Nursing homeActive
Alcester Care And Rehab Center, Inc
101 Church Street, Alcester, SD 57001605934201144 certified beds · 40 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
10
● 0● 10● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-08-28
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · South Dakota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-08-28 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2024-06-11 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-04-30 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2023-09-26 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2023-03-09 | Standard | 050 | CMS-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.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-10Record 435062-20240611-F689
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-14Record 435062-20240430-F658
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 2023-11-10Record 435062-20230926-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-10Record 435062-20230926-F658
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-10Record 435062-20230926-F698
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-15Record 435062-20230309-F578
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 2023-04-15Record 435062-20230309-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 DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-15Record 435062-20230309-F700
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-04-15Record 435062-20230309-F727
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-04-15Record 435062-20230309-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.45
Facility
South Dakota
National
South Dakota 0.80 · National 0.69
Total nurse hours per resident day2.74
Facility
South Dakota
National
South Dakota 3.79 · National 3.86
Weekend total nurse hours2.32
Facility
South Dakota
National
South Dakota 3.26 · National 3.42
Total nursing staff turnover43%
Facility
South Dakota
National
South Dakota 48% · National 46%
Registered nurse turnover60%
Facility
South Dakota
National
South Dakota 35% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | South Dakota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.8% | 4.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.0% | 5.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 38.5% | 24.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.2% | 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 | 27.1% | 21.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.6% | 5.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 17.8% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Stroschein Properties III LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Stroschein, Chad Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Caring Professionals Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Miller, Tiffany Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stroschein, Chad Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Caring Professionals Inc Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Caring Professionals Inc Organization | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Caring Professionals Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Miller, Tiffany Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Miller, Tiffany Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Miller, Tiffany Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Rohlfs, Karsten Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stroschein Properties III LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stroschein Properties III LLC Organization | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Stroschein, Chad Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Stroschein, Chad Individual | ADP OF THE SNF | NOT 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 Union.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Hillcrest Health Care Center Hawarden | 7.4 mi | 2026-05-06 | 0693 |
| Bethesda Of Beresford Beresford | 9.1 mi | 2026-06-11 | 0221 |
| Akron Care Center, INC Akron | 14.6 mi | 2026-06-18 | 060 |
| Good Samaritan Society Canton Canton | 20.1 mi | 2025-05-08 | 042 |
| Centerville Care and Rehab Center Inc Centerville | 18.0 mi | 2026-06-10 | 0112 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |