Nursing HomeInspections

Highmore Health

Nursing home in Highmore, SD

Medicare & Medicaid certified3★ overall (CMS)

Call (605) 852-2255Send a messageMap ↗

Public-record details

Address
410 8th Street Se, Highmore, SD 57345
Phone
(605) 852-2255
Listed under
Nonprofit, No fines in 3 years
Medicare CCN
435092
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measures rating
2 of 5
Certified beds
39
Average residents per day
37
Ownership
Nonprofit, corporation
Legal business name
Hh Holdings, INC.
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 1, 1995
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 435092. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 8, 2025. CMS lists 24 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 2, 2023 to Jan 21, 2026): 1 from complaint inspections, 4 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jan 21, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
May 8, 2025Keep residents' personal and medical records private and confidential.
Resident Rights		D
Potential for more than minimal harm, isolated
May 8, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
May 8, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
May 8, 2025Provide and implement an infection prevention and control program.
Infection Control		F
Potential for more than minimal harm, widespread
Feb 28, 2024Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Feb 28, 2024Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 28, 2024Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 28, 2024Try 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…
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 28, 2024Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights		E
Potential for more than minimal harm, pattern
Feb 28, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Feb 28, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 24. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.09 hours
Registered nurse (RN) time per resident per day
0.69 hours
Nurse aide time per resident per day
2.08 hours
Total nurse staffing on weekends
2.78 hours
Nursing staff turnover (yearly)
52%
RN turnover (yearly)
50%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.