MENNO-OLIVET CARE CENTER
NPI 1629059761
Skilled Nursing Facility in Menno, SD

Active since November 07, 2005CLIA 43D0658861 · Waiver
2/5
Overall Rating
402 SOUTH PINE STREET, MENNO, SD 57045(605) 387-5139(605) 387-2441 Get Directions Write a Review

NPPES record last updated: June 22, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Menno-olivet Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENNO-OLIVET CARE CENTER (NPI 1629059761) is a healthcare organization registered as a skilled nursing facility in Menno, South Dakota and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Judith Ann Headley, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629059761
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMENNO-OLIVET RETIREMENT HOME INC
Location Address402 SOUTH PINE STREETMenno, SD 57045-0487
Mailing AddressPo Box 487Menno, SD 57045-0487 · (605) 387-5139 · Fax (605) 387-2441
Fax(605) 387-2441
Organization SubpartNo
Authorized OfficialJudith Ann HeadleyAdministrator · (605) 387-5139
Enumeration DateNovember 7, 2005
Last NPPES UpdateJune 22, 2010
NPI 1629059761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in SD · 10648
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

402 SOUTH PINE STREET, Menno, SD 57045

Other Names 1

Doing Business AsMenno-olivet Care Center

Other Identifiers 2

Medicare ID-Type Unspecified435113SD · Part A & B
Medicaid0160260SD

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D0658861

Menno-Olivet Care Center · Menno, SD
Active · expires Aug 31, 2026
CLIA Number43D0658861
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorChristina Fergen
Laboratory Phone(605) 387-5139
Laboratory LocationMenno-Olivet Care Center402 South Pine, Menno, SD 57045
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Menno-Olivet Care Center (CMS certification number 435113), from CMS Care Compare.

Menno-Olivet Care Center

Nursing home · Menno, SD
2/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number435113
Certified Beds41 beds23 residents per day on average
Medicare & Medicaid Participant SinceApril 1, 1998
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
67.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 3.11 · LPN 0.35 · RN 0.77
4.23 hrs per resident per day
Weekend Nurse Staffing
3.95 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
32.4%
Registered Nurse Turnover
16.7%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
0
Infection-Control Citations
0
Fines
1 totaling $29,269.50
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
402 SOUTH PINE STREET
MENNO, SD 57045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Menno-Olivet Retirement Home Inc's NPI number?

The NPI number for Menno-Olivet Retirement Home Inc is 1629059761. It was assigned to this organization in the NPPES registry on November 7, 2005. The provider is doing business as Menno-Olivet Care Center.

Where is Menno-Olivet Retirement Home Inc located?

Menno-Olivet Retirement Home Inc is located at 402 South Pine Street, Menno, SD 57045. The listed phone number is (605) 387-5139.

What is Menno-Olivet Retirement Home Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Menno-Olivet Retirement Home Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D0658861) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Menno-Olivet Retirement Home Inc a Medicare-certified nursing home?

Yes. Menno-Olivet Care Center is a Medicare-certified nursing home with 41 certified beds.

What quality rating does Menno-Olivet Retirement Home Inc have?

CMS rates Menno-Olivet Care Center 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Menno-Olivet Retirement Home Inc was last updated on June 22, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.