Above average — CMS composite of the measures below.
The next survey window likely opens around December 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 Weskota Manor Inc during CMS and state inspections, most recent first.
The facility failed to provide bed-hold notice information when several residents were transferred to the hospital, and it also failed to formally notify the Ombudsman of hospital transfers and home discharges. Interviews showed confusion among nursing, SSD, and administration about who was responsible for the bed-hold notices, and the SSD acknowledged that Ombudsman notifications were not formally completed.
A resident with serious mental illness was incorrectly coded No on MDS item A1500 despite a PASRR Level I outcome identifying her as Level II positive, and another resident with a stage II coccyx pressure ulcer during the look-back period was incorrectly coded No on M0100A. Interviews confirmed the SSD completed PASRR coding without fully reviewing the document and the RN/MDS coordinator coded the pressure ulcer item inaccurately after reviewing the EMR.
Medication Room Temperature Not Monitored: The facility failed to monitor and document the temperature of its only medication room. RN E, RN F, the administrator, and the DON all confirmed there were no medication room temperature logs, and staff reported the room often felt hot or fluctuated with the seasons. A resident's ipratropium bromide and albuterol sulfate was observed stored in the medication room even though the medication was labeled to be kept between 68 and 77 degrees F, and the facility policy required medications to be stored within USP and CDC temperature ranges.
The facility failed to ensure proper labeling, storage, and sanitization of food items, leading to deficiencies in food safety practices. Observations revealed unlabeled and expired food in refrigerators and freezers, improper thermometer sanitization by the food service manager, and incomplete cleaning schedules. These issues highlight lapses in maintaining sanitary conditions and adherence to food safety protocols.
The facility failed to screen fourteen out of fifteen sampled residents for PTSD upon admission, as required by their policy. Interviews revealed that the SSM did not conduct screenings for all new residents, only those with a prior diagnosis. A resident expressed confusion about her presence in the facility, referencing past experiences in a juvenile detention center. The DON was unaware of the requirement for PTSD screenings upon admission and annually, leading to a deficiency.
The facility failed to remove 17 expired Influenza vaccine doses from the medication refrigerator before their expiration date. An LPN discovered the expired vaccines during an observation and interview, and they were subsequently removed. The DON confirmed the vaccines were destroyed after discovery. The facility's Pharmaceutical Supplies Inspection Guide, meant to be completed monthly, was not completed in July 2024, indicating a lapse in monitoring expired medications.
Failure to Provide Bed-Hold Notices and Ombudsman Notifications
Penalty
Summary
The facility failed to provide bed-hold notice information to residents or their representatives when six sampled residents were transferred to the hospital. Record review showed that residents 1, 5, 7, 11, 26, and 33 were transferred out of the facility, and there was no documentation that bed-hold information was given at the time of transfer. In several cases, the resident’s representative was notified of the hospital transfer, but the required bed-hold notice was not documented as provided. The facility also failed to notify the Office of State Long-Term Care Ombudsman when residents were transferred to the hospital or discharged from the facility. There was no documentation of Ombudsman notification for residents 1, 5, 7, 11, 26, and 33 after hospital transfers. In addition, there was no documentation that the Ombudsman was notified when resident 7 was discharged home after a hospital stay and when resident 34 was discharged home upon request. Interviews confirmed the documentation gaps and showed confusion about responsibility for the bed-hold notice. An RN stated nurses did not do anything related to bed holds and thought the business office handled it. The SSD stated she reviewed the bed-hold policy on admission but was not responsible for giving the written bed-hold information at transfer, and she acknowledged she did not formally notify the Ombudsman of the transfers and discharges. The DON stated there had been miscommunication between departments about who was responsible for providing bed-hold information, and the administrator confirmed she could not find documentation that the notices were provided or that the Ombudsman was formally notified.
Inaccurate MDS Coding for PASRR Status and Pressure Ulcer History
Penalty
Summary
The provider failed to ensure accurate MDS coding for PASRR status for one resident. Resident 5 had diagnoses including delusional disorder, anxiety disorder, schizoaffective disorder, and paranoid personality disorder. Her record showed a PASRR Level I screen completed for a potential status change that identified evidence of serious mental illness and stated that she remained a Level II positive PASRR resident with serious mental illness, with instructions that the facility should mark yes for MDS item A1500. However, her 9/19/24 and 8/21/25 comprehensive MDS assessments were coded No for A1500. The provider also failed to accurately code pressure ulcer status for another resident. Resident 17 had a stage II pressure ulcer on her coccyx from 7/4/25 through 10/6/25 that later healed. Despite this documented pressure ulcer during the look-back period, item M0100A on her 8/14/25 MDS assessment was coded No to indicate the resident did not have a pressure ulcer, scar over a bony prominence, or non-removable dressing/device. During interview, the SSD stated she completed A1500 based on the PASRR documents but had not read the full Level I outcome, and the RN/MDS coordinator confirmed she had coded M0100A inaccurately after review of the resident's EMR and MDS.
