Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Wakonda Heritage Manor during CMS and state inspections, most recent first.
Two residents assessed as unable to safely use electronic lift chairs independently had access to the controls, leading to a deficiency. One resident, with a history of falls and severe cognitive impairment, fell from the chair, which was found plugged in with the control accessible. Another resident, also severely cognitively impaired, was observed using the lift chair independently despite care plan directives. The facility failed to consistently implement its policy to unplug lift chairs for residents assessed as unsafe.
During a meal service, dietary staff failed to follow proper hand hygiene and glove use protocols. The dietary manager handled various surfaces and ready-to-eat foods without changing gloves, while a medical secretary reused trays and did not wash hands between meal deliveries. Both staff members did not adhere to the facility's hand hygiene policies.
A resident on an NDD2 diet experienced a choking incident after being served steak during a special Father's Day meal, which was not reviewed by a registered dietitian as required. The resident was hospitalized for removal of steak pieces and returned with a modified diet order. The dietary manager admitted the meal was not documented for dietitian review, contrary to facility policy.
Failure to Prevent Unsafe Use of Lift Chairs
Penalty
Summary
The deficiency involves the failure of the facility to ensure that two residents, who were assessed as unable to safely use electronic lift chairs independently, did not have access to the lift chair controls or that the chairs' power cords were unplugged or removed as directed in their assessments. Resident 3, who had a history of falls and was severely cognitively impaired, was found on the floor after falling from his lift chair, which was in the most upright position. Despite assessments indicating he was unsafe to operate the lift chair independently, the chair was found plugged in with the control accessible in the side pocket. Resident 3's medical history included depression, paranoid schizophrenia, epilepsy, insomnia, aphasia, and cerebral infarction, with noted balance problems and a history of falls. His care plan was updated to reflect his inability to safely operate the lift chair, yet observations during the survey revealed the chair remained plugged in, contrary to the care plan directives. Interviews with staff indicated a lack of consistent adherence to the care plan, as the chair was sometimes unplugged but not consistently. Similarly, Resident 21, who was also assessed as unsafe to use the lift chair independently due to severe cognitive impairment, was observed using the lift chair with the control accessible. Her care plan indicated she required assistance with the lift chair, yet the chair was not unplugged, and she was able to operate it independently. The facility's policy required that lift chairs for residents assessed as unsafe be unplugged, but this was not consistently implemented, leading to the deficiency.
Improper Hand Hygiene and Glove Use During Meal Service
Penalty
Summary
The deficiency involved improper hand hygiene and glove use by dietary staff during a meal service in the kitchen and dining room. Dietary manager J, while wearing gloves, touched various surfaces including trays, diet cards, her cap, plates, and serving utensils, and then handled ready-to-eat dinner rolls without changing gloves. Medical secretary K reused trays to deliver meals, touched residents, and did not wash her hands during the meal service. Both staff members failed to adhere to proper hand hygiene practices as outlined in the facility's policies. Interviews revealed that dietary manager J, who was responsible for training dietary staff, was unaware of the need to change gloves when handling ready-to-eat foods and did not instruct medical secretary K to wash her hands between meal deliveries. The director of nursing, acting as the infection preventionist, expected adherence to hand hygiene policies but was unaware of the dietary manager's misconceptions about glove use. The facility's policies and training materials clearly stated the importance of handwashing before and between glove changes, and the need to avoid contaminating gloves by touching non-disinfected surfaces.
Failure to Review Menu Substitutions Leads to Choking Incident
Penalty
Summary
The provider failed to ensure that menu substitutions for a special Father's Day meal were reviewed and approved by a registered dietitian, leading to a choking incident involving a resident. The resident, who was on an NDD2 diet with regular meat, experienced choking after being served steak, which was not part of the original menu and had not been documented in the menu substitution log for dietitian review. The resident was subsequently hospitalized for the removal of steak pieces from his throat and returned with a modified diet order. The dietary manager acknowledged that the special meal was not added to the substitution log, which was against the facility's policy. The director of nursing confirmed that the resident's diet was changed following a speech evaluation after the incident. The administrator admitted uncertainty about whether special meal menus were documented for dietitian review, agreeing that the policy should have been followed. The facility's policy required all menu changes to be recorded and reviewed by a registered dietitian, which was not adhered to in this case.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Wakonda
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sunset Manor Avera Health | 6 mi | — | 10 | 0 |
| Centerville Care And Rehab Center Inc | 10.8 mi | — | 0 | 0 |
| Pioneer Memorial Nursing Home | 11.7 mi | — | 0 | 0 |
| Sd Human Services Center - Geriatric Program | 16.2 mi | — | 0 | 0 |
| Bethesda Of Beresford | 17 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.