Federal inspection record · CMS data as of October 1, 2026
Dells Nursing And Rehab Center Inc
1400 Thresher Dr, Dell Rapids, SD · (605) 428-5478
- Certified beds
- 50
- Residents per day
- 45
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 5, 2012
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in South Dakota.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among South Dakota homes
Dells Nursing And Rehab Center Inc carries 18 inspection points. That is fewer than 82% of South Dakota's 94 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in South Dakota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–31.5 pts
- 3★ 31.5–55 pts
- 2★ 55–95.25 pts
- 1★ over 95.25 pts
Bars show every rated home in South Dakota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
16 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Infection Control4F
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
Quality of Life and Care3E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights2E
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning2E
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration1F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Pharmacy Service1E
- E
Ensure that residents are free from significant medication errors.
Inspection history
2025-12-11
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2025-06-26
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2025-01-16
8 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 58 min of nursing staff time a day, 23 min of it from a registered nurse.
This home
2 h 58 min
South Dakota average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 42% of nursing staff and 38% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$173,010 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-16 | Fine | $107,933 |
| 2024-08-08 | Fine | $25,144 |
| 2024-02-12 | Fine | $39,933 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.1 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 0.7 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.1 pts better | 100.0% | 94.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2 pts worse | 95.2% | 97.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury5.5 pts worse | 11.0% | 5.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.9 pts better | 0.0% | 5.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.8 pts better | 3.9% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.3 pts better | 15.4% | 17.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.7 pts worse | 34.5% | 24.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened14.4 pts worse | 32.7% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.9 pts better | 18.6% | 21.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts worse | 2.5% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 2.0% | 2.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.2 pts better | 21.3% | 24.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.6 pts better | 1.9% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts better | 88.2% | 83.9% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse | 2.3% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.7 pts better | 79.2% | 75.5% | 80.1% |
·
Who owns and runs it
6 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Stroschein Properties LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Stroschein, Chad | 5% Or Greater Direct Ownership Interest · Individual | 0% | 9 facilities |
| Stroschein, Chad | W-2 Managing Employee · Individual | 0% | 9 facilities |
| Stroschein, Chad | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Van Voorst, Samuel | W-2 Managing Employee · Individual | 0% | 3 facilities |
| Wendland, Jadin | Operational/Managerial Control · Individual | 0% | 1 facilities |
·
Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress3C
- C
Have correct number of accessible exits for each story.
- C
Have correct number of accessible exits for each story.
- C
Have correct number of accessible exits for each story.
Miscellaneous1D
- D
Have simulated fire drills held at unexpected times.
Services1D
- D
Have an externally vented heating system.
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Other homes nearby
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★★★★★- Worst citation, 3 yrs
- J
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- 3 h 30 min
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-
Flandreau Santee Sioux Tribe Care Center
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-
Riverview Healthcare Center
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