Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.64 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
Also known publicly as Wheatcrest Hills Healthcare
BRITTON, SD
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.64 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Dec 4, 2025 cited 4 deficiencies.
View inspection evidenceCMS-published records list 75 ownership or control parties.
CMS records show an ownership change effective August 2023.
View ownership evidenceCMS groups this facility with a chain covering 44 facilities across 6 states or territories.
View chain evidenceCMS records show a $5,541 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
24 currently connected nursing homes share this CMS organization identity with CH PACIFIC NORTHWEST HOLDINGS LLC.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 19, 2025
Other facilities connected through this exact CMS organization identity: 0 across SD.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 19, 2025
Other facilities connected through this exact CMS organization identity: 0 across SD.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 19, 2025
Other facilities connected through this exact CMS organization identity: 0 across SD.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 19, 2025
Other facilities connected through this exact CMS organization identity: 0 across SD.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 31, 2025
Other facilities connected through this exact CMS organization identity: 0 across SD.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 31, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 31, 2023
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 2023
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 2023
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 31, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Parent company, Holding company
Other facilities connected through this exact CMS organization identity: 5 across SD.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 66.5%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 23 across MT, NV, OR, SD, WA.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 66.5%
Association date reported to CMS: Aug 31, 2023
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 21 across MT, NV, OR, SD, WA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 23 across MT, NV, OR, SD, WA.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Aug 31, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 23 across MT, NV, OR, SD, WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 19, 2025
CMS classifications: Chain / home office, Management services company
Other facilities connected through this exact CMS organization identity: 34 across MT, NV, OR, SD, WA, WY.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 19, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 39 across CA, MT, NV, OR, SD, WA, WY.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 19, 2025
Other facilities connected through this exact CMS organization identity: 0 across SD.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 19, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 24 across MT, NV, OR, SD, WA, WY.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 19, 2025
Other facilities connected through this exact CMS organization identity: 5 across SD.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 31, 2025
Other facilities connected through this exact CMS organization identity: 0 across SD.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 23 across MT, NV, OR, SD, WA.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 31, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 31, 2023
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 66.5%
Association date reported to CMS: Aug 31, 2023
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.25%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Private equity company
Other facilities connected through this exact CMS organization identity: 0 across SD.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1%
Association date reported to CMS: Aug 31, 2023
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 3%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across SD.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 3%
Association date reported to CMS: Aug 31, 2023
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.25%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Aug 31, 2023
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 31, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
CMS classifications: Chain / home office, Management services company
Other facilities connected through this exact CMS organization identity: 34 across MT, NV, OR, SD, WA, WY.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 39 across CA, MT, NV, OR, SD, WA, WY.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 24 across MT, NV, OR, SD, WA, WY.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 5 across SD.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 100%
Association date reported to CMS: Aug 31, 2023
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across SD.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 846 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 44 | 2.5 | 3.3 |
| Mon Jun | 43 | 2.4 | 3.3 |
| Fri May | 43 | 2.4 | 3.3 |
| Wed Apr | 43 | 2.4 | 3.3 |
| Sun Mar | 41 | 2.3 | 3.1 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 6, 2025)
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 6, 2025)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 6, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 6, 2025)
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 11, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Oct 22, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 26, 2024)
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 26, 2024)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 26, 2024)
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 26, 2024)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 26, 2024)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 14, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 4, 2023)
No health-deficiency rows were deterministically linked to this inspection.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 15, 2023)
Penalties & enforcement
Published fine amount: $5,541.00
Published fine amount: $8,338.00
Published fine amount: $15,643.00
Published fine amount: $8,031.00
Questions to ask
Facility history
13 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
4 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $5,541 civil monetary penalty.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $8,338 civil monetary penalty.
CMS · Recorded event date · View related evidence
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $15,643 civil monetary penalty.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
CMS recorded a $8,031 civil monetary penalty.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: WHEATCREST HILLS SNF OPERATIONS, LLC.
EMPRES AT BRITTON LLC → WHEATCREST HILLS SNF OPERATIONS, LLC
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 4 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 2.807 | 2.418 |
| RN categories | 0.745 | 0.366 |
Contract staff accounted for 11.4% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.075 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 2.913 | 0.644 | 0.268 | 1.493 | 4.2% | 91 |
| 2025Q3 | 2.735 | 0.572 | 0.254 | 1.402 | 0.9% | 92 |
| 2025Q4 | 2.735 | 0.561 | 0.235 | 1.757 | 2.2% | 92 |
| 2026Q1 | 2.695 | 0.636 | 0.158 | 1.694 | 11.4% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.