational/managerial control | Individual | 08/31/2023 | |
| Ch Pacific Northwest Holdings LLC | Adp of the SNF | Organization | 08/31/2023 | |
| Couve Financial Services LLC | Adp of the SNF | Organization | 03/19/2025 | |
| Couve Healthcare Consulting LLC | Adp of the SNF | Organization | 03/19/2025 | |
| Pacific Northwest Opco Management LLC | Adp of the SNF | Organization | 03/19/2025 | |
| South Dakota SNF Consulting LLC | Adp of the SNF | Organization | 03/19/2025 | |
| Wheatcrest Hills SNF Operations, LLC | Adp of the SNF | Organization | 07/31/2025 | |
| Witzcorp Global LLC | Adp of the SNF | Organization | 08/31/2023 | |
| Herzka, Yisroel | Adp of the SNF | Individual | 08/31/2023 | |
| Holland, Autumn | Adp of the SNF | Individual | 08/31/2023 | |
| Lowe, Leonor | Adp of the SNF | Individual | 08/31/2023 | |
| Mundt, Ada | Adp of the SNF | Individual | 08/31/2023 | |
| Purintun, Scott | Adp of the SNF | Individual | 08/31/2023 | |
| Spielman, Shimon | Adp of the SNF | Individual | 08/31/2023 | |
| Yenowitz, Yitzchok | Adp of the SNF | Individual | 08/31/2023 |
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 do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on December 4, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on December 4, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on December 4, 2025: "Provide and implement an infection prevention and control program."
- 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 July 10, 2024: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.42 hours per resident per day, below the South Dakota average of 3.26.
Other nursing homes nearby
- Four Seasons Health Care Inc Forman, 22.4 mi · 1 of 5 stars · 28 citations
- Strand-Kjorsvig Community Rest Home Roslyn, 24.3 mi · 2 of 5 stars · 23 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 Wheatcrest Hills Healthcare Center's Medicare star rating?
- CMS rates Wheatcrest Hills Healthcare Center 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Wheatcrest Hills Healthcare Center get at its last inspection?
- 4 health deficiencies at the standard inspection on December 4, 2025. The South Dakota average is 6.7.
- Has Wheatcrest Hills Healthcare Center been fined?
- Yes. CMS lists 4 fines totaling $37,553 in the last three years.
- Does Wheatcrest Hills Healthcare Center 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 Wheatcrest Hills Healthcare Center?
- CMS lists 31 owners and managers, and links the home to Evergreen Healthcare Group. Legal business name: WHEATCREST HILLS SNF OPERATIONS, LLC.
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.