01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-28 | 0 | 2025-08-28 | 1 |
| Cycle 2 | 2024-04-30 | 1 | 2024-04-30 | 1 |
| Cycle 3 | 2023-03-09 | 9 | 2023-03-09 | 3 |
CMS CCN 4350622026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Alcester Care And Rehab Center, Inc
101 Church Street · Alcester, SD 57001 · Union County
Certified beds44CMS provider file
Recent citation rows15current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
15 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-08-28 · FIREK0222Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2025-10-102024-06-11 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2024-06-10 · complaint2024-04-30 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-06-142024-04-30 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-06-142023-09-26 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2023-11-10 · complaint2023-09-26 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2023-11-10 · complaint2023-09-26 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2023-11-10 · complaint2023-03-09 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Correction field: Deficient, Provider has date of correction · 2023-04-152023-03-09 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2023-04-152023-03-09 · HEALTHF0700Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-04-152023-03-09 · HEALTHF0727Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-04-152023-03-09 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-04-152023-03-09 · FIREK0211Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Waiver has been granted · 2023-05-172023-03-09 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2023-04-152023-03-09 · FIREK0918Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2023-04-1503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- STROSCHEIN PROPERTIES III LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 02/01/2015
- STROSCHEIN, CHADIndividual · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 02/01/2015
- CARING PROFESSIONALS INCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 02/01/2015
- MILLER, TIFFANYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/30/2020
- MILLER, TIFFANYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/30/2020
- CARING PROFESSIONALS INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/01/2015
- MILLER, TIFFANYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/30/2020
- STROSCHEIN, CHADIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/01/2015
- CARING PROFESSIONALS INCOrganization · TRUSTEE OF THE SNFNOT APPLICABLE · since 02/01/2015
- STROSCHEIN PROPERTIES III LLCOrganization · TRUSTEE OF THE SNFNOT APPLICABLE · since 02/01/2015
- STROSCHEIN, CHADIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 02/01/2015
- CARING PROFESSIONALS INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 02/01/2015
- STROSCHEIN PROPERTIES III LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 02/01/2015
- MILLER, TIFFANYIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/30/2020
- ROHLFS, KARSTENIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/01/2024
- STROSCHEIN, CHADIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/01/2015
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours2.74per resident day
RN hours0.45per resident day
Weekend nurse hours2.32per resident day
Staff turnover43.3%CMS reported field
06 / LOCAL RECORDS
Open the South Dakota ledger →Other published facilities nearby
No second facility in the same city met the directory rule.