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Nursing homeFAID #746657

Custer Care and Rehab Center

1065 MONTGOMERY ST, CUSTER, SD, 57730

(605) 673-2115

43 licensed beds

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Address

1065 Montgomery St

Custer, SD 57730

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

435136

Care type

Nursing home

State

Facility name

Custer Care and Rehab Center

Street address

1065 MONTGOMERY ST

City / state / ZIP

Custer, SD 57730

Phone

(605) 673-2115

About this facility — Custer Care and Rehab Center

Custer Care and Rehab Center is a Medicare/Medicaid-certified skilled nursing facility in Custer, South Dakota. It is licensed for 43 beds — below the median for skilled nursing facilities in South Dakota (52 beds).

It is one of 2 senior care facilities in Custer and 96 skilled nursing facilities across South Dakota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Custer Care and Rehab Center 19 times across 2 inspections in the last three years; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Registered owners & officers

Custer Cares

Direct owner · Additional disclosable party — 100% stake — since 2023

Barta, Madison

Operational control · Additional disclosable party — since 2023

Boyer, Janet

Operational control — since 2023

Mcgowan, Monica

Operational control — since 2023

Tennyson, Mike

Operational control — since 2023

Van Voorst, Samuel

Operational control · Additional disclosable party — since 2023

Wheeler, Ricky

Operational control — since 2023

Services & coverage

Licensed beds

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.

2025-08-26Health inspection17 citations

F-0628

F · No harm found

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-10-10

F-0637

E · No harm found

Assess the resident when there is a significant change in condition

Corrected 2025-11-15

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-10-10

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-11-15

F-0655

E · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-10-10

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-10-10

F-0657

E · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-10-10

F-0700

D · No harm found

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.

Corrected 2025-11-15

F-0727

F · No harm found

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.

Corrected 2025-11-15

F-0732

D · No harm found

Post nurse staffing information every day.

Corrected 2025-10-10

F-0757

E · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-10-16

F-0841

E · No harm found

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Corrected 2025-10-10

F-0851

F · No harm found

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-10-10

F-0865

F · No harm found

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2025-10-10

F-0868

E · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-10-10

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-10-10

F-0909

D · No harm found

Regularly 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.

Corrected 2025-10-10

1 earlier / fire-safety inspection (2 citations)

2025-08-26Fire-safety inspection2 citations

E-0006

D · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2025-10-10

K-0919

D · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2025-10-14

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 435136.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 19 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered