Highmore Health
410 8th Street Se · Highmore, SD · 57345 · 6058522255
39 certified beds Non profit - Corporation
Why this verdict
- 3 citations involved actual harm to residents.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
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Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.14 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.77 | 0.55–0.75 |
| Weekend hours / resident-day | 2.76 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (24 in the current record)
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Potential for harm · D January 21, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · D May 8, 2025
Keep residents' personal and medical records private and confidential.
Corrected June 13, 2025 · Resident Rights
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Potential for harm · D May 8, 2025
Respond appropriately to all alleged violations.
Corrected June 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 13, 2025 · Nutrition and Dietary
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Potential for harm · F May 8, 2025
Provide and implement an infection prevention and control program.
Corrected June 13, 2025 · Infection Control
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Potential for harm · E February 28, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected March 25, 2024 · Resident Rights
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Potential for harm · D February 28, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 25, 2024 · Resident Rights
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Potential for harm · D February 28, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 28, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 28, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected March 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 28, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 25, 2024 · Quality of Life and Care
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Potential for harm · D February 28, 2024
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.
Corrected March 25, 2024 · Quality of Life and Care
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Potential for harm · E February 28, 2024
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.
Corrected March 25, 2024 · Pharmacy Service
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Potential for harm · E February 28, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 25, 2024 · Nutrition and Dietary
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Potential for harm · F February 28, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected March 25, 2024 · Administration
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Potential for harm · E February 28, 2024
Provide and implement an infection prevention and control program.
Corrected March 25, 2024 · Infection Control
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Immediate jeopardy · J March 2, 2023
Respond appropriately to all alleged violations.
Corrected March 23, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G March 2, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 23, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G March 2, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 23, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G March 2, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 23, 2023 · Quality of Life and Care
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Potential for harm · D March 2, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 23, 2023 · Resident Assessment and Care Planning
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Potential for harm · D March 2, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 23, 2023 · Resident Assessment and Care Planning
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Potential for harm · D March 2, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 23, 2023 · Quality of Life and Care
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Potential for harm · D March 2, 2023
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.
Corrected March 23, 2023 · Quality of Life and Care
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435092 · certified since December 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.