Nursing homeActive

Bowdle Nursing Home

8001 W 5th Street, Bowdle, SD 57428605285614627 certified beds · 23 residentsGovernment - CityMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
5
050
Penalties · 3 yrs
none on file
Last survey
2025-07-25
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 4
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
DateKindDeficienciesOfficial recordArchived PDF
2025-07-25Standard020CMS-2567 (Care Compare)
2024-02-08Standard030CMS-2567 (Care Compare)
2023-04-26Standard000CMS-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.

2025-07-25Standard survey · 2 deficienciesOfficial report
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 2025-03-07Record 435107-20250725-F727
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-08Record 435107-20250725-F880
2024-02-08Standard survey · 3 deficienciesOfficial report
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 435107-20240208-F755
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 2024-03-20Record 435107-20240208-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-20Record 435107-20240208-F880

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.39
Facility
South Dakota
National
South Dakota 0.80 · National 0.69
Total nurse hours per resident day3.80
Facility
South Dakota
National
South Dakota 3.79 · National 3.86
Weekend total nurse hours3.46
Facility
South Dakota
National
South Dakota 3.26 · National 3.42
Total nursing staff turnover35%
Facility
South Dakota
National
South Dakota 48% · National 46%

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
6.0%5.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
6.3%24.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.2%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
18.8%21.3%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
4.2%5.6%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
2.8%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)
EntityRoleInterestSinceRegistry
City Of Bowdle
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Kessler, Lacey
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kleffman, Darwyn
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Barnhardt, Darryn
Individual
CORPORATE DIRECTORNOT APPLICABLE
Bobby, Margaret
Individual
CORPORATE DIRECTORNOT APPLICABLE
Boschee, Rick
Individual
CORPORATE DIRECTORNOT APPLICABLE
Gab, Rex
Individual
CORPORATE DIRECTORNOT APPLICABLE
Gunderson, Michael
Individual
CORPORATE DIRECTORNOT APPLICABLE
Kessler, Lacey
Individual
ADP OF THE SNFNOT APPLICABLE
Kessler, Lacey
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Kleffman, Darwyn
Individual
ADP OF THE SNFNOT APPLICABLE
Kleffman, Darwyn
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Kleffman, Darwyn
Individual
CORPORATE OFFICERNOT APPLICABLE
Maier, Russell
Individual
CORPORATE DIRECTORNOT APPLICABLE
Shaykett, Amber
Individual
CORPORATE DIRECTORNOT 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 Edmunds.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Avera Eureka Health Care Center
Eureka
22.1 mi2026-06-11091
Walworth County Care Center, Inc
Selby
18.4 mi2026-04-30050
Avera Oahe Manor
Gettysburg
33.2 mi2025-09-04090
Ashley Medical Center Nursing Home
Ashley
43.1 mi2025-07-02060
Faulkton Senior Living
Faulkton
38.6 mi2025-12-11050
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