Wheatcrest Hills Healthcare Center
Britton, South Dakota · CCN 435105
16 surveys since 2011. The first finding at harm level was recorded in 2019.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 44
- Surveys
- 16
- Harm or worse
- 4
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 60
- Ownership
- For profit - Corporation
- Chain
- EVERGREEN HEALTHCARE GROUP
- County
- Marshall · rural
- Medicare-certified since
- 1997
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 4
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=16, floor 20).
Last survey on record
Dec 4, 2025
340 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.69 | 3.20 |
| Registered-nurse hours per resident day | 0.64 | — |
| Annual nurse turnover | 32.4% | 43.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $37,553 across 4 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G321.4% | H— | I— |
| No harm, potential for more than minimal | D321.4% | E857.1% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F6561×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6841×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
In the surveyor’s words
From the most serious findings on record at Wheatcrest Hills Healthcare Center, in the surveyor’s own words.
- Actual harm, isolatedF686Dec 4, 2025
Based on observation, interview, record review, and policy review the provider failed to identify and implement pressure ulcer (skin and/or underlying tissue injury due to prolonged pressure) preventative interventions for residents identified at risk for developing pressure ulcers for:*One of one sampled resident (9) who developed a stage IV (4; open wound with full-thickness skin and tissue loss. Bone, tendon, or muscle may be visible) pressure ulcer to her right buttocks.*One of one sampled resident (27) who developed a stage II (2; open wound or blister with partial-thickness skin loss) pressure ulcer to the side of her right foot. Findings include:1. Observation on 12/1/25 at 2:42 p.m. […]
- Actual harm, isolatedF689Oct 30, 2024
Based on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), record review, observation, interview, policy review, and manufacturer's instructions review, the provider failed to ensure the safety of one of one sampled resident (1) who sustained an injury when staff did not use the full-body mechanical lift (a mechanical device and sling used to lift a person's body) as directed in the manufacturer's instructions, facility policy, and the resident's care plan. Failure to use the mechanical lift as instructed contributed to the resident 1's injury. This citation is considered past non-compliance based on review of the corrective actions the provider implemented immediately following the incident. Findings include: 1. […]
- Actual harm, isolatedF684Jul 10, 2024
Based on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), observation, interview, record review, and policy review, the provider: *Failed to follow the nebulizer (neb) machine manufacturer's instructions which resulted in resident (12) receiving a burn. *Failed to follow the physician's order to discontinue the resident's (12) self-administration of his neb (breathing) treatments after he had received a burn. Findings include: 1. Review of the provider's SD DOH FRI submitted on 6/12/24 at 2:24 p.m. […]
- No harm, potential for more than minimal, patternF812Dec 4, 2025
Based on observation, interview, and policy review the provider failed to ensure proper hand washing and glove use was followed during two of two observed meal services in the kitchen and dining room.Finding include: 1. Observation on 12/1/25 at 5:21 p.m. in the kitchen revealed: *Food and Nutrition Services (FANS) [NAME] I had gloves on, measured the temperature of the peas boiling on the stove, opened a sanitizer wipe and wiped off the thermometer. *He: -Threw the wipe away and removed his gloves. -Did not wash his hands. -Put on a new pair of gloves. -Measured the temperature of the pot roast at 174 degrees, put a pair of oven mitts over his gloves and moved the pot roast into the warming table. […]
- No harm, potential for more than minimal, patternF880Dec 4, 2025
Based on observation, interview, record review, and policy review the provider failed to ensure:*One of one certified nursing assistant (CNA)/certified medication aide (CMA) (M) and one of one licensed practical nurse (LPN) (D) performed hand hygiene with medication administration for five of five missed opportunities.*One of one LPN (D) wore a gown while she assessed a wound on a resident (36) who was on enhanced barrier precautions (EBP) (glove and gown use when providing contact care).Findings include: 1. Observation on 12/1/25 at 2:11 p.m. […]
Read 20 findings in full →The most serious and the most recent: 20 of 44 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 19, 2026Complaint1 finding
- Dec 4, 2025Standard4 findings · 1 harm
- Jun 18, 2025Complaint1 finding
- Oct 30, 2024Complaint1 finding · 1 harm
- Jul 10, 2024Standard and complaint5 findings · 1 harm
- Mar 28, 2024Complaint1 finding
- Oct 17, 2023Complaint1 finding
- Jul 19, 2023Standard1 finding
Show the 8 earlier surveys
- Apr 13, 2022Standard1 finding
- May 1, 2019Standard4 findings · 1 harm
- Jan 31, 2018Standard6 findings
- Dec 17, 2015Standard4 findings
- Feb 5, 2015Standard5 findings
- Dec 11, 2013—1 finding
- Oct 31, 2012—2 findings
- Aug 31, 2011—6 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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