Custer Care And Rehab Center
Inspection Findings
F-Tag F0628
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.
F-Tag F0637
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.
F-Tag F0641
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.
F-Tag F0644
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.
F-Tag F0655
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.
F-Tag F0656
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.
F-Tag F0657
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.
F-Tag F0700
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.
F-Tag F0727
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.
F-Tag F0732
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.
F-Tag F0757
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.
F-Tag F0841
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.
F-Tag F0851
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.
F-Tag F0865
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.
F-Tag F0868
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.
F-Tag F0880
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.
F-Tag F0909
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.
CUSTER CARE AND REHAB CENTER in CUSTER, SD inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CUSTER, SD, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from CUSTER CARE AND REHAB CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.