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Skilled nursing facility · CMS certified · CCN 435136

Custer Care and Rehab Center

1065 Montgomery St, Custer, SD 57730 · Custer County · one of 96 skilled nursing facilities in South Dakota
43
certified beds
1 / 5
overall CMS rating
Nonprofit
ownership type
under 70%
occupancy band
Not reported
case mix
What if · run the numbers

There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

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How Custer Care and Rehab Center compares

Custer County has 0 other certified buildings, too few to compare, so this is against South Dakota. 96 buildings.

Better than most of South Dakota on 1 of 5 lines.

Overall CMS rating1 / 5Behind mostLevel with 17 of the 93 other buildings in South Dakota; the other 76 are ahead

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Behind mostHigher than 14 of the 93 other buildings in South Dakota, level with 23

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating1 / 5Behind mostLevel with 9 of the 93 other buildings in South Dakota; the other 84 are ahead

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating1 / 5Behind mostLevel with 18 of the 93 other buildings in South Dakota; the other 75 are ahead

CMS's star rating for resident-care quality measures. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited2Better than mostFewer than 88 of the 95 other buildings in South Dakota, the same as 3

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 9. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against South Dakota
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files; CMS Provider Information, Oct 2026 file.

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Street view of Custer Care and Rehab Center
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Street View
1065 Montgomery St, Custer, SD
Map around Custer Care and Rehab Center
Map · Custer County
Custer County, South Dakota
1 skilled nursing facility; average overall rating 1.0, South Dakota 3.0.
See how Custer County compares ›
Cost report, against South Dakota
Each line is what this building filed with Medicare for its latest full year, beside the middle building in South Dakota. The rank counts from the top: 1st is the highest figure among South Dakota's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

No full-year Medicare cost report on file for this building for FY2025 to FY2026. What the buildings in South Dakota that did file reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
85.8%
62
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
7.8%
68
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
53.6%
68
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$344
68
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$335
68
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$15
68
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
4.5%
66
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating1 / 5 · state 3
Health inspection2 / 5 · state 2.9
Staffing1 / 5 · state 3.5

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingSouth Dakotanationrecent quarters
Needed more help with daily activities24.6%worse than state21.5%13.5%2026Q1: 28.6%2026Q2: 20.7%
28.6% → 20.7%
Q1’26 to Q2’26
Catheter inserted and left in3.0%worse than state1.9%0.7%2026Q1: 3.6%2026Q2: 2.5%
3.6% → 2.5%
Q1’26 to Q2’26
Urinary tract infection4.9%worse than state2.9%1.5%2026Q1: 6.9%2026Q2: 3.1%
6.9% → 3.1%
Q1’26 to Q2’26
Fall with major injury6.6%worse than state5.5%3.2%2026Q1: 6.9%2026Q2: 6.2%
6.9% → 6.2%
Q1’26 to Q2’26
Newly given an antipsychotic (short stay)too few residents to report2.2%1.5%too few quarters to chart
Ability to walk independently worsened30.7%worse than state18.3%12.7%too few quarters to chart
Pressure ulcers4.0%better than state4.5%4.5%2026Q1: 8.5%2026Q2: 0.0%
8.5% → 0.0%
Q1’26 to Q2’26
Given an antipsychotic35.8%worse than state24.8%15.4%2026Q1: 38.5%2026Q2: 33.3%
38.5% → 33.3%
Q1’26 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Aug 2026
last standard survey
2
deficiencies cited · South Dakota avg 10.1
$0
fines, last 3 years
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in South Dakota
state rate files
$249
median daily rate across the South Dakota buildings in our rate book, Jul 2026 file
South Dakota rates and what changed ›
Custer County
buildingbedsoverallCuster Care and Rehab Center431 / 5
All South Dakota buildings in Custer County ›
South Dakota at a glance
96
buildings
5,835
licensed beds
84%
occupancy
32%
for-profit
South Dakota market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyMichael J Fitzmaurice South Dakota Veterans HomeHot Springs · 23.6 mi784 / 570-85%Seven Sisters Living CenterHot Springs · 25.0 mi524 / 5over 85%Clarkson Health CareRapid City · 25.3 mi495 / 5over 85%Avantara ArrowheadRapid City · 25.5 mi681 / 5over 85%Westhills Village Health Care FacilityRapid City · 26.6 mi445 / 5over 85%Avantara Mountain ViewRapid City · 27.0 mi1012 / 570-85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Custer Care and Rehab Center?
Custer Care and Rehab Center in Custer, SD carries an overall CMS rating of 1 out of 5 stars in the Oct 2026 CMS file.
How many beds does Custer Care and Rehab Center have?
Custer Care and Rehab Center is certified for 43 beds in the Oct 2026 CMS file.
How full is Custer Care and Rehab Center?
CMS's reported average residents put Custer Care and Rehab Center's occupancy in the under 70% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.