Skilled nursing facility · CMS certification number 435107
BOWDLE NURSING HOME
BOWDLE, South Dakota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 27
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
No Medicare cost report on file for this facility.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| CITY OF BOWDLE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 02/01/1987 |
| KESSLER, LACEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/10/2024 |
| KLEFFMAN, DARWYN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/10/2024 |
| BARNHARDT, DARRYN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/01/2022 |
| BOBBY, MARGARET | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2022 |
| BOSCHEE, RICK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2000 |
| GAB, REX | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/01/2022 |
| GUNDERSON, MICHAEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2017 |
| MAIER, RUSSELL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/01/2023 |
| SHAYKETT, AMBER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/01/2022 |
| KLEFFMAN, DARWYN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/20/2019 |
| KESSLER, LACEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/19/2024 |
| KLEFFMAN, DARWYN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/19/2024 |
| KESSLER, LACEY | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 08/21/2017 |
| KLEFFMAN, DARWYN | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 05/20/2019 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of BOWDLE HOSPITAL (enrollment ID O20040430001021).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| CITY OF BOWDLE | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 2/1/1987 | Private equity company: No Real estate investment trust: No Holding company: No |
| DARWYN KLEFFMAN | Individual | ADP OF THE SNF | Not stated in the filing | 12/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LACEY L KESSLER | Individual | ADP OF THE SNF | Not stated in the filing | 12/10/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMBER SHAYKETT | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DARRYN BARNHARDT | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARGARET BOBBY | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL GUNDERSON | Individual | CORPORATE DIRECTOR | 0 | 5/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| REX GAB | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICK BOSCHEE | Individual | CORPORATE DIRECTOR | 100 | 5/1/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RUSSELL MAIER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 5/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DARWYN KLEFFMAN | Individual | CORPORATE OFFICER | 0 | 5/20/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DARWYN KLEFFMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/19/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LACEY L KESSLER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/19/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DARWYN KLEFFMAN | Individual | W-2 MANAGING EMPLOYEE | 0 | 5/20/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LACEY L KESSLER | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 8/21/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- January 1, 2025: TIM THOMAS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: ERICK BIEBER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: GARY FRANKFURTH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: AMY KAPPENMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: DARWYN KLEFFMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: DARWYN KLEFFMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since November 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: AMBER SHAYKETT (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: MARGARET BOBBY (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: LACEY L KESSLER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: LACEY L KESSLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since November 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: LACEY L KESSLER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since August 21, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: DARRYN BARNHARDT (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: RUSSELL MAIER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
Recent changes on this record
- January 1, 2025: TIM THOMAS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: ERICK BIEBER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: GARY FRANKFURTH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: AMY KAPPENMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: DARWYN KLEFFMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: DARWYN KLEFFMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since November 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: AMBER SHAYKETT (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: MARGARET BOBBY (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since May 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: LACEY L KESSLER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: LACEY L KESSLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since November 19, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: LACEY L KESSLER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since August 21, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: DARRYN BARNHARDT (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- January 1, 2025: RUSSELL MAIER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2025; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 25, 2025 | February 8, 2024 | 2 | 0 |
| 2 | February 8, 2024 | April 26, 2023 | 3 | 1 |
| 3 | April 26, 2023 | November 3, 2021 | 0 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
5 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 25, 2025 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | No | Past Non-Compliance | March 7, 2025 |
| July 25, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | September 8, 2025 |
| February 8, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | March 20, 2024 |
| February 8, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | March 20, 2024 |
| February 8, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | March 20, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - City |
| Legal Business Name | BOWDLE HOSPITAL |
| Date First Approved to Provide Medicare and Medicaid Services | 1997-09-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Edmunds |
| Telephone Number | 6052856146 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 27 |
| Average Number of Residents per Day | 23.3 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on BOWDLE NURSING HOME: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On January 1, 2025: TIM THOMAS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for BOWDLE NURSING HOME
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in South Dakota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Other public records in South Dakota
- JOHN DALY FEEDLOT, FORT THOMPSON Water discharge permit
- WOOD, COMMUNITY OF, WOOD Water discharge permit
- IDEAL, COMMUNITY OF, IDEAL Water discharge permit
- WINNER, COMMUNITY OF, WINNER Water discharge permit
- OKREEK, COMMUNITY OF, OKREEK Water discharge permit
- ROSEBUD, COMMUNITY OF, ROSEBUD Water discharge permit
- SOLDIER CREEK, COMMUNITY OF, SOLDIER CREEK Water discharge permit
- WHITE HORSE, COMMUNITY OF, WHITE HORSE Water discharge permit
- LAKE VIEW HUTTERITE BRETHREN, LAKE ANDES Air emission source
- CITY/SCHOOL COMMON ENERGY PLANT - DO NOT USE, RAPID CITY Air emission source
- BRANDON MATERIALS COMPANY, SIOUX FALLS Air emission source
- MYRL & ROYS PAVING INC, SIOUX FALLS Air emission source
- SPENCER QUARRIES INC, SPENCER Air emission source
- SPENCER QUARRIES INC, SPENCER Air emission source
- DIESEL MACHINERY INC, SIOUX FALLS Air emission source
- SPENCER QUARRIES INC, SPENCER Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 435107.