NURSING HOME PUBLIC RECORD
CMS lists this provider in Custer, SD, with 43 certified beds, no overall rating reported, and 19 citation rows in the current August 2026 release.
1065 Montgomery St · Custer, SD 57730 · Custer County
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.
CMS supplies 1 survey-cycle row for Custer Care And Rehab Center in this release; health and fire inspection dates remain separate.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-26 | 17 | 2025-08-26 | 2 |
CMS reports 19 citation rows, including 0 with G–L codes and 0 with J–L codes.
0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Conduct risk assessment and an All-Hazards approach.
Correction field: Deficient, Provider has date of correction · 2025-10-10Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-10-10Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2025-11-15Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-10-10Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2025-11-15Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2025-10-10Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-10-10Develop 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 · 2025-10-10Try 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 · 2025-11-15Have 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 · 2025-11-15Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2025-10-10Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-10-16Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Correction field: Deficient, Provider has date of correction · 2025-10-10Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Correction field: Deficient, Provider has date of correction · 2025-10-10Have a plan that describes the process for conducting QAPI and QAA activities.
Correction field: Deficient, Provider has date of correction · 2025-10-10Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Correction field: Deficient, Provider has date of correction · 2025-10-10Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-10-10Regularly 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.
Correction field: Deficient, Provider has date of correction · 2025-10-10Meet requirements for the use of electrical equipment.
Correction field: Deficient, Provider has date of correction · 2025-10-14The August 2026 file contains 0 penalty rows and $0 in listed fines for this provider record.
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. | |||
CMS matched 10 ownership disclosure rows to Custer Care And Rehab Center; names and roles are reported fields, not independently verified identities.
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.
Total nurse hours and RN hours per resident day are not reported for this provider in the August 2026 CMS release.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
No second published facility record in Custer, SD met the local peer rule in this release.
No second facility in the same city met the directory rule.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.
