Cycle 1
Health 2025-02-13 · Fire 2025-02-13
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Wakonda, SD
Wakonda Heritage Manor
4-star overall rating with 4-star inspections with $12,675 in total fines with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
515 Ohio Street, Wakonda, SD
(605) 267-2081
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
38
Certified beds
Average residents
33
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Avera Health
Operator or chain grouping
Approved since
1996-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
12 facilities
Chain averages 4 overall / 3 health / 5 staffing / 3 quality stars
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
0.79
Registered nurse staffing · state 0.80 · national 0.68
LPN hours / resident day
0.34
Licensed practical nurse staffing · state 0.49 · national 0.87
Aide hours / resident day
2.70
Nurse aide staffing · state 2.61 · national 2.35
Total nurse hours
3.83
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.13
RN + LPN hours · state 1.28 · national 1.54
Weekend hours
2.98
Weekend nurse staffing · state 3.32 · national 3.43
Weekend RN hours
0.52
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.88
CMS adjusted RN staffing hours
Adjusted total hours
4.31
CMS adjusted total nurse staffing hours
Case-mix index
1.22
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,215
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.89
Composite VBP score used to determine payment impact.
Payment multiplier
0.9938
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
3.02
Baseline 55.17% · Performance 51.35% · Measure score 3.02 · Achievement 3.02 · Improvement 0.76
Adjusted total nurse staffing
5.16
Baseline 4.36 hours · Performance 4.55 hours · Measure score 5.16 · Achievement 5.16 · Improvement 0.82
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.52% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 28 · Observed rate 7.14% · Lower 95% interval 7.07% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 95.24% |
95.27%
About the same
|
Numerator 20 · Denominator 21 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 21 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 21 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 6.45% |
8.2%
1.7 pts worse
|
Numerator 4 · Denominator 62 |
| Staff flu vaccination coverage | 27.4% |
42%
14.6 pts worse
|
Numerator 20 · Denominator 73 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 10 · 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 | 2.8 |
1.5
1.3 pts worse
|
1.9
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.0 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
1.9
0.1 pts worse
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.6 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.3% |
95.4%
2.9 pts better
|
93.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 100.0% · Q3 100.0% · Q4 96.8% · 4Q avg 98.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.9%
3.1 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.9% |
5.1%
4.2 pts better
|
3.3%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.4% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.6%
4.6 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 7.8% |
5.5%
2.3 pts worse
|
5.4%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 11.5% · Q3 4.0% · Q4 7.7% · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.3% |
17.8%
1.5 pts better
|
19.6%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 23.1% · Q3 15.4% · Q4 11.1% · 4Q avg 16.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 48.1% |
25.1%
23 pts worse
|
16.7%
31.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 55.0% · Q3 50.0% · Q4 38.1% · 4Q avg 48.1% · 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 | 12.6% |
21.3%
8.7 pts better
|
16.3%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.5% |
21.6%
8.1 pts better
|
14.9%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 12.5% · Q3 8.7% · Q4 16.0% · 4Q avg 13.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
2.0%
2 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
3.3%
0.7 pts better
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 0.0% · Q3 0.0% · Q4 3.2% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.2% |
25.8%
4.4 pts worse
|
19.8%
10.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.3% · Q2 34.4% · Q3 29.9% · Q4 22.8% · 4Q avg 30.2% |
| Percentage of long-stay residents with pressure ulcers | 1.9% |
4.6%
2.7 pts better
|
5.1%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 0.0% · Q3 0.0% · Q4 3.6% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.9% |
83.2%
2.7 pts better
|
81.7%
4.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 81.0% · 4Q avg 85.9% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.1% |
1.7%
3.4 pts worse
|
1.6%
3.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 5.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-10-19 · Fire 2023-10-19
2 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Cycle 3
Health 2022-08-18 · Fire 2022-08-18
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-02-13
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2025-02-12
D · Potential for more than minimal harm
2023-10-19
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-10-20
E · Potential for more than minimal harm
2022-08-18
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-08-30
Inspection history
Recent health citations
G · Actual harm
2025-02-13
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 2025-03-13
F · Potential for more than minimal harm
2025-02-13
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 2025-03-13
D · Potential for more than minimal harm
2024-06-24
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-07-03
D · Potential for more than minimal harm
2023-10-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-10
E · Potential for more than minimal harm
2022-08-18
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 2022-09-22
Penalties and ownership
What sits behind the stars
$12,675
2025-02-13
Fine
Fine · fine $12,675
Fine
Ownership
Davis, Brittani
Corporate Officer · Individual
Fitzgerald, Helen
Corporate Officer · Individual
Ganschow, Darby
Corporate Officer · Individual
Girard, Ken
Corporate Officer · Individual
Henriksen, Donna
Corporate Officer · Individual
Huot, Ron
Corporate Officer · Individual
Johnsen, Jill
Corporate Officer · Individual
Knudson, Cheryl
Corporate Officer · Individual
Mccue, Margo
Corporate Officer · Individual
Nelsen, Julie
Corporate Officer · Individual
Peterson, Ronald
Corporate Officer · Individual
Sacred Heart Health Services
Operational/Managerial Control · Organization
Stockland, Robin
Operational/Managerial Control · Individual
Stockland, Robin
Corporate Officer · Individual
Wakonda Heritage Manor
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Sunset Manor Avera Health
Irene, SD
2-star overall rating with 2-star inspections with abuse icon flag with $40,596 in total fines with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Centerville Care and Rehab Center Inc
Centerville, SD
2-star overall rating with 2-star inspections with $55,059 in total fines with 9 recent health deficiencies
#3
Pioneer Memorial Nursing Home
Viborg, SD
3-star overall rating with 3-star inspections with $32,536 in total fines with 1 recent health deficiencies
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