Beresford, SD · 9.4 miles away
Alcester Care and Rehab Center
⌖ Alcester, SD · Union County
No photos yet
Medicare overall rating 5 of 5 stars
Certified beds44
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)
About Alcester Care and Rehab Center
Alcester Care and Rehab Center is a 44-bed for-profit nursing home in Alcester, SD. Medicare rates it 5 out of 5 stars overall (much above average); the average in South Dakota is 2.9. At its last full inspection (Aug 2025), inspectors found 0 problems, fewer than the South Dakota average of 6.7. Nurses and aides spend about 2 hr 44 min a day with each resident, less than the South Dakota average of 3 hr 47 min. About 43% of its nursing staff left in the past year. It has had no federal fines in the last three years. Its quality ratings are stronger for short-term rehab than for long-term care.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Is this your home? Tell families what makes it special: add photos, a description, care programs and amenities, and answer anything Medicare’s data flags.
Key details
Facility nameAlcester Care And Rehab Center, INC
LocationUnion County, South Dakota
Phone(605) 934-2011
Address101 Church Street, Alcester, SD 57001 · Union County
CMS provider number435062
Ownership typeFor-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceFebruary 1, 1992 (34 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
2 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection0 (Aug 2025)South Dakota average: 6.7. Most citations are minor and corrected within weeks.Strength
About average
- Nursing staff turnover43% a yearSouth Dakota average: 48%About average
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Nurse staffing per resident2 hr 44 min a daySouth Dakota average: 3 hr 47 minWorse than state average
- Registered nurse time per resident27 min a daySouth Dakota average: 48 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the South Dakota average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital6.6%State average: 19.9%Better than average
- Needed an emergency room visit11.3%State average: 12.0%About average
- Newly given antipsychotic drugs0.0%State average: 2.0%Better than average
Physical therapist time: about 2 minutes per resident a day. That is less than the state average of 3 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury0.0%State average: 5.5%Better than average
- Pressure sores (bedsores)3.8%State average: 4.6%About average
- Given antipsychotic drugs38.5%State average: 24.6%Worse than average
- Hospital stays per 1,000 resident days3.1State average: 1.5Worse than average
Source: Medicare (CMS) quality measures, compared with the South Dakota average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In South Dakota, Medicaid pays for 54% of resident days at a typical home.
- 60% Medicaid
- 7% Medicare
- 32% Private pay, insurance and other
Beds in use, on average93%South Dakota typical: 85%
Cost of care per resident day$254South Dakota typical: $330
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 5 stars now, up from 3 stars in January 2019. It has ranged from 1 to 5 stars and changed 9 times.
Overall rating5★
Health inspections5★
Staffing3★
Quality of care3★
Nurse hours per resident per day2.7
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 3 | 3 | 3 | 4 | 3.0 |
| Jan 2020 | 3 | 2 | 4 | 4 | 3.5 |
| Jan 2021 | 2 | 1 | – | 5 | 3.2 |
| Jan 2022 | 1 | 1 | 3 | 1 | 3.1 |
| Jan 2023 | 1 | 1 | 2 | 1 | 3.0 |
| Jan 2024 | 1 | 1 | 1 | 2 | 2.6 |
| Feb 2025 | 1 | 2 | 3 | 1 | 3.0 |
| Feb 2026 | 5 | 5 | 3 | 2 | 3.0 |
| Sep 2026 | 5 | 5 | 3 | 3 | 2.7 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
Loading…
Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
Other nursing homes near Alcester
Looking at more than one home? Here are other facilities from the directory in Alcester and the nearby area.
Centerville, SD · 18.4 miles away
Centerville Care and Rehab Center
View facility →Vermillion, SD · 20.7 miles away
Sanford Care Center Vermillion
View facility →Explore the area
View more homes nearby
Browse nursing homes in Alcester and the surrounding area.
See all nearby homes →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.