Dells Nursing and Rehab Center INC

• Star rating

  The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

• Star rating

  The CMS staffing star rating changed from 4 of 5 to 3 of 5.

• Star rating

  The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

• Star rating

  The CMS overall star rating changed from not rated by CMS to 4 of 5.

• Star rating

  The CMS health inspection star rating changed from not rated by CMS to 4 of 5.

• Star rating

  The CMS staffing star rating changed from not rated by CMS to 4 of 5.

• Star rating

  The CMS quality measures star rating changed from not rated by CMS to 2 of 5.

• Special Focus Facility

  CMS no longer lists this home as a Special Focus Facility.

• Health citation

  CMS removed citation F0658 from the health inspection on August 8, 2024.

• Health citation

  CMS removed citation F0684 from the health inspection on August 8, 2024.

• Health citation

  CMS removed citation F0803 from the health inspection on August 8, 2024.

• Health citation

  CMS removed citation F0812 from the health inspection on August 8, 2024.

• Fire safety citation

  CMS removed citation K0281 from the fire safety inspection on August 8, 2024.

CMS lists this as a standard inspection.

• Citation F0561. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  CMS lists it as corrected on January 7, 2026.

• Citation F0880. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Provide and implement an infection prevention and control program.

  CMS lists it as corrected on January 7, 2026.

  CMS has cited this home for F0880 3 times since 2025.

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CMS lists this as a standard inspection.

• Citation K0241. Severity C: potential for minimal harm, widespread.

  The rule CMS cited: Have correct number of accessible exits for each story.

  CMS lists it as corrected on December 29, 2025.

  CMS has cited this home for K0241 3 times since 2025.

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CMS lists this as a complaint inspection.

• Citation F0658. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

  CMS lists it as corrected on December 5, 2025.

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• Fine

  CMS changed the fine from August 8, 2024 from $24,695 to $25,144.

CMS lists this as a standard inspection.

• Citation F0582. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  CMS lists it as corrected on August 10, 2025.

• Citation F0880. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Provide and implement an infection prevention and control program.

  CMS lists it as corrected on August 10, 2025.

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CMS lists this as a standard inspection.

• Citation K0712. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Have simulated fire drills held at unexpected times.

  CMS lists it as corrected on August 10, 2025.

• Citation K0241. Severity C: potential for minimal harm, widespread.

  The rule CMS cited: Have correct number of accessible exits for each story.

  CMS lists it as corrected on August 10, 2025.

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• Health citation

  CMS removed citation F0582 from the health inspection on August 31, 2023.

• Health citation

  CMS removed citation F0604 from the health inspection on August 31, 2023.

• Health citation

  CMS removed citation F0625 from the health inspection on August 31, 2023.

• Health citation

  CMS removed citation F0655 from the health inspection on August 31, 2023.

• Health citation

  CMS removed citation F0658 from the health inspection on August 31, 2023.

• Health citation

  CMS removed citation F0684 from the health inspection on August 31, 2023.

• Health citation

  CMS removed citation F0880 from the health inspection on August 31, 2023.

CMS lists this as a standard inspection and a complaint inspection.

Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

37 of 96 South Dakota homes (39%) got a citation at the actual harm level in 2025.

• Citation F0686. Severity G: actual harm, isolated.

  The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  CMS lists it as corrected on February 20, 2025.

• Citation F0851. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

  CMS lists it as corrected on February 20, 2025.

• Citation F0880. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Provide and implement an infection prevention and control program.

  CMS lists it as corrected on April 14, 2025.

• Citation F0657. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  CMS lists it as corrected on February 20, 2025.

• Citation F0689. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  CMS lists it as corrected on February 20, 2025.

  CMS has cited this home for F0689 2 times since 2024.

• Citation F0760. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Ensure that residents are free from significant medication errors.

  CMS lists it as corrected on February 20, 2025.

• Citation F0602. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Protect each resident from the wrongful use of the resident's belongings or money.

  CMS lists it as corrected on December 19, 2024.

• Citation F0609. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  CMS lists it as corrected on February 20, 2025.

• Citation F0692. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

  CMS lists it as corrected on February 20, 2025.

• Citation F0881. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Implement a program that monitors antibiotic use.

  CMS lists it as corrected on February 20, 2025.

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CMS lists this as a standard inspection.

• Citation K0522. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Have an externally vented heating system.

  CMS lists it as corrected on February 25, 2025.

• Citation K0241. Severity C: potential for minimal harm, widespread.

  The rule CMS cited: Have correct number of accessible exits for each story.

  CMS lists it as corrected on February 25, 2025.

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CMS fine of $107,933 on January 16, 2025.

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CMS lists this as a complaint inspection.

• Citation F0689. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  CMS lists it as corrected on November 20, 2024.

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• Fine

  CMS changed the fine from February 12, 2024 from $61,435 to $39,933.

CMS fine of $25,144 on August 8, 2024.

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CMS fine of $39,933 on February 12, 2024.

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