Nursing Homes in Custer, South Dakota

Custer has 1 Medicare-certified nursing home with 10 beds. The city average CMS rating is 1.0 stars, which is below South Dakota's state average of 2.7 stars. 0 facilities earn a B grade or better and are recommended for family consideration.

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Worth Considering

Facilities graded A or B that meet our quality standards

0 recommended 0 mixed 1 avoid
See our top picks

City Average

1.0

-1.72 vs state

Total Beds

10

across 1 facility

High Risk Facilities

1

0 under CMS review

0 with abuse citations

Nurse Availability

0 min

RN time per resident daily

Below CMS recommendation

Well Staffed

0

exceed staffing threshold

0% of facility

Zero Fines

1 /1

passed all inspections

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Trend

0

improved vs last year

0 declined

D

Top Rated in Custer

Custer Care And Rehab Center

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About Nursing Home Care in Custer

In Custer, SD, families looking for nursing home care should tread carefully. The market is concerning, as there is only one facility available, and it does not meet the standards that families typically seek. The standout is Custer Care and Rehab Center, but it unfortunately holds a Grade D. With this grading, it’s essential to consider the limited options available in Custer and explore neighboring cities for better care alternatives.

While Custer Care and Rehab Center is the only facility in the area, it lacks notable strengths that would typically make it a recommendable option. In fact, none of the facilities in Custer are well-staffed or have non-profit options, which often indicate a better standard of care. Families should seriously consider looking at facilities in nearby towns such as Rapid City or Hot Springs, where more options may provide better care.

When it comes to facilities to avoid, Custer Care and Rehab Center is the only option but comes with its own set of concerns, including a Grade D. While it has a clean record with zero fines, the overall quality of care falls short. A practical tip for families visiting any facility is to ask about staffing ratios and to observe the interactions between staff and residents; this can often provide insight into the day-to-day environment and care quality.

Custer at a Glance

Good News

  • 1 facility with clean records—no fines in 3 years
  • 1 community-run facility (non-profit)

Be Aware

  • 1 facility has serious problems—check before visiting
  • Some facilities have less nurse time than recommended
  • City average is below state average—research carefully

What's Changing

  • 1 facility stayed the same
  • Overall: Custer is stable

Questions Custer Families Should Ask

Based on what we found in local inspection data

1

How many RN hours per resident do you provide daily?

CMS recommends 0.75 hrs; Custer avg is 0.00 hrs (0 min)

2

Have you received any fines in the past 3 years?

1 of 1 Custer facility has zero fines

3

What were your most recent inspection findings?

Ask for specifics—1 local facility has serious deficiencies

4

What is your staff-to-resident ratio on weekends?

Weekend staffing often differs from weekday levels

Finding Quality Nursing Home Care in Custer, South Dakota

Custer, South Dakota's Custer County seat, has 1 Medicare-certified nursing homes with approximately 10 beds. Families should research carefully—quality varies significantly from one facility to the next.

Custer vs. South Dakota: A Concerning Gap

Custer nursing homes fall below the state average on key quality metrics. The city's average CMS rating of 1.00 stars trails South Dakota's statewide average of 2.72 stars by nearly 1.7 stars—a significant gap that families should take seriously. The below-average performance is somewhat surprising for a major urban area, where competition and workforce availability typically drive higher quality.

Federal inspection data reveals 1 facility classified as high-risk based on patterns of serious deficiencies, complaints, or CMS enforcement actions. Only 0 of 1 facilities earn a B grade or better, meaning families should be prepared to look beyond the closest option to find quality care.

Understanding Our Trust Score System

The Trust Score is a 0-100 rating calculated from CMS's official nursing home database. The score combines five data categories:

  • Health Inspection Results — Recent deficiencies, their severity, and patterns over time
  • Staffing Levels — RN hours, total nursing hours, and weekend staffing
  • Quality Measures — Clinical outcomes like falls, pressure ulcers, and rehospitalizations
  • Penalties — Fines, payment denials, and enforcement actions
  • Complaints — Substantiated complaints and their severity

In Custer, 0 facilities score a B grade or better, indicating they meet quality benchmarks across these categories. We recommend families prioritize these facilities and carefully research any facility rated C or below before visiting.

Staffing: A Significant Concern in Custer

Staffing levels are among the most important predictors of nursing home quality. Research consistently shows that facilities with more nursing staff—especially registered nurses—have better outcomes for residents.

Custer facilities average 0.00 RN hours per resident day, which falls below the CMS-recommended threshold of 0.75 hours. The typical Custer resident receives approximately 0 minutes of RN attention daily—compared to the 45 minutes experts recommend.

0 Custer facilities exceed CMS staffing recommendations. Families prioritizing staffing should look for facilities with the "Top Staffing" badge and ask specifically about RN hours during facility visits.

Ownership: Mix of For-Profit and Non-Profit

Custer has 1 non-profit nursing homes and 0 for-profit facilities. 0 of 1 facilities are chain-owned, with the remainder independently operated.

Research suggests non-profit facilities often have higher staffing levels and fewer deficiencies on average, though ownership type alone does not guarantee quality. Families should evaluate each facility individually using inspection data, staffing levels, and recent deficiency reports.

Nearby Alternatives Worth Considering

Custer's below-average ratings mean families may benefit from expanding their search to nearby cities. The following South Dakota cities offer multiple nursing home options:

Frequently Asked Questions

How many nursing homes are in Custer, South Dakota?

Custer has 1 Medicare-certified nursing home with a total of 10 beds. The city average CMS rating is 1.0 stars, which is below South Dakota's state average of 2.7 stars.

What are the best nursing homes in Custer?

Based on our Trust Score analysis of CMS inspection data, the top-rated nursing homes in Custer include:

  • Custer Care And Rehab Center — Grade D, 45/100 Trust Score

These facilities have strong inspection records and staffing levels.

Which Custer nursing homes should I avoid?

We flag 1 facility in Custer as high-risk based on patterns of serious deficiencies, substantial fines, or placement on CMS's Special Focus Facility list. These facilities are marked with warning indicators in our listings above.

We recommend avoiding facilities with: Grade D or F, recent "Immediate Jeopardy" citations (indicating serious harm or risk to residents), or those on CMS's Special Focus Facility list.

The Bottom Line on Custer Nursing Homes

Custer has below-average nursing home ratings. Research carefully and consider nearby cities. Focus your search on the 0 facilities graded A or B, particularly those with zero fines and strong staffing. Avoid the 1 high-risk facilities flagged in our analysis.

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