Skilled NursingCMS verified

Custer Care and Rehab Center

1065 Montgomery St, Custer, SD 57730 · Custer County

1.0CMS overall rating(605) 673-2115

Use Caution

Haven Scout Score

Our composite of CMS ratings, staffing, and safety. This community rates use caution.

Photos via google places.

Availability outlookModerate availability

Typically 72% full — openings are usually available.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

A low federal rating — review the details closely

Custer Care and Rehab Center is a non-profit skilled nursing facility in Custer, SD, with 43 certified beds and an average of about 31 residents per day.

Medicare rates it 1 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 1/5 on health inspections, 1/5 on staffing, 1/5 on quality measures.

Staff provide about 3.52 total nurse hours per resident each day (0.40 of them from registered nurses), below the national benchmark of roughly 3.9 hours. On the safety record, CMS notes 17 health deficiencies at its most recent standard survey.

Strengths

✓No federal fines on record
✓Full sprinkler system
✓Active resident & family council

Things to ask about

•Below-average 1-star overall CMS rating
•Below-average health-inspection rating
•Below-average nurse staffing (3.52 hrs/resident/day)
•17 deficiencies at last survey

Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated Custer options — our advisors can help you compare.

At a glance

Certified beds: 43
Avg. residents/day: 31
Ownership: Non profit - Corporation
Part of a chain: Independent
Continuing care: No
CMS provider #: 43A140

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating

Health inspections

Staffing

Quality measures

Pricing & cost

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of care	Monthly cost	Source
Skilled Nursing	$8,440–$10,340/mo (median $9,140)	Local market estimate

2024–2026 published survey medians, state median adjusted to local Rapid City prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs

Request exact pricing for Custer Care and Rehab Center →

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day: 3.52; National avg ≈ 3.9
RN hrs / resident / day: 0.40; National avg ≈ 0.75

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

Health deficiencies (last survey): 17
Federal fines: None on record
Total penalties: 0
Last standard survey: 2025-08-26
Sprinkler system: Yes
Resident & family council: Resident

What inspectors found

The most recent findings from federal health inspections (20 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2025-08-26Severity F — potential for harmResident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

2025-08-26Severity F — potential for harmNursing and Physician Services Deficiencies

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.

2025-08-26Severity F — potential for harmAdministration Deficiencies

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

2025-08-26Severity F — potential for harmAdministration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

2025-08-26Severity F — potential for harmInfection Control Deficiencies

Provide and implement an infection prevention and control program.

2025-08-26Severity E — potential for harmResident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

2025-08-26Severity E — potential for harmResident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

2025-08-26Severity E — potential for harmResident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Services & amenities

✓ Full automatic sprinkler system
✓ Medicare & Medicaid certified
✓ 24-hour licensed nursing
✓ On-site rehabilitation therapy

Location

1065 Montgomery St, Custer, SD

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Google

3.0

2 reviews →

Verified family reviews

No verified family reviews yet for Custer Care and Rehab Center.

Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.

Talk to an advisor about this community

Common questions about Custer Care and Rehab Center

How much does Custer Care and Rehab Center cost?

Custer Care and Rehab Center does not publish exact rates. Comparable skilled nursing in the Custer, SD area typically runs $8,440–$10,340 per month (median $9,140, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

What is Custer Care and Rehab Center's Medicare rating?

Medicare (CMS) rates Custer Care and Rehab Center 1 out of 5 stars overall, including 1/5 for health inspections, 1/5 for staffing, 1/5 for quality measures. The national average is about 3 stars.

How is the staffing at Custer Care and Rehab Center?

Staff provide about 3.52 total nurse hours per resident per day (national benchmark ≈ 3.9). These figures are reported to the federal government and updated regularly.

What did inspectors find at Custer Care and Rehab Center?

Custer Care and Rehab Center has 20 health citations on its recent federal inspection record (last standard survey: 2025-08-26). The full citation-by-citation detail, with severity levels, is published on this page.

Does Custer Care and Rehab Center have availability?

Typically 72% full — openings are usually available. Availability changes weekly — a Haven advisor can confirm current openings at no cost.

What types of care does Custer Care and Rehab Center offer?

Custer Care and Rehab Center in Custer, SD offers skilled nursing and is licensed for 43 beds.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Rapid City.
The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.

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Your next steps — this week

1
Confirm the fit
Check the inspection record and staffing data on this page against your loved one's needs.
2
Get exact pricing & availability
Request current rates for Custer Care and Rehab Center — takes one minute, answered same day.
3
Tour 2–3 communities
Compare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
4
Hold a spot
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