Nursing HomeInspections

Wakonda Heritage Manor

Nursing home in Wakonda, SD

Medicare & Medicaid certified4★ overall (CMS)

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Public-record details

Address
515 Ohio Street, Wakonda, SD 57073
Phone
(605) 267-2081
Listed under
Nonprofit, 4–5 star overall rating
Medicare CCN
435094
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
2 of 5
Certified beds
38
Average residents per day
35
Ownership
Nonprofit, corporation
Legal business name
Wakonda Heritage Manor
Chain
Avera Health (13 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 1, 1996
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 435094. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: May 7, 2026. CMS lists 8 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 19, 2023 to May 7, 2026): 2 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
May 7, 2026Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
May 7, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 7, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 7, 2026Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental		D
Potential for more than minimal harm, isolated
Feb 13, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Feb 13, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Jun 24, 2024Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 19, 2023Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated

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 Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $12,675 in the last three years.

Feb 13, 2025Fine: $12,675

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

Staffing

Total nurse staffing per resident per day
3.89 hours
Registered nurse (RN) time per resident per day
0.63 hours
Nurse aide time per resident per day
2.72 hours
Total nurse staffing on weekends
3.08 hours
Nursing staff turnover (yearly)
31%
RN turnover (yearly)
33%
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.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error