Highmore Health: Staffing, Turnover, and Inspection Record
Highmore Health is a 39-bed nonprofit nursing home in Highmore, South Dakota. In the CMS August 2026 release it reported 2.08 nurse aide hours per resident per day, 17% below the South Dakota average of 2.52, and 51.6% nursing staff turnover (South Dakota average 48.2%).
Highmore Health
410 8th Street SeHighmore, SD 57345
Hyde County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Highmore Health, nurse aides logged 2.08 hours per resident per day, 17% below the South Dakota average. With about 37 residents a day, that works out to roughly 76 aide hours a day, or about 10 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.08 | 2.52 | 2.32 |
| Licensed practical nurses | 0.32 | 0.47 | 0.86 |
| Registered nurses | 0.69 | 0.80 | 0.69 |
| All nursing staff | 3.09 | 3.79 | 3.86 |
| All nursing staff, weekends | 2.78 | 3.26 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
51.6% of nursing staff at Highmore Health left over the year CMS measured, against a South Dakota average of 48.2% and a US average of 45.8%. Registered nurse turnover was 50.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 8, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (South Dakota average 6.9). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Highmore Health holds 3 of 5 overall; the South Dakota average is 2.9.
About Highmore Health
- Ownership: Non profit - Corporation
- Legal name: HH Holdings, Inc.
- Medicare and Medicaid certified since: Dec 1, 1995
- Councils: resident council
- Area: rural
Nursing homes near Highmore Health
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Good Samaritan Society Miller Miller | 22.5 | 50 | 2.67 | 3.81 | 70.8% | 1 | $96,127 |
| Faulkton Senior Living Faulkton | 38.9 | 41 | 1.55 | 2.59 | 57.1% | 4 | None |
| Avera Oahe Manor Gettysburg · many days without an RN | 42.6 | 53 | 2.01 | 3.50 | 43.8% | 2 | None |
| Avera Maryhouse Long Term Care Pierre | 45.7 | 80 | 2.79 | 4.62 | 46.6% | 5 | None |
| Avantara Pierre Pierre · abuse citation | 45.7 | 65 | 1.69 | 2.81 | 40.5% | 2 | $22,048 |
| Sanford Chamberlain Care Center Chamberlain | 50.4 | 44 | 2.54 | 3.69 | 56.9% | 1 | $124,961 |
| Eastern Star Home of South Dakota, Inc Redfield | 51.4 | 30 | 3.41 | 4.61 | 30.4% | 4 | $17,096 |
| Avantara Redfield Redfield | 51.8 | 58 | 2.00 | 3.03 | 52.1% | 2 | $23,044 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.