← Back to results

Custer Care and Rehab Center

Nursing Home Facility

1065 Montgomery St, Custer, SD 57730

Nursing Home Care Senior Living
Custer Care and Rehab Center

Custer Care and Rehab Center is a senior care community located in Custer, SD. It provides nursing home care and senior living for older adults in the Custer area. To learn more or schedule a tour, call (605) 673-2115.

Custer Care and Rehab Center is licensed for 43 beds.

The community is located in Custer County, SD.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 17 problems at Custer Care and Rehab Center. None of them caused harm to a resident.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, widespread Resident Rights

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Inspected August 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, widespread Nursing and Physician Services

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Inspected August 2025. Corrected by November 15, 2025.

  • Could cause more than minimal harm, widespread Administration

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

    Inspected August 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, widespread Administration

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Inspected August 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, widespread Infection Control

    Provide and implement an infection prevention and control program.

    Inspected August 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Assess the resident when there is a significant change in condition

    Inspected August 2025. Corrected by November 15, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected August 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Inspected August 2025. Corrected by October 10, 2025.

Show 9 more
  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

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

    Inspected August 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Inspected August 2025. Corrected by October 16, 2025.

  • Could cause more than minimal harm, a pattern Nursing and Physician Services

    Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

    Inspected August 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, a pattern Administration

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Inspected August 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Inspected August 2025. Corrected by November 15, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected August 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    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.

    Inspected August 2025. Corrected by November 15, 2025.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    Post nurse staffing information every day.

    Inspected August 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, one or a few residents Environmental

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    Inspected August 2025. Corrected by October 10, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Custer Care and Rehab Center offers nursing home care and senior living.

Facility details

  • Organization type Non profit - Corporation
  • Beds / units 43
  • Last health inspection August 2025

Get directions

Resident & family reviews

No one has shared a review of Custer Care and Rehab Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.

Write a review