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Nursing HomeMedicaid Investigative

Wilmot Care Center INC

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

501 4th St, Wilmot, SD 5727929 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 3 Google reviews

Wilmot Care Center INC Nursing Home in Wilmot, SD — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Low overall rating (2/5 stars)
  • High staff turnover (52%)

Below average in SD · Meets national RN staffing standard · Above recommended total nurse staffing · $28,028 in fines · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

Because there are no written reviews available for this facility, it is impossible to evaluate the quality of care or identify specific operational strengths and weaknesses. We strongly recommend scheduling an in-person tour and requesting recent state inspection reports to make an informed decision.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.95hrs
OK
Registered nurses for medical care
Total Nursing
4.14hrs
OK
All nurses + aides combined
Staff Turnover
52%
Lower is better (< 30% = good)
RN Turnover
40%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
1/ 5
Better Than Avg

5

measures

Worse Than Avg

7

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility35.9%
Worse than Avg
Here
35.9%
US
19.5%
SD
17.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility29.8%
Worse than Avg
Here
29.8%
US
14.4%
SD
21.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
12.1%
SD
5.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility23.1%
Mixed vs Avgs
Here
23.1%
US
15.5%
SD
24.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
SD
95.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility91.7%
Worse than Avg
Here
91.7%
US
95.5%
SD
96.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.2%
Better than Avg
Here
96.2%
US
81.8%
SD
82.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
2penalties
Near state avg (6.8)
6 complaint-triggered
$28,028 in fines

Families have filed complaints that led to findings in nutrition and dietary services, care planning, and medication management, indicating ongoing concerns about basic care quality. The facility shows persistent issues with nutrition services and accident prevention across multiple surveys, though all deficiencies have correction dates. Recent inspections in 2025 continue to identify problems with safety hazards, pressure ulcer prevention, and infection control, suggesting some fundamental care issues may not be fully resolved.

Mar 6, 2025Routine
7
0689Immediate jeopardy · WidespreadCorrected

Quality of Life and Care Deficiencies

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

0803Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure 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.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0004Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Nov 13, 2024Complaint
2
0657Potential for harm · IsolatedCorrected

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.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Jun 10, 2024Complaint
1
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

Feb 29, 2024Routine
6
0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0802Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure 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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0909Potential for harm · IsolatedCorrected

Environmental Deficiencies

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Feb 29, 2024Complaint
3
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Mar 15, 2023Routine
3
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Federal Penalties

Fine

Mar 6, 2025

$17,651

Fine

Feb 29, 2024

$10,377

Ownership & Operations

Who Operates This Facility

Owner / Operator

Wilmot Care Center INC

Organization Type

nonprofit

Ownership & Management

Key personnel

Beumer, RachelOfficer / DirectorJurgens, KevinOfficer / DirectorPelzel, HeidiOfficer / DirectorRemund, LindaOfficer / DirectorButtke, LesheaManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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