Sturgis, SD

Monument Health Sturgis Care Center

1-star overall rating with 2-star inspections with $8,018 in total fines with 7 recent health deficiencies

2140 Junction Avenue, Sturgis, SD

(605) 720-2400

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

40

Certified beds

Average residents

39

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1997-05-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.71

Registered nurse staffing

LPN hours / resident day

0.71

Licensed practical nurse staffing

Aide hours / resident day

3.85

Nurse aide staffing

Weekend hours

4.26

Weekend nurse staffing

RN turnover

60%

Annual RN turnover

Total nurse turnover

52%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.2
1.5
0.3 pts better
1.9
0.7 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 5.1
1.9
3.2 pts worse
1.8
3.3 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.5%
95.4%
2.1 pts better
93.4%
4.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.6%
96.9%
1.3 pts worse
95.5%
0.1 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.7%
5.1%
1.4 pts better
3.3%
0.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 11.2%
4.6%
6.6 pts worse
11.4%
0.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 7.2%
5.5%
1.7 pts worse
5.4%
1.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.6%
17.8%
3.8 pts worse
19.6%
2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 30.7%
25.1%
5.6 pts worse
16.7%
14 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 27.0%
21.3%
5.7 pts worse
16.3%
10.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 23.5%
21.6%
1.9 pts worse
14.9%
8.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.6%
2.0%
0.4 pts better
1.0%
0.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 11.7%
3.3%
8.4 pts worse
1.7%
10 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 22.1%
25.8%
3.7 pts better
19.8%
2.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.4%
4.6%
2.2 pts better
5.1%
2.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 58.8%
83.2%
24.4 pts worse
81.7%
22.9 pts worse
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-03 · Fire 2024-10-03

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-07-20 · Fire 2023-07-20

10 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2022-06-09 · Fire 2022-06-09

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.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2023-07-20

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-08-04

Inspection history

Recent health citations

G · Actual harm 2025-06-10

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-07-10

D · Potential for more than minimal harm 2025-06-10

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 2025-06-10

E · Potential for more than minimal harm 2025-02-19

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-04-04

E · Potential for more than minimal harm 2025-02-19

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 2025-04-04

D · Potential for more than minimal harm 2025-02-19

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-04-04

F · Potential for more than minimal harm 2024-10-03

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 2024-11-15

D · Potential for more than minimal harm 2024-10-03

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-03

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-03

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-15

G · Actual harm 2024-04-03

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-03-27

E · Potential for more than minimal harm 2023-11-15

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 2023-12-30

F · Potential for more than minimal harm 2023-07-20

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-09-01

E · Potential for more than minimal harm 2023-07-20

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-09-01

E · Potential for more than minimal harm 2023-07-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-01

D · Potential for more than minimal harm 2023-07-20

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-09-01

D · Potential for more than minimal harm 2023-07-20

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2023-09-01

D · Potential for more than minimal harm 2023-07-20

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2023-09-01

E · Potential for more than minimal harm 2022-06-09

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2022-07-05

E · Potential for more than minimal harm 2022-06-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-07-05

Penalties and ownership

What sits behind the stars

$8,018 2024-04-03

Fine

Fine · fine $8,018

Fine

Ownership

Abernathy, Phillip

Corporate Director · Individual

0% 1 facilities 2024-07-01
Anglin, Amanda

Corporate Director · Individual

0% 1 facilities 2025-06-19
Brewer, Heather

Corporate Director · Individual

0% 1 facilities 2020-07-01
Davidson, Ruta

Corporate Officer · Individual

0% 1 facilities 2018-08-18
Deer Oaks Mental Health Associates Pc

Operational/Managerial Control · Organization

0% 1 facilities 2019-11-22
Hespen, Barbara

Corporate Officer · Individual

0% 1 facilities 2022-03-21
Johnson, Kathryn

Corporate Director · Individual

0% 1 facilities 2020-07-01
Junek, Shauna

Corporate Director · Individual

0% 1 facilities 2024-07-01
Knudson, Jason

Corporate Director · Individual

0% 1 facilities 2021-07-01
Lamphere, Fred

Corporate Director · Individual

0% 1 facilities 2023-12-14
Lewis, Charles

Corporate Director · Individual

0% 2 facilities 2022-07-01
Maser, Steven

Operational/Managerial Control · Individual

0% 1 facilities 2022-12-30
Maser, Steven

Corporate Officer · Individual

0% 1 facilities 2022-12-30
Monument Health Inc

Operational/Managerial Control · Organization

0% 1 facilities 2005-07-01
Nylander, Kelsey

Operational/Managerial Control · Individual

0% 1 facilities 2020-10-01
Schmidt, Mark

Operational/Managerial Control · Individual

0% 1 facilities 2021-10-01
Williams, John

Corporate Director · Individual

0% 4 facilities 2023-08-01
Willuweit, Austin

Corporate Officer · Individual

0% 1 facilities 2024-01-09
Worsley, Thomas

Corporate Director · Individual

0% 1 facilities 2018-03-02
Worsley, Thomas

Corporate Officer · Individual

0% 1 facilities 2018-03-01

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