Wakonda Heritage Manor: Staffing, Turnover, and Inspection Record
Wakonda Heritage Manor is a 38-bed nonprofit nursing home in Wakonda, South Dakota, part of Avera Health. In the CMS August 2026 release it reported 2.59 nurse aide hours per resident per day, 3% above the South Dakota average of 2.52, and 33.3% nursing staff turnover (South Dakota average 48.2%).
Wakonda Heritage Manor
515 Ohio StreetWakonda, SD 57073
Clay 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 Wakonda Heritage Manor, nurse aides logged 2.59 hours per resident per day, 3% above the South Dakota average. With about 36 residents a day, that works out to roughly 94 aide hours a day, or about 12 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 19% below the all-days figure.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.59 | 2.52 | 2.32 |
| Licensed practical nurses | 0.60 | 0.47 | 0.86 |
| Registered nurses | 0.66 | 0.80 | 0.69 |
| All nursing staff | 3.85 | 3.79 | 3.86 |
| All nursing staff, weekends | 3.12 | 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
33.3% of nursing staff at Wakonda Heritage Manor 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 33.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 7, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 4 health deficiencies (South Dakota average 6.9). CMS lists 1 fine totaling $12,675 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 13, 2025 | Fine | $12,675 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Wakonda Heritage Manor holds 5 of 5 overall; the South Dakota average is 2.9.
About Wakonda Heritage Manor
- Ownership: Non profit - Corporation
- Chain: Avera Health, 13 homes
- Medicare and Medicaid certified since: Feb 1, 1996
- Councils: resident council
- Area: rural
Nursing homes near Wakonda Heritage Manor
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Sunset Manor Avera Health Irene · abuse citation | 6.0 | 58 | 3.69 | 5.10 | 70.4% | 2 | $40,596 |
| Centerville Care and Rehab Center Inc Centerville · abuse citation | 10.8 | 42 | 2.35 | 3.31 | 43.9% | 1 | $55,059 |
| Pioneer Memorial Nursing Home Viborg | 11.7 | 46 | 2.92 | 3.91 | 52.0% | 5 | $32,536 |
| SD Human Services Center - Geriatric Program Yankton | 16.2 | 69 | 5.94 | 8.62 | 37.4% | 5 | None |
| Bethesda Of Beresford Beresford | 17.0 | 39 | 2.36 | 3.69 | 50.0% | 2 | $16,088 |
| Sanford Care Center Vermillion Vermillion | 18.3 | 66 | 2.40 | 3.31 | 45.5% | 2 | $44,577 |
| Avera Sister James Care Center Yankton | 18.6 | 194 | 2.77 | 4.10 | 31.3% | 5 | $8,492 |
| Alcester Care And Rehab Center, Inc Alcester | 24.1 | 44 | 1.73 | 2.74 | 43.3% | 5 | None |
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.