Wilmot Care Center Inc

501 4th St · Wilmot, SD · 57279 · 6059384418

26 certified beds Non profit - Corporation

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.
  • Staffing hours comfortably above national benchmarks.

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Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Score breakdown

Inspection record 30% of score 26
Serious harm & abuse 20% 64
Staffing 20% 80
Federal penalties 15% 58
Trend 10% 43
Context 5% 35

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

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day4.143.48 min · 4.1 strong
RN hours / resident-day0.950.55–0.75
Weekend hours / resident-day3.63≈ weekday level
Nursing turnover / year52%median 45%
Fines (3-yr window)2 · $28,028

Inspection citations (18 in the current record)

  • Immediate jeopardy · L March 6, 2025

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

    Corrected April 2, 2025 · Quality of Life and Care

  • Potential for harm · D March 6, 2025

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

    Corrected March 27, 2025 · Quality of Life and Care

  • Potential for harm · F March 6, 2025

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected April 1, 2025 · Nutrition and Dietary

  • Potential for harm · F March 6, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 1, 2025 · Nutrition and Dietary

  • Potential for harm · E March 6, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 2, 2025 · Infection Control

  • Potential for harm · D November 13, 2024 · 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 December 20, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 13, 2024 · found via complaint

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected December 20, 2024 · Nutrition and Dietary

  • Potential for harm · F June 10, 2024 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 15, 2024 · Nutrition and Dietary

  • Immediate jeopardy · J February 29, 2024 · found via complaint

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

    Corrected March 28, 2024 · Quality of Life and Care

  • Potential for harm · E February 29, 2024

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

    Corrected March 28, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E February 29, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 28, 2024 · Quality of Life and Care

  • Potential for harm · E February 29, 2024

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Corrected March 28, 2024 · Nutrition and Dietary

  • Potential for harm · D February 29, 2024

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected March 28, 2024 · Nutrition and Dietary

  • Potential for harm · D February 29, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 28, 2024 · Nutrition and Dietary

  • Potential for harm · D February 29, 2024

    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.

    Corrected March 28, 2024 · Environmental

  • Potential for harm · D February 29, 2024 · found via complaint

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

    Corrected March 28, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D February 29, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected March 28, 2024 · Pharmacy Service

  • Potential for harm · D March 15, 2023

    Provide and implement an infection prevention and control program.

    Corrected April 18, 2023 · Infection Control

Federal penalties

DateTypeAmount / length
March 6, 2025Fine$17,651
February 29, 2024Fine$10,377

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435119 · certified since April 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.