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Facility record report · CMS certification number 435136

CUSTER CARE AND REHAB CENTER

CUSTER, South Dakota · Medicare and Medicaid

Finances, as filed

Not yet extracted for this facility.

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
CUSTER CARES5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 12/01/2023
BARTA, MADISONADP OF THE SNFIndividualNOT APPLICABLEsince 12/01/2023
CUSTER CARESADP OF THE SNFOrganizationNOT APPLICABLEsince 12/01/2023
VAN VOORST, SAMUELADP OF THE SNFIndividualNOT APPLICABLEsince 09/01/2023
BARTA, MADISONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2023
BOYER, JANETOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/01/2023
MCGOWAN, MONICAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/01/2023
TENNYSON, MIKEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/01/2023
VAN VOORST, SAMUELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/01/2023
WHEELER, RICKYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 09/01/2023

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of CUSTER CARES (enrollment ID O20240814000442).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
CUSTER CARESOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST10012/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
CUSTER CARESOrganizationADP 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.12/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
MADISON BARTAIndividualADP 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.12/1/2023
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.
SAMUEL M VAN VOORSTIndividualADP 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.9/1/2023
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.
JANET BOYERIndividualOPERATIONAL/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.9/1/2023
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.
MADISON BARTAIndividualOPERATIONAL/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.12/1/2023
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.
MIKE TENNYSONIndividualOPERATIONAL/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.9/1/2023
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.
MONICA MCGOWANIndividualOPERATIONAL/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.9/1/2023
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.
RICKY WHEELERIndividualOPERATIONAL/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.9/1/2023
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.
SAMUEL M VAN VOORSTIndividualOPERATIONAL/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.9/1/2023
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.

Changes in ownership

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
126 August 202526 August 2025172

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

Deficiencies cited

17 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
26 August 2025HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.FNoDeficient, Provider has date of correction10 October 2025
26 August 2025HealthF 0637Resident Assessment and Care Planning DeficienciesAssess the resident when there is a significant change in conditionENoDeficient, Provider has date of correction15 November 2025
26 August 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.ENoDeficient, Provider has date of correction10 October 2025
26 August 2025HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correction15 November 2025
26 August 2025HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedENoDeficient, Provider has date of correction10 October 2025
26 August 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction10 October 2025
26 August 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.ENoDeficient, Provider has date of correction10 October 2025
26 August 2025HealthF 0700Quality of Life and Care DeficienciesTry 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.DNoDeficient, Provider has date of correction15 November 2025
26 August 2025HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FNoDeficient, Provider has date of correction15 November 2025
26 August 2025HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.DNoDeficient, Provider has date of correction10 October 2025
26 August 2025HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.ENoDeficient, Provider has date of correction16 October 2025
26 August 2025HealthF 0841Nursing and Physician Services DeficienciesDesignate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.ENoDeficient, Provider has date of correction10 October 2025
26 August 2025HealthF 0851Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FNoDeficient, Provider has date of correction10 October 2025
26 August 2025HealthF 0865Administration DeficienciesHave a plan that describes the process for conducting QAPI and QAA activities.FNoDeficient, Provider has date of correction10 October 2025
26 August 2025HealthF 0868Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyENoDeficient, Provider has date of correction10 October 2025
26 August 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correction10 October 2025
26 August 2025HealthF 0909Environmental DeficienciesRegularly 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.DNoDeficient, Provider has date of correction10 October 2025

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 NameCUSTER CARES
Date First Approved to Provide Medicare and Medicaid Services2025-12-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishCuster
Telephone Number6056732115
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds43
Processing Date2026-08-01

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

Every change on this record

How to read this report

Every figure is printed as the CMS file it came from printed it. Each cost-report figure carries the worksheet, line and column of form CMS-2540 it was read from, so a reader holding the same public file can go to that cell; each Care Compare and Medicare enrollment section names its file and the date CMS stamped on it.

A figure the filing does not carry is left out, and so is a figure whose value the filing’s own arithmetic contradicts. Net income is printed with what the form’s own arithmetic shows about it — plainly where it follows from the lines above it, and, where it does not, beside what the form’s own lines leave unaccounted for. An ownership field left empty carries the dated sentence on CMS’s pause of the expanded Form CMS-855A disclosure. A source that holds nothing for this facility says so in its section.

This report carries no percentile and no score, and it does not place this facility above or below another. The five facilities above are the one comparison it draws: the nearest certified bed counts in the same state at the same fiscal year, listed by name. Nurse staffing is printed in its own section, on its own page, apart from the cost-report figures.

How to cite this report

Velarion Records, CUSTER CARE AND REHAB CENTER — facility record report, CMS certification number 435136. https://velarionrecords.com/facility/435136/report.

Published by VELARIONAI LLC · Andrew Richardson, founder. Corrections: hello@velarionrecords.com, quoting certification number 435136. Velarion Records publishes these records as filed.

Nurse staffing, quarter by quarter

Hours this facility reported to CMS’s Payroll-Based Journal, one row per quarter, oldest first, each with how its figures are derived and the file it came from.

Not yet extracted for this facility.

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