Custer Care And Rehab Center

Federal health inspectors cited CUSTER CARE AND REHAB CENTER in CUSTER, SD for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-08-26.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 17 deficiencies cited during this inspection of CUSTER CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Federal health inspectors cited CUSTER CARE AND REHAB CENTER in CUSTER, SD for a deficiency under regulatory tag F-F0637 during a standard health inspection conducted on 2025-08-26.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Assess the resident when there is a significant change in condition

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 17 deficiencies cited during this inspection of CUSTER CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-15.

Federal health inspectors cited CUSTER CARE AND REHAB CENTER in CUSTER, SD for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-08-26.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 17 deficiencies cited during this inspection of CUSTER CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Federal health inspectors cited CUSTER CARE AND REHAB CENTER in CUSTER, SD for a deficiency under regulatory tag F-F0644 during a standard health inspection conducted on 2025-08-26.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 17 deficiencies cited during this inspection of CUSTER CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-15.

Federal health inspectors cited CUSTER CARE AND REHAB CENTER in CUSTER, SD for a deficiency under regulatory tag F-F0655 during a standard health inspection conducted on 2025-08-26.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 17 deficiencies cited during this inspection of CUSTER CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Federal health inspectors cited CUSTER CARE AND REHAB CENTER in CUSTER, SD for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-08-26.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 17 deficiencies cited during this inspection of CUSTER CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Federal health inspectors cited CUSTER CARE AND REHAB CENTER in CUSTER, SD for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-08-26.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: 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 Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 17 deficiencies cited during this inspection of CUSTER CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Federal health inspectors cited CUSTER CARE AND REHAB CENTER in CUSTER, SD for a deficiency under regulatory tag F-F0700 during a standard health inspection conducted on 2025-08-26.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: 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 Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 17 deficiencies cited during this inspection of CUSTER CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-15.

Federal health inspectors cited CUSTER CARE AND REHAB CENTER in CUSTER, SD for a deficiency under regulatory tag F-F0727 during a standard health inspection conducted on 2025-08-26.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: 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 Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 17 deficiencies cited during this inspection of CUSTER CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-15.

Federal health inspectors cited CUSTER CARE AND REHAB CENTER in CUSTER, SD for a deficiency under regulatory tag F-F0732 during a standard health inspection conducted on 2025-08-26.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Post nurse staffing information every day.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 17 deficiencies cited during this inspection of CUSTER CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Federal health inspectors cited CUSTER CARE AND REHAB CENTER in CUSTER, SD for a deficiency under regulatory tag F-F0757 during a standard health inspection conducted on 2025-08-26.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure each resident’s drug regimen must be free from unnecessary drugs.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 17 deficiencies cited during this inspection of CUSTER CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-16.

Federal health inspectors cited CUSTER CARE AND REHAB CENTER in CUSTER, SD for a deficiency under regulatory tag F-F0841 during a standard health inspection conducted on 2025-08-26.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: 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 Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 17 deficiencies cited during this inspection of CUSTER CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Federal health inspectors cited CUSTER CARE AND REHAB CENTER in CUSTER, SD for a deficiency under regulatory tag F-F0851 during a standard health inspection conducted on 2025-08-26.

Category: Administration Deficiencies

The facility was found deficient in the following area: Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 17 deficiencies cited during this inspection of CUSTER CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Federal health inspectors cited CUSTER CARE AND REHAB CENTER in CUSTER, SD for a deficiency under regulatory tag F-F0865 during a standard health inspection conducted on 2025-08-26.

Category: Administration Deficiencies

The facility was found deficient in the following area: Have a plan that describes the process for conducting QAPI and QAA activities.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 17 deficiencies cited during this inspection of CUSTER CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Federal health inspectors cited CUSTER CARE AND REHAB CENTER in CUSTER, SD for a deficiency under regulatory tag F-F0868 during a standard health inspection conducted on 2025-08-26.

Category: Administration Deficiencies

The facility was found deficient in the following area: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 17 deficiencies cited during this inspection of CUSTER CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Federal health inspectors cited CUSTER CARE AND REHAB CENTER in CUSTER, SD for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-26.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 17 deficiencies cited during this inspection of CUSTER CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

Federal health inspectors cited CUSTER CARE AND REHAB CENTER in CUSTER, SD for a deficiency under regulatory tag F-F0909 during a standard health inspection conducted on 2025-08-26.

Category: Environmental Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 17 deficiencies cited during this inspection of CUSTER CARE AND REHAB CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.