Quick answers
- Where is Custer Care and Rehab Center?
- 1065 Montgomery St, Custer, SD 57730, in Custer County, South Dakota.
- What is the phone number of Custer Care and Rehab Center?
- (605) 673-2115, as listed by Medicare (CMS).
- What is the Medicare star rating of Custer Care and Rehab Center?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Custer Care and Rehab Center been fined?
- Medicare lists no fines for Custer Care and Rehab Center.
- What did inspectors find at Custer Care and Rehab Center?
- In its last three inspection cycles (August 26, 2025 to August 6, 2026), Medicare lists 19 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (August 26, 2025 to August 6, 2026), Custer Care and Rehab Center had 19 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: August 6, 2026 — 2 health citations
Inspections in this cycle: August 6, 2026 (standard health inspection).
Show 2 citations (levels A to F, no actual harm)
F0578 Level D
“Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Previous cycle: August 26, 2025 — 17 health citations
Inspections in this cycle: August 26, 2025 (standard health inspection).
Show 17 citations (levels A to F, no actual harm)
F0628 Level F
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0727 Level F
“Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.”
F0851 Level F
“Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.”
F0865 Level F
“Have a plan that describes the process for conducting QAPI and QAA activities.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0637 Level E
“Assess the resident when there is a significant change in condition”
F0641 Level E
“Ensure each resident receives an accurate assessment.”
F0655 Level E
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0757 Level E
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0841 Level E
“Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.”
F0868 Level E
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0700 Level D
“Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.”
F0732 Level D
“Post nurse staffing information every day.”
F0909 Level D
“Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (2)
E0006 Level D
“Conduct risk assessment and an All-Hazards approach.”
K0919 Level D
“Meet requirements for the use of electrical equipment.”
Owners and operator
Legal business name: Custer Cares.
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| Custer Cares | Direct owner | 100% | December 1, 2023 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 43 |
| Average residents per day | 10.7 |
| Takes part in | Medicare and Medicaid |
| Ownership | Non-profit – corporation |
| Legal business name | Custer Cares |
| First approved by Medicare/Medicaid | 2025-12-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1065 Montgomery St, Custer, SD 57730 |
| County | Custer County |
| State | South Dakota |
| Phone | (605) 673‑2115 |
| CMS Certification Number | 435136 |
| Name in Medicare records | CUSTER CARE AND REHAB CENTER |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Michael J Fitzmaurice South Dakota Veterans Home24 mi · Hot Springs, SD · 4 of 5 stars
- Seven Sisters Living Center25 mi · Hot Springs, SD · 4 of 5 stars
- Clarkson Health Care25 mi · Rapid City, SD · 5 of 5 stars
- Avantara Arrowhead26 mi · Rapid City, SD · 1 of 5 stars
- Westhills Village Health Care Facility27 mi · Rapid City, SD · 5 of 5 stars
Nearest hospital emergency rooms
- Monument Health Custer Hospital4.3 mi · Custer, SD · Critical Access Hospital
- Fall River Hospital - CAH25 mi · Hot Springs, SD · Critical Access Hospital
- Monument Health Rapid City Hospital27 mi · Rapid City, SD · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13