Below average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Centerville Care And Rehab Center Inc during CMS and state inspections, most recent first.
A resident with severe cognitive impairment was the subject of a suspected abuse allegation involving inappropriate physical contact by a staff member. Although the incident was reported internally to nursing and administrative staff, there was no evidence that the required report was made to state authorities within the mandated timeframe, as required by facility policy and state law.
A resident with severe cognitive impairment and a history of exit-seeking was able to leave the facility unsupervised for several minutes before staff responded to a door alarm and returned him to safety. The resident was independent with a walker but confused and unaware of how to seek staff assistance. Although door alarms were in place and staff responded, the interventions at the time did not prevent the resident from eloping, resulting in a deficiency related to inadequate supervision and accident prevention.
A facility failed to protect two residents from abuse by another resident, who inappropriately touched them. Despite staff observing and reporting these incidents, the care plans for the affected residents were not updated, and the facility did not take adequate measures to prevent further abuse. The residents involved had severe cognitive impairments, making them unable to consent or defend themselves.
The provider failed to accurately submit PBJ data to CMS for three federal fiscal quarters in 2023, showing multiple days without RN hours and 24-hour licensed nursing coverage, despite having the required coverage according to staffing schedules and timecards.
The provider failed to monitor and remove expired PRN medications in two medication carts, affecting four residents. Additionally, medications were not stored separately by route of administration in one treatment cart, affecting seven residents. The RN and DON were unaware of the proper procedures, leading to expired medications and improper storage practices.
Failure to Timely Report Suspected Abuse Allegation
Penalty
Summary
The provider failed to report an allegation of suspected abuse involving a resident with severe cognitive impairment, as required by state law and facility policy. On the morning of 12/19/24, a CNA observed a certified medication aide/CNA engage in inappropriate physical contact with a resident diagnosed with Alzheimer's disease, including touching her inner thigh and breast area, and making inappropriate comments. The CNA reported the incident to a registered nurse the same day and to the former administrator the following day. However, there is no evidence that the allegation was reported to the South Dakota Department of Health or other required authorities within the mandated timeframe. Interviews with facility staff revealed assumptions that the required state report had been completed, but no one confirmed that the report was actually submitted. The social services designee and director of nursing both believed the former administrator had fulfilled the reporting obligation, but neither verified this. The facility's abuse and neglect policy requires notification of designated agencies within 24 hours and reporting investigation results within five working days, but these steps were not documented as completed for this incident.
Failure to Prevent Elopement of High-Risk Resident
Penalty
Summary
A deficiency occurred when a resident with severe cognitive impairment and a high risk for wandering was able to elope from the facility without staff knowledge or supervision. The resident, who had a BIMS score of 4 indicating severe cognitive impairment and diagnoses including Parkinson's Disease, depression, and unspecified dementia, had a documented history of exit-seeking behavior but had not previously left the building unsupervised. On the day of the incident, the resident exited the facility at approximately 6:15 p.m. and was outside for three to four minutes before staff responded to the door alarm and located him in front of the building. Observations and interviews revealed that the resident was independent in ambulation with a walker but displayed confusion and was unaware of how to use the call light for assistance. Staff interviews confirmed that the door alarms were functioning and that staff responded to the alarm after it sounded, but the resident was able to leave the building and walk a significant distance before being noticed. The resident was assessed upon return and found to have no harm or injury, and he had no recollection of the event. Review of facility records showed that the resident had been identified as high risk for wandering based on a wandering risk scale, and the facility had policies in place requiring prompt response to door alarms and interventions for residents at risk of elopement. However, at the time of the incident, the interventions in place were not sufficient to prevent the resident from leaving the building unsupervised, resulting in a failure to provide adequate supervision and prevent accidents as required.
