Nursing homeActiveSpecial Focus Facility candidate · what this means

Winner Regional Healthcare Center

805 E 8th St, Winner, SD 57580605842720040 certified beds · 25 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
29
0263
Penalties · 3 yrs
none on file
Last survey
2026-06-02
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 1
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · South Dakota Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-06-02Standard0152CMS-2567 (Care Compare)
2025-05-21Complaint010CMS-2567 (Care Compare)
2024-12-19Standard020CMS-2567 (Care Compare)
2023-11-20Complaint010CMS-2567 (Care Compare)
2023-08-24Standard071CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · South Dakota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-06-02Standard survey · 17 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-07-09Record 435056-20260602-F600
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity KHarm
Care planningFalls
Pattern; immediate jeopardy to resident health or safety.Corrected 2026-07-09Record 435056-20260602-F689
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-09Record 435056-20260602-F552
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-09Record 435056-20260602-F585
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-09Record 435056-20260602-F605
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-09Record 435056-20260602-F609
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-09Record 435056-20260602-F655
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 435056-20260602-F657
F700Try 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-09Record 435056-20260602-F700
F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-09Record 435056-20260602-F712
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 435056-20260602-F755
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-09Record 435056-20260602-F756
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-09Record 435056-20260602-F761
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-07-09Record 435056-20260602-F835
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-07-09Record 435056-20260602-F865
F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-09Record 435056-20260602-F944
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-09Record 435056-20260602-F947
2025-05-21Complaint survey · 1 deficiencyOfficial report
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-23Record 435056-20250521-F657
2024-12-19Standard survey · 2 deficienciesOfficial report
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-13Record 435056-20241219-F695
F700Try 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-13Record 435056-20241219-F700
2023-11-20Complaint survey · 1 deficiencyOfficial report
F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-04Record 435056-20231120-F943
2023-08-24Standard survey · 8 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-10-10Record 435056-20230824-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-21Record 435056-20230824-F550
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-21Record 435056-20230824-F584
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-21Record 435056-20230824-F655
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-21Record 435056-20230824-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-10Record 435056-20230824-F684
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-10Record 435056-20230824-F688
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-21Record 435056-20230824-F812

Penalties & enforcement

DateActionAmountSource
2023-08-24Civil money penalty$3,728CMS · Penalties
2023-08-24Civil money penalty$9,311CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.75
Facility
South Dakota
National
South Dakota 0.80 · National 0.69
Total nurse hours per resident day4.99
Facility
South Dakota
National
South Dakota 3.79 · National 3.86
Weekend total nurse hours3.98
Facility
South Dakota
National
South Dakota 3.26 · National 3.42
Total nursing staff turnover68%
Facility
South Dakota
National
South Dakota 48% · National 46%
Registered nurse turnover67%
Facility
South Dakota
National
South Dakota 35% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilitySouth DakotaNational
Percentage of long-stay residents with pressure ulcers
lower is better
0.8%4.6%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.8%5.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
44.9%24.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.9%2.9%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
37.4%21.3%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
4.1%5.6%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
7.1%17.4%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Atteberry, Lucy
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Burns, Nielsen
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lewis, Dana
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Olson, Nicole
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Schroeder, Rhonda
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Williams, Brian
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Burns, Nielsen
Individual
ADP OF THE SNFNOT APPLICABLE
Chambers, Mari
Individual
CORPORATE OFFICERNOT APPLICABLE
Haiar, Cody
Individual
CORPORATE DIRECTORNOT APPLICABLE
Hammerbeck, Sara
Individual
CORPORATE DIRECTORNOT APPLICABLE
Heenan, Casey
Individual
CORPORATE DIRECTORNOT APPLICABLE
Kingsbury, Roger
Individual
CORPORATE DIRECTORNOT APPLICABLE
Nicholas, Dave
Individual
CORPORATE DIRECTORNOT APPLICABLE
Olson, Nicole
Individual
ADP OF THE SNFNOT APPLICABLE
Petersek, Sara
Individual
CORPORATE DIRECTORNOT APPLICABLE
Pravecek, Betsy
Individual
CORPORATE DIRECTORNOT APPLICABLE
Rowe, Dione
Individual
CORPORATE DIRECTORNOT APPLICABLE
Vanneman, Kim
Individual
CORPORATE DIRECTORNOT APPLICABLE
Williams, Brian
Individual
CORPORATE OFFICERNOT APPLICABLE
Williams, Brian
Individual
ADP OF THE SNFNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or South Dakota.

No county cost figures on file for Tripp.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Avera Rosebud Country Care Center
Gregory
23.4 mi2026-05-210130
Sanford Chamberlain Care Center
Chamberlain
38.9 mi2025-08-14088
Sandhills Care Center
Ainsworth
57.0 mi2025-06-171160
Rock County Hospital Long Term Care
Bassett
57.1 mi2026-06-080121
White River Health Care Center
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47.4 mi2025-03-27011
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01