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Skilled nursing facility · CMS certification number 435133

Weskota Manor Inc

WESSINGTON SPRINGS, South Dakota · Medicare and Medicaid

Certified beds, as filed in Care Compare: 40

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$3,556,716CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$3,556,716CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,622,729CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$66,013CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$152,620CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$86,607CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $86,607 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components40CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components14,640CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days435CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days5,622CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days6,362CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components12,419CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges3CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges8CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges18CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components29CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days145CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days702.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days428.24CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1437989, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$3,400,631CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$3,400,631CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,656,390CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$255,759CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$159,235CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$96,524CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$96,524 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components40CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,407CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components26CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days68.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,934CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days477.19CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1392830, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 August 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$3,292,371CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$3,292,371CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,507,844CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$215,473CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$257,016CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$41,543CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $41,543 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components40CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components11,790CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components21CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days79.78CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days799.14CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days561.43CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1363751, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 September 2022.

None of these figures is carried on this report.

CMS report record 1334252, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 September 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$2,458,285CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$2,458,285CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,045,869CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$587,584CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,054,485CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$466,901CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $466,901 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components40CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components10,912CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components33CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days66.46CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days948CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days330.67CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1300607, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 3 August 2020.

None of these figures is carried on this report.

CMS report record 1262402, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 August 2019.

None of these figures is carried on this report.

CMS report record 1242989, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 6 September 2017 to 31 December 2017 — a reporting period of 116 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 29 August 2018.

None of these figures is carried on this report.

CMS report record 1211000, read from the public cost report file SNF10FY2017.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
HORIZON HEALTH CARE INCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/22/2026
LIM, LANCEADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2023
VONEYE, NIKKIADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2019
BENDER, DAVIDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 08/01/2024
BERGELEEN, DARLENECORPORATE DIRECTORIndividualNOT APPLICABLEsince 03/01/2020
DEAN, THOMASCORPORATE DIRECTORIndividualNOT APPLICABLEsince 03/01/2023
JUNGEMANN, STEPHANIECORPORATE DIRECTORIndividualNOT APPLICABLEsince 03/01/2015
MOHLING, CORYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 03/01/2013
ARNOTT, GAILCORPORATE OFFICERIndividualNOT APPLICABLEsince 03/01/2006
BERGELEEN, BRIANCORPORATE OFFICERIndividualNOT APPLICABLEsince 03/01/2008
DEINES, JAMESCORPORATE OFFICERIndividualNOT APPLICABLEsince 03/01/2007
HORIZON HEALTH CARE INCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 01/01/2024
LIM, LANCEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2023
VONEYE, NIKKIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2018

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of WESKOTA MANOR INC (enrollment ID O20151022001471).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
HORIZON HEALTH CARE INCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/22/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
LANCE S LIMIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NIKKI J VONEYEIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.4/22/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
CORY MOHLINGIndividualCORPORATE DIRECTOR03/1/2013
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DARLENE BERGELEENIndividualCORPORATE DIRECTOR03/1/2020
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID BENDERIndividualCORPORATE DIRECTOR08/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
STEPHANIE JUNGEMANNIndividualCORPORATE DIRECTOR03/1/2015
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THOMAS M DEANIndividualCORPORATE DIRECTOR03/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BRIAN BERGELEENIndividualCORPORATE OFFICER03/1/2008
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
GAIL ARNOTTIndividualCORPORATE OFFICER03/1/2006
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JAMES DEINESIndividualCORPORATE OFFICER03/1/2007
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
HORIZON HEALTH CARE INCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
LANCE S LIMIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2023
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NIKKI J VONEYEIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2018
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
115 January 202615 January 202630
214 August 202414 August 202430
317 August 202317 August 202300

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

6 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
15 January 2026HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.ENoDeficient, Provider has date of correction1 March 2026
15 January 2026HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction1 March 2026
15 January 2026HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correction1 March 2026
14 August 2024HealthF 0699Quality of Life and Care DeficienciesProvide care or services that was trauma informed and/or culturally competent.ENoDeficient, Provider has date of correction28 September 2024
14 August 2024HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correction28 September 2024
14 August 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction28 September 2024

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeNon profit - Corporation
Legal Business NameWESKOTA MANOR INC
Date First Approved to Provide Medicare and Medicaid Services2017-09-06
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishJerauld
Telephone Number6055391621
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds40
Average Number of Residents per Day31.1
Overall Rating4
Health Inspection Rating4
QM Rating3
Long-Stay QM Rating3
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: NIKKI J VONEYE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for Weskota Manor Inc

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in South Dakota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

Read the citable document for this facility →

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 435133.