Custer Care And Rehab Center
1065 Montgomery St, Custer, SD 577306056732115Ownership: Non profit - CorporationCertified beds: 43Avg. daily residents: 31County: Custer
Special Focus Facility candidate — CMS has identified this facility as one of the most poorly performing in the state and it is eligible for the Special Focus program, which brings inspections twice as often as normal.
The complete public record on Custer Care And Rehab Center, a Medicare & Medicaid–certified nursing home in Custer, South Dakota, from the CMS Care Compare database (May 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.
CMS Star Ratings
Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. South Dakota average: 2.9 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★☆☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★☆☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Custer Care And Rehab Center holds a 1-star overall rating, in the bottom two tiers CMS assigns. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.
Staffing
3.52 total nurse staff hours per resident per day
below the state average (3.79)
0.40 RN hours per resident per day
below the state average (0.80)
3.29 weekend nurse staff hours per resident per day
Not reported total nursing staff turnover
Not reported RN turnover
Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.
Inspections & Penalties
August 26, 2025 most recent standard health inspection
17 health deficiencies cited in the most recent inspection cycle
above the state average (7.0)
3 health deficiencies in the two prior cycles combined
$0 in federal fines across 0 penalties (last 3 years)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed
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Source: CMS Care Compare (data.cms.gov), May 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.