Failure to Protect Residents from Abuse by Co-Resident
Penalty
Summary
The provider failed to protect two residents from abuse by another resident, leading to a deficiency. Resident 4 was observed inappropriately touching Resident 1, who has severe cognitive impairment due to dementia and psychosis, and Resident 2, who has dementia and amnesia. Both residents were unable to consent or defend themselves. Despite these incidents, the care plans for Residents 1 and 2 were not updated to reflect that they had been victims of inappropriate touching. Interviews with staff revealed that Resident 4 had a pattern of inappropriate behavior, including touching other residents' thighs and breasts. Staff members, including a registered nurse and certified nursing assistants, reported these incidents to the charge nurse and administration. However, the facility's response was inadequate, as the care plans for the affected residents were not updated, and there was a lack of immediate action to prevent further incidents. The facility's policy on abuse and neglect requires prompt investigation and reporting of such incidents, as well as immediate action to prevent further abuse. However, the facility did not adhere to these procedures, as evidenced by the lack of updated care plans and insufficient measures to protect the residents from further abuse by Resident 4. This failure to follow policy and ensure resident safety resulted in a deficiency being cited by the surveyors.
Removal Plan
- 30-minute checks on resident 4 initiated to ensure the safety of all residents.
- Medical director discontinued the use of Sildenafil and will monitor the use of other medications that could lead to sexual temptations.
- Resident 4 was scheduled to be evaluated by a psychiatry provider to rule out dementia or other medical conditions that could cause the more frequent sexual behaviors.
- Resident 4 was seen by a psychiatry provider.
- Care plans have been updated.
- Education was provided to all staff.
- Managers will provide the education to staff that were not in the building and staff will be required to receive the education before they start their next shift.
- All staff will continue to monitor behaviors and safety for all residents.
- Interventions in place will be assessed and will be modified if needed to make sure the issue is being resolved appropriately.
Inaccurate PBJ Data Submission
Penalty
Summary
The provider failed to ensure that Payroll Based Journal (PBJ) data was accurately completed and submitted to the Center for Medicare and Medicaid Services (CMS) for three of four federal fiscal quarters in 2023. Specifically, the PBJ data submitted for quarters 2, 3, and 4 of 2023 indicated multiple days with no registered nurse (RN) hours and days without licensed nursing coverage for 24 hours per day. However, a review of the provider's employee staffing schedules and timecards revealed that they had RN coverage and licensed nursing coverage 24 hours per day on the dates in question. During an interview with the administrator responsible for gathering and submitting the PBJ data, it was confirmed that the staffing schedules were correct and that the facility had met the requirements for daily RN coverage and licensed nursing coverage for 24 hours per day. The administrator was unaware that the staffing data had been inaccurately submitted to CMS and believed that the omission of two salaried RNs from the staffing report was the cause of the discrepancy. Despite the reports being accepted, the administrator did not notice any triggers for low coverage.
Failure to Monitor Expired Medications and Improper Storage of Medications
Penalty
Summary
The provider failed to ensure that PRN medications stored in blister pack cards with pharmacist-determined expiration dates were monitored for expiration and removed for destruction. This deficiency was observed in two medication carts, affecting four residents. Specifically, expired medications were found for three residents in the 100/200 medication cart and one resident in the 300/400 medication cart. The registered nurse (RN) was unaware of who was responsible for monitoring and removing outdated medications, and the director of nursing (DON) believed that the pharmacist was responsible for this task, which was not the case as confirmed by the pharmacist. The facility's policy stated that outdated medications should be immediately removed and disposed of, but this was not followed, leading to expired medications being present in the carts. Additionally, the provider failed to ensure that medications were stored separately by route of administration to minimize contamination. This was observed in one treatment cart, affecting seven residents. The treatment cart had plastic dividers marked with residents' names, but these dividers did not separate orally administered medications from externally used medications and treatments. The RN was unaware that medications needed to be stored separately by route of administration, and the DON confirmed that the medications should have been stored separately but were not. The facility's policy on medication storage required that orally administered medications be kept separate from externally used medications and treatments, and that eye medications be stored separately. However, this policy was not adhered to, resulting in the improper storage of medications in the treatment cart. This failure to follow the facility's policy on medication storage and monitoring led to the presence of expired medications and the improper storage of medications by route of administration, posing potential risks to the residents' safety and well-being.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Centerville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pioneer Memorial Nursing Home | 7.5 mi | ★★★★★ | 0 | 0 |
| Bethesda Of Beresford | 9.1 mi | ★★★★★ | 8 | 0 |
| Sunset Manor Avera Health | 10.5 mi | ★★★★★ | 12 | 0 |
| Wakonda Heritage Manor | 10.8 mi | ★★★★★ | 5 | 0 |
| Alcester Care And Rehab Center, Inc | 18 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.