ElderGrade
C

69/100

Average

Highmore Health

410 8Th Street Se, Highmore, SD 57345

CMS 3/5 stars (605) 852-2255
Certified beds
39
Occupancy
94%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 4 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

15/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.65 total nurse hours per resident per day (national median 3.77)
  • 0.69 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 52% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.09 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.69 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.78 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 51.60%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 24 citations

Last standard health inspection: May 8, 2025 (1 year ago).

D Jan 21, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

F May 8, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

E May 8, 2025 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

D May 8, 2025 F0583

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

No actual harm, potential for more than minimal harm

D May 8, 2025 F0610

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

No actual harm, potential for more than minimal harm

F Feb 28, 2024 F0851

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

No actual harm, potential for more than minimal harm

E Feb 28, 2024 F0565

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

No actual harm, potential for more than minimal harm

E Feb 28, 2024 F0657

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
STROSCHEIN, CHAD Individual CONTRACTED MANAGING EMPLOYEE
STROSCHEIN, CHAD Individual CORPORATE DIRECTOR
CARING PROFESSIONALS Organization OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Highmore Health

What is the ElderGrade for Highmore Health? +

Highmore Health holds an ElderGrade of C (69 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Highmore Health? +

Residents receive an average of 3.09 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Highmore Health been cited for harming residents? +

Yes. 4 of the 24 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Highmore Health accept Medicaid? +

Yes, Highmore Health is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.