Dells Nursing and Rehab Center Inc

1400 Thresher Dr · Dell Rapids, SD · 57022 · 6054285478

50 certified beds For profit - Corporation

Why this verdict

  • Federal penalties on record: $133,077 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

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Red flags

$133,077 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 75
Serious harm & abuse 20% 94
Staffing 20% 65
Federal penalties 15% 32
Trend 10% 85
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.093.48 min · 4.1 strong
RN hours / resident-day0.780.55–0.75
Weekend hours / resident-day2.69≈ weekday level
Nursing turnover / year38%median 45%
Fines (3-yr window)3 · $173,010

Inspection citations (16 in the current record)

  • Potential for harm · D December 11, 2025

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

    Corrected January 7, 2026 · Resident Rights

  • Potential for harm · D December 11, 2025

    Provide and implement an infection prevention and control program.

    Corrected January 7, 2026 · Infection Control

  • Potential for harm · D November 24, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected December 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E June 26, 2025

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected August 10, 2025 · Resident Rights

  • Potential for harm · E June 26, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 10, 2025 · Infection Control

  • Actual harm · G January 16, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected February 20, 2025 · Quality of Life and Care

  • Potential for harm · D January 16, 2025 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected December 19, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 16, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected February 20, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E January 16, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 20, 2025 · Quality of Life and Care

  • Potential for harm · D January 16, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected February 20, 2025 · Quality of Life and Care

  • Potential for harm · E January 16, 2025

    Ensure that residents are free from significant medication errors.

    Corrected February 20, 2025 · Pharmacy Service

  • Potential for harm · F January 16, 2025

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

    Corrected February 20, 2025 · Administration

  • Potential for harm · F January 16, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 14, 2025 · Infection Control

  • Potential for harm · D January 16, 2025

    Implement a program that monitors antibiotic use.

    Corrected February 20, 2025 · Infection Control

  • Potential for harm · E January 16, 2025 · found via complaint

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

    Corrected February 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 26, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 20, 2024 · Quality of Life and Care

Federal penalties

DateTypeAmount / length
January 16, 2025Fine$107,933
August 8, 2024Fine$25,144
February 12, 2024Fine$39,933

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435129 · certified since October 5, 2012. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.