Nursing homeActiveSpecial Focus Facility candidate · what this means

Wilmot Care Center Inc

501 4th St, Wilmot, SD 57279605938441826 certified beds · 25 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
18
0162
Penalties · 3 yrs
$28,028
2 fines
Last survey
2025-03-06
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 5
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
2025-03-06Standard041CMS-2567 (Care Compare)
2024-11-13Complaint020CMS-2567 (Care Compare)
2024-06-10Complaint010CMS-2567 (Care Compare)
2024-02-29Standard081CMS-2567 (Care Compare)
2023-03-15Standard010CMS-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.

2025-03-06Standard survey · 5 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity LHarm
Care planningFalls
Widespread; immediate jeopardy to resident health or safety.Corrected 2025-04-02Record 435119-20250306-F689
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-27Record 435119-20250306-F686
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-04-01Record 435119-20250306-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-04-01Record 435119-20250306-F812
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 2025-04-02Record 435119-20250306-F880
2024-11-13Complaint survey · 2 deficienciesOfficial 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 2024-12-20Record 435119-20241113-F657
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 435119-20241113-F805
2024-06-10Complaint survey · 1 deficiencyOfficial report
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-07-15Record 435119-20240610-F812
2024-02-29Standard survey · 9 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-03-28Record 435119-20240229-F689
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-28Record 435119-20240229-F656
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 2024-03-28Record 435119-20240229-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-28Record 435119-20240229-F684
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-28Record 435119-20240229-F760
F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-28Record 435119-20240229-F802
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-28Record 435119-20240229-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-28Record 435119-20240229-F812
F909Regularly 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.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-28Record 435119-20240229-F909
2023-03-15Standard survey · 1 deficiencyOfficial report
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 2023-04-18Record 435119-20230315-F880

Penalties & enforcement

DateActionAmountSource
2025-03-06Civil money penalty$17,651CMS · Penalties
2024-02-29Civil money penalty$10,377CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.90
Facility
South Dakota
National
South Dakota 0.80 · National 0.69
Total nurse hours per resident day4.20
Facility
South Dakota
National
South Dakota 3.79 · National 3.86
Weekend total nurse hours3.72
Facility
South Dakota
National
South Dakota 3.26 · National 3.42
Total nursing staff turnover61%
Facility
South Dakota
National
South Dakota 48% · National 46%
Registered nurse turnover29%
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
6.4%4.6%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
4.2%5.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
24.4%24.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
5.6%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
25.0%21.3%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
8.2%5.6%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
37.4%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
Buttke, Leshea
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Van Beek, Jannette
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Beumer, Rachel
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Beumer, Rachel
Individual
CORPORATE DIRECTORNOT APPLICABLE
Buttke, Leshea
Individual
ADP OF THE SNFNOT APPLICABLE
Jurgens, Kevin
Individual
CORPORATE DIRECTORNOT APPLICABLE
Jurgens, Kevin
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Pelzel, Heidi
Individual
CORPORATE DIRECTORNOT APPLICABLE
Pelzel, Heidi
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Remund, Linda
Individual
CORPORATE DIRECTORNOT APPLICABLE
Remund, Linda
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Van Beek, Jannette
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 Roberts.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Browns Valley Health Center
Browns Valley
12.7 mi2026-04-21081
St William's Care Center
Milbank
17.3 mi2026-02-190173
Avantara Milbank
Milbank
17.6 mi2026-05-070218
Tekakwitha Living Center
Sisseton
19.9 mi2026-01-220212
Fairway View Neighborhoods
Ortonville
21.4 mi2026-07-22161
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