Medication Room Temperature Not Monitored
Penalty
Summary
The provider failed to monitor the medication room temperature to ensure medications were stored within safe temperature ranges in one of one medication room. During observation and interview on 1/14/26, RN E stated the facility had one medication room, that it often felt significantly warmer than the rest of the facility, and that there were logs for the medication and food refrigerators but no documented medication room temperatures. RN E also stated the room temperature was not monitored or documented, there was no thermostat for the room, and she did not know how the temperature could be adjusted. A box of resident 19's ipratropium bromide and albuterol sulfate, which was labeled to be stored between 68 and 77 degrees Fahrenheit, was observed stored in the upper cabinet in the medication room. On 1/15/26, the administrator stated there were no medication room temperature documentation logs. RN F stated the medication room temperature was not monitored or documented, that it fluctuated by season and sometimes felt hot or cool, and that monitoring had been discussed before but she was not sure why it was not done. RN F agreed that without monitoring the medication room temperature, it would not be possible to verify that medications stored there were maintained within the manufacturers' recommended storage temperatures. The DON verified the medication room temperature was not monitored and stated she was not aware it was required to be monitored, while also confirming the facility policy required medications and biologicals to be stored safely and within USP and CDC temperature ranges.
Deficiencies in Food Storage and Safety Practices
Penalty
Summary
The provider failed to ensure that food items for resident consumption were appropriately labeled, stored, and served in a safe and sanitary manner. During an observation of the kitchen and food storage areas, it was found that multiple food items in commercial and resident refrigerators were not labeled, dated, or discarded by their use-by dates. Additionally, dry food storage areas contained items that were not labeled or dated, and the commercial freezer had improperly stored food items. These deficiencies indicate a lack of adherence to proper food storage and labeling protocols. The food service manager did not properly sanitize the food thermometer while checking the temperature of food items before serving them to residents. The manager used a cleaning process that involved dipping the thermometer in sanitizer and detergent without allowing it to air dry, which is contrary to the facility's policy that requires a clean, sanitized, and air-dried thermometer for taking food temperatures. This improper sanitization process was repeated multiple times during the observation, highlighting a significant lapse in maintaining food safety standards. The kitchen and food service equipment were not maintained in a clean condition, as evidenced by the incomplete cleaning schedule and the presence of dusty and food particle-covered surfaces. Expired hydron chlorine test strips were found in the dishwasher room, and rusty cans were used for storing leftover food. The food service manager was unaware of the expired items and the improper storage practices, indicating a lack of oversight and adherence to the facility's policies on food preparation and handling.
Failure to Conduct PTSD Screenings for New Admissions
Penalty
Summary
The provider failed to ensure that fourteen out of fifteen sampled residents were screened for post-traumatic stress disorder (PTSD) upon admission, as required by their policy. Interviews revealed that the social service manager (SSM) did not screen all new residents for PTSD, only screening those with a prior diagnosis. This oversight was highlighted during an interview with a resident who expressed confusion about her presence in the facility, referencing past experiences in a juvenile detention center. The SSM later confirmed that she had not been conducting PTSD screenings for all new admissions, contrary to the guidance provided by her social services consultant. Further interviews with the director of nursing (DON) revealed a lack of awareness regarding the requirement for PTSD screenings upon admission and annually. The facility's PTSD Screening policy mandates that nursing staff conduct a clinical assessment on the day of admission, followed by a social services evaluation using the PTSD screening tool for DSM-5. The failure to adhere to this policy resulted in a deficiency, as the necessary screenings were not performed for the majority of the sampled residents.
Expired Influenza Vaccines Not Removed Timely
Penalty
Summary
The facility failed to ensure that expired Influenza vaccine injections were removed from the medication refrigerator before their expiration date. During an observation and interview with an LPN in the medication storage room, it was discovered that there were two boxes containing a total of 17 doses of Influenza vaccines with an expiration date that had already passed. The LPN acknowledged that these vaccines were expired and should not have been stored in the refrigerator. The vaccines were subsequently removed, and the LPN indicated that she would determine the appropriate action to take with them. Further interviews with the DON confirmed the expiration of the vaccines and revealed that they were destroyed the night they were discovered. A review of the facility's Pharmaceutical Supplies Inspection Guide, which is intended to be completed monthly to check for outdated medications, showed that it had not been completed in July 2024. The last documented completion of this guide was in the previous month by the same LPN. Additionally, the facility's Medication Destruction policy outlines that expired medications should be destroyed within the facility.
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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 Wessington Springs
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Prairie View Healthcare Center | 14.2 mi | ★★★★★ | 2 | 0 |
| Avantara Huron | 24.9 mi | ★★★★★ | 14 | 1 |
| Aurora Brule Nursing Home Inc | 25.7 mi | ★★★★★ | 0 | 0 |
| Avera Brady Health And Rehab | 36.5 mi | ★★★★★ | 3 | 0 |
| Good Samaritan Society Miller | 36.7 mi | ★★★★★ | 11 | 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.