423 N 10 ST, Custer, SD 57730
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
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Medicare-certifiedSkilled Nursing
Custer Care and Rehab Center
Custer, South DakotaMedicare inspection record
About Custer Care and Rehab Center
CUSTER CARE AND REHAB CENTER is a non profit - corporation nursing home in CUSTER, SD with 43 certified beds.
Community at a glance
Capacity
43 residents
Location
Custer, SD
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1065 MONTGOMERY ST, Custer, South Dakota 57730
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on August 6, 2026, state inspectors cited 2 health deficiencies (the South Dakota average is 6.7).
Medicare has not fined Custer Care and Rehab Center in the last three years.
Inspections
19 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
August 6, 2026 · Standard inspection · 2 citations
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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsPlan to fix it acceptedProvide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlPlan to fix it accepted
August 26, 2025 · Standard inspection · 17 citations
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.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Nov 15, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Risk of harm, no one hurt, widespread (level F)Resident RightsCorrected Oct 10, 2025Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Oct 10, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Oct 10, 2025Have a plan that describes the process for conducting QAPI and QAA activities.
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Oct 10, 2025Assess the resident when there is a significant change in condition
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Nov 15, 2025Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Oct 10, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Oct 16, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Oct 10, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Oct 10, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Oct 10, 2025Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Oct 10, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Oct 10, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Nov 15, 2025Regularly 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.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Oct 10, 2025Try 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Nov 15, 2025Post nurse staffing information every day.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Oct 10, 2025
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- Non profit - Corporation
- Legal business name
- Custer Cares
- Medicare-certified beds
- 43
- Accepts
- Medicare and Medicaid
- First certified
- December 1, 2025
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 435136
Location
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1065 MONTGOMERY STCuster, SD 57730
1 other community within 10 miles
Senior living near Custer
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Questions about Custer Care and Rehab Center
How did Custer Care and Rehab Center do on its last inspection?+
State inspectors visited on August 6, 2026 and cited 2 health deficiencies. The South Dakota average is 6.7.
Has Custer Care and Rehab Center been fined by Medicare?+
Medicare's records show no fines against Custer Care and Rehab Center in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.