Cycle 1
Health 2025-07-24 · Fire 2025-07-24
9 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
White Lake, SD
Aurora Brule Nursing Home Inc
2-star overall rating with 3-star inspections with $17,928 in total fines with 9 recent health deficiencies
408 South Johnston Street, White Lake, SD
(605) 249-2216
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
44
Certified beds
Average residents
39
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2014-10-16
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
3,054
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
46.23
Composite VBP score used to determine payment impact.
Payment multiplier
0.9996
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
7.42
Baseline 52.63% · Performance 33.33% · Measure score 7.42 · Achievement 7.42 · Improvement 6.45
Adjusted total nurse staffing
1.82
Baseline 2.76 hours · Performance 3.46 hours · Measure score 1.82 · Achievement 1.34 · Improvement 1.82
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.03% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 46 · Observed rate 6.52% · Lower 95% interval 6.42% |
| Discharge to community | 39.8% |
50.57%
10.8 pts worse
|
No Different than the National Rate · Eligible stays 41 · Observed rate 34.15% · Lower 95% interval 29.64% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 88.57% |
95.27%
6.7 pts worse
|
Numerator 31 · Denominator 35 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 35 |
| Discharge self-care score | 41.38% |
53.69%
12.3 pts worse
|
Numerator 12 · Denominator 29 |
| Discharge mobility score | 51.72% |
50.94%
0.8 pts better
|
Numerator 15 · Denominator 29 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 35 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 18.37% |
8.2%
10.2 pts better
|
Numerator 9 · Denominator 49 |
| Staff flu vaccination coverage | 69.81% |
42%
27.8 pts better
|
Numerator 37 · Denominator 53 |
| Discharge function score | 58.62% |
56.45%
2.2 pts better
|
Numerator 17 · Denominator 29 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.5
0.4 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.7 · Expected 1.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.9
1.1 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.6 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.6% |
95.4%
1.8 pts worse
|
93.4%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 81.4% · Q2 100.0% · Q3 97.4% · Q4 97.3% · 4Q avg 93.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.7% |
96.9%
0.8 pts better
|
95.5%
2.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
5.1%
5.1 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.4% |
4.6%
0.8 pts worse
|
11.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 8.3% · Q3 5.4% · Q4 5.9% · 4Q avg 5.4% |
| Percentage of long-stay residents who lose too much weight | 3.2% |
5.5%
2.3 pts better
|
5.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 3.4% · Q3 0.0% · Q4 3.0% · 4Q avg 3.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.2% |
17.8%
7.4 pts worse
|
19.6%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 26.7% · Q3 27.3% · Q4 24.2% · 4Q avg 25.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.9% |
25.1%
6.2 pts better
|
16.7%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 16.7% · Q3 18.5% · Q4 17.2% · 4Q avg 18.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 17.6% |
21.3%
3.7 pts better
|
16.3%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q3 17.4% · Q4 17.2% · 4Q avg 17.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.9% |
21.6%
6.7 pts better
|
14.9%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 17.9% · Q3 9.4% · Q4 12.5% · 4Q avg 14.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
2.0%
0.9 pts better
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 8.4% |
3.3%
5.1 pts worse
|
1.7%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 10.8% · Q3 12.8% · Q4 2.7% · 4Q avg 8.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.0% |
25.8%
2.8 pts better
|
19.8%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 22.4% · Q3 31.5% · Q4 19.8% · 4Q avg 23.0% |
| Percentage of long-stay residents with pressure ulcers | 11.4% |
4.6%
6.8 pts worse
|
5.1%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 6.2% · Q3 7.0% · Q4 23.1% · 4Q avg 11.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.1% |
83.2%
5.1 pts worse
|
81.7%
3.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q4 85.7% · 4Q avg 78.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.9% |
11.7%
3.8 pts better
|
12.0%
4.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.9% · Observed 8.3% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.7%
1.7 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 34.9% |
21.5%
13.4 pts worse
|
23.9%
11 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 34.9% · Observed 29.2% · Expected 19.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-06 · Fire 2024-03-06
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-03-01 · Fire 2023-03-01
4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2023-03-01
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-03-21
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-07-24
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-09-01
E · Potential for more than minimal harm
2025-07-24
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-01
E · Potential for more than minimal harm
2025-07-24
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-01
E · Potential for more than minimal harm
2025-07-24
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-09-01
E · Potential for more than minimal harm
2025-07-24
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-01
E · Potential for more than minimal harm
2025-07-24
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-01
D · Potential for more than minimal harm
2025-07-24
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-09-01
D · Potential for more than minimal harm
2025-07-24
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-09-01
D · Potential for more than minimal harm
2025-07-24
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-09-01
D · Potential for more than minimal harm
2024-05-14
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-04
G · Actual harm
2024-04-23
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-21
D · Potential for more than minimal harm
2024-03-06
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-04-12
E · Potential for more than minimal harm
2023-03-01
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-28
E · Potential for more than minimal harm
2023-03-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-28
D · Potential for more than minimal harm
2023-03-01
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-03-28
D · Potential for more than minimal harm
2023-03-01
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-03-28
Penalties and ownership
What sits behind the stars
$17,928
2024-03-06
Fine
Fine · fine $17,928
Fine
Ownership
Aurora County Development Corporation
5% Or Greater Indirect Ownership Interest · Organization
Aurora-Brule Nursing Home
5% Or Greater Direct Ownership Interest · Organization
Caring Professionals Inc
Operational/Managerial Control · Organization
Dodds, Craig
Corporate Director · Individual
Gillen, Terasa
Operational/Managerial Control · Individual
Stroschein, Chad
Operational/Managerial Control · Individual
Nearby options
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4-star overall rating with 4-star inspections with $6,168 in total fines with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Good Samaritan Society Corsica
Corsica, SD
5-star overall rating with 5-star inspections with $8,190 in total fines with 2 recent health deficiencies
#3
Weskota Manor Inc
Wessington Springs, SD
5-star overall rating with 4-star inspections with 3 recent health deficiencies
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