ElderGrade
B

82/100

Above average

White River Health Care Center

515 E 8Th Street, White River, SD 57579

CMS 5/5 stars (605) 259-3161
Certified beds
52
Occupancy
61%
Ownership
Non-profit
Accepts
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.

  • 1 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.

  • $6,168 in federal fines

    CMS has fined this facility across 1 penalty action(s).

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

26/30

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

  • -4 for 1 actual-harm citation(s) in the last 3 years

Staffing

27/30

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

  • 7.29 total nurse hours per resident per day (national median 3.77)
  • 0.79 RN hours per resident per day
  • Weekend staffing drops 15% 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.

  • 48% of nursing staff left in the last year

Resident outcomes

12/15

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

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

Enforcement history

8/10

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

  • $6,168 in federal fines across 1 action(s)

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 5.48 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.79 hrs
National average 0.69 hrs Better than average

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

Weekend nurse hours 4.68 hrs
National average 3.42 hrs Better than average

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

Nursing staff turnover 47.80%
National average 45.80% Below average

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

Recent inspection findings

Last standard health inspection: March 27, 2025 (1 year ago). That inspection produced no citations — the findings below are older.

G Nov 18, 2024 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm to a resident

D Dec 13, 2023 F0791

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

No actual harm, potential for more than minimal harm

D Dec 8, 2022 F0550

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

What families say

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Common questions about White River Health Care Center

What is the ElderGrade for White River Health Care Center? +

White River Health Care Center holds an ElderGrade of B (82 out of 100), which we describe as "above 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 White River Health Care Center? +

Residents receive an average of 5.48 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has White River Health Care Center been cited for harming residents? +

Yes. 1 of the 3 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 White River Health Care Center accept Medicaid? +

Yes, White River Health Care Center 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.