Wilmot Care Center Inc
Wilmot, South Dakota · CCN 435119
18 surveys since 2011, 4 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 59
- Surveys
- 18
- Harm or worse
- 4
- Immediate jeopardy
- 3
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 26
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Roberts · rural
- Medicare-certified since
- 2002
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 5
- Quality measures
- 1
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 48 not-for-profit facilities with fewer than 66 beds in South Dakota.
Last survey on record
Mar 6, 2025
613 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 | 4.20 | 3.73 |
| Registered-nurse hours per resident day | 0.90 | — |
| Annual nurse turnover | 60.5% | 49.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $28,028 across 2 penalties
- Special focus
- SFF Candidate
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 | J15.6% | K— | L15.6% |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D950.0% | E422.2% | F316.7% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F8032×
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.
- F8802×
Provide and implement an infection prevention and control program.
- F6561×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
In the surveyor’s words
From the most serious findings on record at Wilmot Care Center Inc, in the surveyor’s own words.
- Immediate jeopardy, widespreadF689Mar 6, 2025
Based on observation, interview, record review, and policy review, the provider failed to ensure that one of one whirlpool tub was free of environmental hazards due to an active water leak next to an electrical box in the control panel of the tub. Failure to do so increased the potential risk for immediate serious injury, serious harm, serious impairment, or death as a result of potential electric shock to a resident and staff. Findings include: 1. IMMEDIATE JEOPARDY Observation on 3/6/25 at 7:57 a.m. in the tub room revealed an active water leak that was dripping behind a 120-volt electrical box within the whirlpool's control panel. Standing water covered the floor under the electrical wires and piping of that control panel. […]
- Immediate jeopardy, isolatedF689Feb 29, 2024
A. Based on review of a South Dakota Department of Health (SD DOH) Required Healthcare Facility Event Reporting, record review, observation, interview, and policy review, the provider failed to provide a secure physical environment and adequate supervision to minimize the risk of an unwitnessed elopement by one of one sampled resident (22). Findings include: 1. IMMEDIATE JEOPARDY NOTICE Notice of immediate jeopardy was given verbally and in writing on 2/28/24 at 9:36 a.m. to administrator A for F 689 Accidents related to physical environment and adequate supervision to prevent unwitnessed elopement: *On 2/21/24 at 4:24 p.m., the provider submitted a SD DOH Required Healthcare Facility Event Reporting, that reported resident 22 had left the building unwitnessed on 2/19/24 while staff were… […]
- Actual harm, isolatedF686Apr 12, 2022
Based on closed record review, interview, policy review, and information submitted to the South Dakota Department of Health (SD DOH), the provider failed to ensure one of one closed sampled resident (1) with a facility acquired pressure ulcer had: *Been identified as being at risk for developing pressure ulcers. *Complete and ongoing weekly skin assessments following admission. *Individualized interventions to prevent pressure ulcers implemented. *An updated care plan for the prevention of pressure ulcers. *Physician notified of her pressure ulcer. *Registered dietitian (RD) notified of her pressure ulcer. *Appropriate dietary interventions implemented. *A policy and/or procedure in place for pressure ulcers. Findings include: 1. […]
- No harm, potential for more than minimal, widespreadF727Jul 23, 2026
Based on Payroll-Based Journal (PBJ) reports, interview, staff schedule review, and facility assessment review, the provider failed to ensure a registered nurse (RN) was scheduled to work for eight consecutive hours a day, seven days a week for one of four federal fiscal quarters (Quarter 3, 2025). The facility's resident census was 21.Findings include: 1. Review of the Payroll Based Journal (PBJ) report (information of the provider's daily staffing hours for the care of the residents) data for Quarter 3 (April 1 - June 30 2025) revealed the provider did not have RN coverage for eight consecutive hours on 4/18/25, 4/20/25, 5/3/25, 6/2/25, and 6/3/25. 2. Interview on 7/21/26 at 9:06 a.m. […]
- No harm, potential for more than minimal, widespreadF803Mar 6, 2025
Based on observation, interview, and record review, the provider failed to ensure they provided residents' adequate nutrition needs and followed the dietician-approved menu. Findings include: 1. Observation of the kitchen on 3/4/25 from 11:00 a.m. to 12:30 p.m. revealed: *Cook L plated one cup (c) of chicken and rice casserole, a half c of peas and carrots, and a piece of cake. *The menu called for one c chicken and rice casserole, one half c of peas and carrots, one half c of coleslaw and piece of cake. 2. Interview with dietary manager (DM) K on 3/4/25 at 12:30 p.m. […]
Read 21 findings in full →The most serious and the most recent: 21 of 59 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 23, 2026Standard1 finding
- Mar 6, 2025Standard5 findings · 1 harm
- Nov 13, 2024Complaint2 findings
- Jun 10, 2024Complaint1 finding
- Feb 29, 2024Standard9 findings · 1 harm
- Mar 15, 2023Standard1 finding
- Apr 12, 2022Complaint2 findings · 1 harm
- Sep 1, 2021Standard3 findings
Show the 10 earlier surveys
- Dec 23, 2020Infection control1 finding
- Mar 6, 2019Standard1 finding
- Dec 20, 2017Standard4 findings
- Sep 14, 2016Standard5 findings
- Apr 20, 2016Complaint1 finding
- Oct 7, 2015Standard6 findings
- Jul 16, 2014Standard6 findings
- May 15, 2013—6 findings
- Apr 18, 2012—3 findings
- Apr 6, 2011—2 findings · 1 harm
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.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction