Winner Regional Healthcare Center
Nursing Home · Winner, SD
CMS certification number435056
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
805 E 8TH STWinner, SD 57580
Tripp County
- Phone
- (605) 842-7200
- ZIP code
- 57580 – all care providers
Facility details
- Certified beds
- 40
- Residents per day
- 25.1 (63% occupied)
- Ownership
- Non profit - Corporation
- Medicare certified since
- March 1, 1991
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.99 (state 3.79 · U.S. 3.86)
- Registered nurses (RN)
- 0.75 (state 0.80 · U.S. 0.69)
- Licensed practical nurses
- 0.71 (state 0.47 · U.S. 0.86)
- Nurse aides
- 3.53 (state 2.52 · U.S. 2.32)
- Weekend total
- 3.98 (state 3.26 · U.S. 3.42)
- Nursing staff turnover
- 68.4 (state 48.2 · U.S. 45.8)%
- RN turnover
- 66.7 (state 34.7 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- June 2, 2026
- Health deficiencies (last cycle)
- 17.0 (state 6.9 · U.S. 9.3)
- From complaints
- 4
- Citations on record (3 years)
- 29 health · 0 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2026-07-09 |
| 2026-06-02 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-07-09 |
| 2026-06-02 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-07-09 |
| 2026-06-02 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-07-09 |
| 2026-06-02 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-09 |
| 2026-06-02 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-09 |
| 2026-06-02 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Deficient, Provider has plan of correction |
| 2026-06-02 | Try 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 the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-09 |
| 2026-06-02 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. F0712 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-09 |
| 2026-06-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Deficient, Provider has plan of correction |
| 2026-06-02 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-09 |
| 2026-06-02 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-09 |
| 2026-06-02 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-09 |
| 2026-06-02 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-09 |
| 2026-06-02 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-09 |
| 2026-06-02 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-09 |
| 2026-06-02 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-09 |
| 2025-05-21 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-23 |
| 2024-12-19 | Try 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 the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-13 |
| 2024-12-19 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-13 |
| 2023-11-20 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-04 |
| 2023-08-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2023-10-10 |
| 2023-08-24 | Honor 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-09-21 |
| 2023-08-24 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-09-21 |
| 2023-08-24 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-09-21 |
| 2023-08-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-09-21 |
| 2023-08-24 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-21 |
| 2023-08-24 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-10 |
| 2023-08-24 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-10 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $13,039 in fines.
| Date | Type | Amount |
|---|---|---|
| 2023-08-24 | Fine | $9,311 |
| 2023-08-24 | Fine | $3,728 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Burns, Nielsen (individual) | Administrator · NOT APPLICABLE | |
| Olson, Nicole (individual) | Administrator · NOT APPLICABLE | |
| Williams, Brian (individual) | Administrator · NOT APPLICABLE | |
| Haiar, Cody (individual) | Corporate Director · NOT APPLICABLE | |
| Hammerbeck, Sara (individual) | Corporate Director · NOT APPLICABLE | |
| Heenan, Casey (individual) | Corporate Director · NOT APPLICABLE | |
| Kingsbury, Roger (individual) | Corporate Director · NOT APPLICABLE | |
| Nicholas, Dave (individual) | Corporate Director · NOT APPLICABLE | |
| Petersek, Sara (individual) | Corporate Director · NOT APPLICABLE | |
| Pravecek, Betsy (individual) | Corporate Director · NOT APPLICABLE | |
| Rowe, Dione (individual) | Corporate Director · NOT APPLICABLE | |
| Vanneman, Kim (individual) | Corporate Director · NOT APPLICABLE | |
| Chambers, Mari (individual) | Corporate Officer · NOT APPLICABLE | |
| Williams, Brian (individual) | Corporate Officer · NOT APPLICABLE | |
| Atteberry, Lucy (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Burns, Nielsen (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lewis, Dana (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Olson, Nicole (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Schroeder, Rhonda (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Williams, Brian (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Winner Regional Healthcare Center?
Winner Regional Healthcare Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in South Dakota.
How many beds does Winner Regional Healthcare Center have?
It has 40 certified beds and cares for about 25 residents per day.
Has Winner Regional Healthcare Center been fined?
Yes. CMS lists 2 penalties totaling $13,039 in the last three years.
What is the phone number of Winner Regional Healthcare Center?
(605) 842-7200. The facility is located at 805 E 8TH ST, Winner, SD 57580.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.