Wakonda Heritage Manor
515 OHIO STREET, Wakonda, SD 57073
Wakonda, South Dakota · CMS verdict
Wakonda Heritage Manor's CMS overall star rating runs above the South Dakota state average (2.9) and reflects above-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Wakonda Heritage Manor in Wakonda, South Dakota holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 79 of 100 (grade C). Its CMS inspection record lists a moderate number of deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (lighter deficiency book)
Its CMS deficiency count sits in the lighter U.S. deficiency tercile (≤16). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 79 is built
Each segment is a dimension's weighted points toward the score, summing to 79.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Wakonda Heritage Manor's lighter CMS deficiency book
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) scores Wakonda Heritage Manor on three sub-ratings that roll up into the overall star: health inspection, staffing, and quality measures. Each is charted against the South Dakota average below.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Wakonda, South Dakota. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. With occupancy around 87%, bed usage here sits in the range typical of a stabilized facility.
Inspection record
On the regulatory side, federal and state surveyors have documented a moderate number of deficiencies at this facility; the counts are in Facility details below. CMS has levied enforcement penalties - civil money penalties or denials of payment, during the same window. This volume of findings is worth reading past the count: CMS's F-tag scale separates isolated, low-harm citations from widespread or immediate-jeopardy ones, and only the full report shows which this facility has.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Wakonda Heritage Manor compares to South Dakota
CMS five-star sub-ratings (0–5) for this facility against the South Dakota facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = South Dakota state average. Higher is better on all four CMS measures.
Where Wakonda Heritage Manor ranks in South Dakota
Among the 95 CMS-rated nursing homes in South Dakota, Wakonda Heritage Manor’s 4-star overall rating is higher than 65% of them. The bars show how all South Dakota homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
14 South Dakota homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 38 |
| Residents | 33 |
| Ownership | Non profit - Other |
| County | Clay |
| Penalties | 1 |
| Deficiencies | 5 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Wakonda Heritage Manor? ▾
4 out of 5 stars is Wakonda Heritage Manor's current CMS overall rating. The chart on this page breaks it into health inspection, staffing, and quality measures against the South Dakota average.
How much does a nursing home cost per month in South Dakota? ▾
The median cost for a semi-private nursing home room in South Dakota is $9,444 per month ($113,333 annually). A private room averages $10,190 per month. Costs are from the CareScout 2025 survey.
What services does Wakonda Heritage Manor offer? ▾
Wakonda Heritage Manor is a skilled nursing facility. CMS Care Compare does not list individual services or therapies, so ask the facility directly which it provides. Its bed capacity, census, and ownership type are in the Facility details table on this page.
Does Wakonda Heritage Manor have any deficiencies or penalties? ▾
Wakonda Heritage Manor has multiple deficiencies and enforcement penalties recorded by CMS; the counts are in the Facility details table. A count in this range makes it worth asking staff or the facility directly which findings were minor paperwork versus resident-care issues.
What are the alternatives to a nursing home in South Dakota? ▾
In South Dakota, alternatives include assisted living ($4,900/mo), home health aides ($8,437/mo), and adult day care (N/A/mo).
Keep reading
Also see the South Dakota elder-care overview and highest-rated states. Provider ID: 435094.
Read our methodology - how this data is sourced, computed, and verified.