# Custer Care and Rehab Center Custer Care and Rehab Center is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Custer, SD, CMS Certification Number 435136, with 43 certified beds and about 11 residents per day. CMS rates it 1/5 overall (health inspections 2/5, staffing 1/5, quality measures 1/5). ## Key facts - Status: Active CMS certification - Address: 1065 Montgomery St, Custer, SD 57730 (Custer County) - Ownership type: Non profit - Corporation - Operator (legal business name): [Custer Cares](https://carefield.site/operator/op-custer-cares) - CMS chain: not part of a CMS-reported chain - Phone: 6056732115 - Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/435136 ## Inspection record 4 inspections in the CMS window (latest 2026-08-06); 21 citations (19 health, 2 fire safety); 0 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history. - 2026-08-06 — [F-0578](https://carefield.site/deficiency/cms-f0578) Honor 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 D (No actual harm, potential for more than minimal harm); Corrected - 2026-08-06 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-08-26 — [E-0006](https://carefield.site/deficiency/cms-e0006) Conduct risk assessment and an All-Hazards approach. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-08-26 — [K-0919](https://carefield.site/deficiency/cms-k0919) Meet requirements for the use of electrical equipment. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-08-26 — [F-0628](https://carefield.site/deficiency/cms-f0628) Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2025-08-26 — [F-0637](https://carefield.site/deficiency/cms-f0637) Assess the resident when there is a significant change in condition — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2025-08-26 — [F-0641](https://carefield.site/deficiency/cms-f0641) Ensure each resident receives an accurate assessment. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2025-08-26 — [F-0644](https://carefield.site/deficiency/cms-f0644) Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-08-26 — [F-0655](https://carefield.site/deficiency/cms-f0655) Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2025-08-26 — [F-0656](https://carefield.site/deficiency/cms-f0656) Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-08-26 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2025-08-26 — [F-0700](https://carefield.site/deficiency/cms-f0700) Try 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 D (No actual harm, potential for more than minimal harm); Corrected - 2025-08-26 — [F-0727](https://carefield.site/deficiency/cms-f0727) Have 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 F (No actual harm, potential for more than minimal harm); Corrected - 2025-08-26 — [F-0732](https://carefield.site/deficiency/cms-f0732) Post nurse staffing information every day. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-08-26 — [F-0757](https://carefield.site/deficiency/cms-f0757) Ensure each resident’s drug regimen must be free from unnecessary drugs. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2025-08-26 — [F-0841](https://carefield.site/deficiency/cms-f0841) Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2025-08-26 — [F-0851](https://carefield.site/deficiency/cms-f0851) Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2025-08-26 — [F-0865](https://carefield.site/deficiency/cms-f0865) Have a plan that describes the process for conducting QAPI and QAA activities. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2025-08-26 — [F-0868](https://carefield.site/deficiency/cms-f0868) Have the Quality Assessment and Assurance group have the required members and meet at least quarterly — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2025-08-26 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - …and 1 more on the source page. ## Penalties No fines or payment denials in the CMS penalties file (about the last three years). ## Staffing (PBJ, hours per resident per day) - Total nurse: n/a (state avg 3.85636, US 3.90085) - RN: n/a - Nursing staff turnover: n/a% ## Owners and managers of record (CMS disclosures) - [Custer Cares](https://carefield.site/owner/org-custer-cares) — Direct owner, 100%, since 2023-12-01 - Madison Barta — Operational / managerial control, since 2023-12-01 - Janet Boyer — Operational / managerial control, since 2023-09-01 - Monica Mcgowan — Operational / managerial control, since 2023-09-01 - Mike Tennyson — Operational / managerial control, since 2023-09-01 - Samuel Van Voorst — Operational / managerial control, since 2023-09-01 - Ricky Wheeler — Operational / managerial control, since 2023-09-01 ## Sources - cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=435136&conditions%5B0%5D%5Boperator%5D=%3D - cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=435136&conditions%5B0%5D%5Boperator%5D=%3D - cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=435136&conditions%5B0%5D%5Boperator%5D=%3D - cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=435136&conditions%5B0%5D%5Boperator%5D=%3D - cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=435136&conditions%5B0%5D%5Boperator%5D=%3D - cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=435136&conditions%5B0%5D%5Boperator%5D=%3D --- Source page: https://carefield.site/facility/cms-435136 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.