Federal inspection record · CMS data as of October 1, 2026
Wakonda Heritage Manor
515 Ohio Street, Wakonda, SD · (605) 267-2081
- Certified beds
- 38
- Residents per day
- 35
- Ownership
- Non-Profit
- Chain
- Avera Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 1996
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
Wakonda Heritage Manor carries 22 inspection points. That is fewer than 74% 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
8 health citations on record since 2023. 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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning1D
- D
Ensure each resident receives an accurate assessment.
Quality of Life and Care1D
- D
Provide safe and appropriate respiratory care for a resident when needed.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-05-07
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
2025-02-13
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2023-10-19
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 53 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
3 h 53 min
South Dakota average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 31% of nursing staff and 33% 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
$12,675 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-02-13 | Fine | $12,675 |
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 days0.2 pts worse | 1.7 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.6 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.4 pts better | 99.3% | 94.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.8 pts better | 100.0% | 97.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.4 pts worse | 8.9% | 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 worse | 7.5% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.6 pts better | 17.1% | 17.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication14 pts worse | 38.8% | 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 worsened1.6 pts worse | 19.9% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.3 pts better | 16.2% | 21.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.9 pts better | 0.0% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 2.3% | 2.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.4 pts better | 23.1% | 24.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.7 pts better | 0.8% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7 pts worse | 76.9% | 83.9% | 82.3% |
·
Who owns and runs it
19 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 |
|---|---|---|---|
| Davis, Brittani | Corporate Officer · Individual | 0% | 2 facilities |
| Davis, Brittani | Adp Of The SNF · Individual | 0% | 2 facilities |
| Fitzgerald, Helen | Corporate Officer · Individual | 0% | 1 facilities |
| Ganschow, Darby | Corporate Officer · Individual | 0% | 1 facilities |
| Girard, Ken | Corporate Officer · Individual | 0% | 1 facilities |
| Henriksen, Donna | Corporate Officer · Individual | 0% | 1 facilities |
| Huot, Ron | Corporate Officer · Individual | 0% | 1 facilities |
| Johnsen, Jill | Corporate Officer · Individual | 0% | 1 facilities |
| Knudson, Cheryl | Corporate Officer · Individual | 0% | 1 facilities |
| Mccue, Margo | Corporate Officer · Individual | 0% | 1 facilities |
| Nelsen, Julie | Corporate Officer · Individual | 0% | 1 facilities |
| Peterson, Ronald | Corporate Officer · Individual | 0% | 1 facilities |
| Sacred Heart Health Services | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Sacred Heart Health Services | Adp Of The SNF · Organization | 0% | 2 facilities |
| Stockland, Robin | Corporate Officer · Individual | 0% | 2 facilities |
| Stockland, Robin | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Stockland, Robin | Adp Of The SNF · Individual | 0% | 2 facilities |
| Wakonda Heritage Manor | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Wakonda Heritage Manor | Adp Of The SNF · Organization | 0% | 1 facilities |
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Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Construction2D
- D
Meet requirements for sections of health care facilities separated by fire resistive construction.
- D
Meet requirements for sections of health care facilities separated by fire resistive construction.
Miscellaneous1D
- D
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Sunset Manor Avera Health
Irene, SD · Avera Health · Abuse icon
★★★★★- Worst citation, 3 yrs
- H
- Nursing / resident / day
- 5 h 9 min
- Fines
- $56,946
-
Centerville Care and Rehab Center Inc
Centerville, SD · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 36 min
- Fines
- $69,439
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Pioneer Memorial Nursing Home
Viborg, SD
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 58 min
- Fines
- $32,536