Custer Care and Rehab Center

Inspection history (17)

All records are from August 2025.

• August 26, 2025 · F

  Citation F0865

  Federal surveyors cited this nursing home on 2025-08-26 under CMS tag F0865 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have a plan that describes the process for conducting QAPI and QAA activities. The deficiency was recorded as corrected on 2025-10-10. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-26.GOV

• August 26, 2025 · F

  Citation F0727

  Federal surveyors cited this nursing home on 2025-08-26 under CMS tag F0727 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have 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. The deficiency was recorded as corrected on 2025-11-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-26.GOV

• August 26, 2025 · E

  Citation F0757

  Federal surveyors cited this nursing home on 2025-08-26 under CMS tag F0757 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident’s drug regimen must be free from unnecessary drugs. The deficiency was recorded as corrected on 2025-10-16. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-26.GOV

• August 26, 2025 · E

  Citation F0655

  Federal surveyors cited this nursing home on 2025-08-26 under CMS tag F0655 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2025-10-10. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-26.GOV

• August 26, 2025 · D

  Citation F0732

  Federal surveyors cited this nursing home on 2025-08-26 under CMS tag F0732 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2025-10-10. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-26.GOV

• August 26, 2025 · E

  Citation F0637

  Federal surveyors cited this nursing home on 2025-08-26 under CMS tag F0637 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Assess the resident when there is a significant change in condition. The deficiency was recorded as corrected on 2025-11-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-26.GOV

• August 26, 2025 · D

  Citation F0700

  Federal surveyors cited this nursing home on 2025-08-26 under CMS tag F0700 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-11-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-26.GOV

• August 26, 2025 · D

  Citation F0909

  Federal surveyors cited this nursing home on 2025-08-26 under CMS tag F0909 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Regularly 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. The deficiency was recorded as corrected on 2025-10-10. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-26.GOV

• August 26, 2025 · F

  Citation F0628

  Federal surveyors cited this nursing home on 2025-08-26 under CMS tag F0628 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. The deficiency was recorded as corrected on 2025-10-10. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-26.GOV

• August 26, 2025 · E

  Citation F0641

  Federal surveyors cited this nursing home on 2025-08-26 under CMS tag F0641 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2025-10-10. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-26.GOV

• August 26, 2025 · E

  Citation F0868

  Federal surveyors cited this nursing home on 2025-08-26 under CMS tag F0868 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2025-10-10. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-26.GOV

• August 26, 2025 · F

  Citation F0851

  Federal surveyors cited this nursing home on 2025-08-26 under CMS tag F0851 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. The deficiency was recorded as corrected on 2025-10-10. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-26.GOV

• August 26, 2025 · E

  Citation F0841

  Federal surveyors cited this nursing home on 2025-08-26 under CMS tag F0841 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. The deficiency was recorded as corrected on 2025-10-10. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-26.GOV

• August 26, 2025 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2025-08-26 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2025-10-10. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-26.GOV

• August 26, 2025 · D

  Citation F0644

  Federal surveyors cited this nursing home on 2025-08-26 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2025-11-15. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-26.GOV

• August 26, 2025 · F

  Citation F0880

  Federal surveyors cited this nursing home on 2025-08-26 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-10-10. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-26.GOV

• August 26, 2025 · E

  Citation F0657

  Federal surveyors cited this nursing home on 2025-08-26 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2025-10-10. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-26.GOV

Penalties

Total fines on file: $0

Staffing

CMS published no staffing hours for this facility in the quarters we hold. Certified nursing homes file payroll-based nurse hours with CMS every quarter, and a facility drops out of a quarter's file when it is newly certified or its submission was not accepted.

Ownership

Non profit - Corporation

1. Parent organization: Custer Cares

   parent · PAC 1951849520

Recent changes to this listing

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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

1. Sep 1, 2026Ownership changed

   The source now records ownership as "Non profit - Corporation".

   Reported by CMS nursing homes (provider info)

2. Aug 6, 2026Ownership changed

   The source now records ownership as "Non profit".

   Reported by CMS nursing homes (ownership)

3. Aug 5, 2026First appeared in our data

   This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.

   Reported by CMS nursing homes (provider info)