Quick answers
- Where is Highmore Health?
- 410 8th Street SE, Highmore, SD 57345, in Hyde County, South Dakota.
- What is the phone number of Highmore Health?
- (605) 852-2255, as listed by Medicare (CMS).
- What is the Medicare star rating of Highmore Health?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Highmore Health been fined?
- Medicare lists no fines for Highmore Health.
- What did inspectors find at Highmore Health?
- In its last three inspection cycles (March 2, 2023 to January 21, 2026), Medicare lists 24 health citations; the most serious was level J. 4 were level G or higher (actual harm or immediate jeopardy). 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 (March 2, 2023 to January 21, 2026), Highmore Health had 24 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 4 of them were level G or higher (actual harm or immediate jeopardy). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.17 hours per resident per day; the South Dakota average is 3.86 and the national average is 3.90.
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: May 8, 2025 — 5 health citations
Inspections in this cycle: May 8, 2025 (standard health inspection); January 21, 2026 (complaint investigation).
Show 5 citations (levels A to F, no actual harm)
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0583 Level D
“Keep residents' personal and medical records private and confidential.”
F0610 Level D
“Respond appropriately to all alleged violations.”
Previous cycle: February 28, 2024 — 11 health citations
Inspections in this cycle: February 28, 2024 (standard health inspection).
Show 11 citations (levels A to F, no actual harm)
F0851 Level F
“Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.”
F0565 Level E
“Honor the resident's right to organize and participate in resident/family groups in the facility.”
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.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0761 Level E
“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.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0584 Level D
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0661 Level D
“Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.”
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.”
Earlier cycle: March 2, 2023 — 8 health citations
Inspections in this cycle: March 2, 2023 (standard health inspection).
F0610 Level J
“Respond appropriately to all alleged violations.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0600 Level G
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0609 Level G
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 4 less serious citations (levels A to F)
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
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.”
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 (3)
E0034 Level E
“Provide a means of sharing information on occupancy/needs.”
K0712 Level E
“Have simulated fire drills held at unexpected times.”
E0001 Level F
“Establish an Emergency Preparedness Program (EP).”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | South Dakota | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.73 | 0.78 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.27 | 0.50 | 0.86 |
| Nurse aide hours per resident per day | 2.17 | 2.58 | 2.35 |
| Total nurse staff hours per resident per day | 3.17 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.83 | 3.28 | 3.43 |
| RN hours per resident per day on the weekend | 0.47 | 0.49 | 0.48 |
| Nursing staff turnover (per year) | 52.9% | 48.6% | 45.3% |
| RN turnover (per year) | 42.9% | 37.5% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.3 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: HH Holdings, Inc..
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| Caring Professionals | Management company (operational or managerial control) | NOT APPLICABLE | July 1, 2010 |
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 | 39 |
| Average residents per day | 35.9 |
| Takes part in | Medicare and Medicaid |
| Ownership | Non-profit – corporation |
| Legal business name | HH Holdings, Inc. |
| First approved by Medicare/Medicaid | 1995-12-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 410 8th Street SE, Highmore, SD 57345 |
| County | Hyde County |
| State | South Dakota |
| Phone | (605) 852‑2255 |
| CMS Certification Number | 435092 |
| Name in Medicare records | HIGHMORE HEALTH |
| 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).
- Good Samaritan Society Miller22 mi · Miller, SD · 1 of 5 stars
Nearest hospital emergency rooms
- Avera Hand County Memorial Hospital and Clinic22 mi · Miller, SD · Critical Access Hospital
- Faulkton Area Medical Center39 mi · Faulkton, SD · Critical Access Hospital
- Avera Missouri River Health Center42 mi · Gettysburg, SD · Critical Access 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