Information last verified:
1065 Montgomery Street, Custer, SD 57730
For more information about senior living options: (844) 490-3973
The ER staff were prompt, friendly, and focused on keeping patients safe. They received expert, professional, and caring medical care from the ER team. Dr. Saini was amazing and provided thorough, attentive treatment. The nurses and technicians went above and beyond in their care. The facility was clean, efficient, and well organized. The team explained prescriptions and discharge instructions clearly. They felt respected, appreciated, and well cared for as visitors from out of town. Monument Health ER was described as outstanding with compassionate bedside manner.
They felt disappointed when treatment started promptly but they were left waiting in an exam room while staff in the next room talked about funny videos. The doctor was loud and kept interrupting them, which they disliked. They found the service to be pretty slow. Randy Poinsett remained unhappy because he still had trouble breathing, though the staff were very nice to him. The reviewer felt the doctor was having an off day and was not what they needed at that time.This community is best suited for families and individuals who prioritize swift, thorough emergency care in a small-city setting. Monument Health ER in Custer delivers a level of urgent care that often surpasses expectations for a remote hospital, especially for visitors who find themselves in a health crisis while traveling or locals who want dependable, compassionate support in a high-stress moment. The core strength is the emergency team’s ability to stabilize quickly, conduct thorough assessments, and lay out a practical plan that families can act on right away. The facility’s resources, on-site labs, rapid CT imaging, clear triage, and efficient patient flow, translate into a sense of control when fear and uncertainty are running high. In practice, the care environment feels professional, clean, and deliberately focused on making the patient and the family feel seen and understood, which matters a great deal in urgent situations.
Alternatives merit consideration for those whose needs extend beyond urgent care or who require services that aren’t available on-site. MRI capability on-site is notably absent, meaning any imaging beyond CT typically requires transfers to Rapid City or another nearby Monument Health campus. For families facing ongoing cancer treatments, complex oncology needs, or situations that demand a broader, more integrated set of services under one roof, a larger center within the network can be a more efficient long-term home. A minority of voices note occasional slowdowns or the presence of an off-day in a busy department, reminders that even the strongest rural ERs operate under volume pressure. Travelers or residents who want a seamless, one-campus experience with every modality readily accessible may prefer the breadth offered by other Monument Health locations or comparable regional facilities.
Yet the strongest case rests on the demonstrated strength of the ER team. The care is consistently described as fast, thorough, and deeply considerate, nurses, physicians, and support staff who treat patients with respect and patience. On-site CT and rapid lab work shorten the diagnostic loop, while discharge instructions are typically clear and actionable, empowering families to understand medications, follow-up steps, and warning signs that demand a return visit. The bedside manner receives frequent praise: clinicians who listen, explain, and reassure anxious patients and their loved ones, even when the room is crowded. Across multiple encounters, the pattern emerges of coordinated, compassionate care that preserves technical competence without sacrificing communication or patient autonomy. That combination, expertise delivered with genuine kindness, compresses timelines without compromising safety or clarity.
Still, the tradeoffs matter for decision-making. The absence of MRI on-site is not a minor quibble; for injuries, neurological concerns, or other conditions where MRI would decisively guide treatment, the path involves coordination with another campus, which can introduce delays and logistics to manage. In routine urgent scenarios, the workflow tends to be efficient, but occasional delays are noted when the department is busier than usual. A few reviewers mention interactions that did not land perfectly, underscoring that even the best teams can miss a beat in the moment. For families seeking a one-stop hospital experience with every imaging modality and specialty present on the same campus, this model may feel limiting. Instead, the Custer ER functions best as a robust first point of contact, with rapid access to the broader Monument Health network when more extensive services become necessary.
When making a choice, weigh the core needs against these realities. For acute events, the Custer ER offers rapid stabilization, expert assessment, and discharge planning that translates into real-world action, prescriptions, follow-up care, and referrals arranged with minimal friction. This is especially meaningful for visitors touring the Black Hills who want trustworthy, immediate care or for locals who value a dependable hospital in their own community. The network’s strength shows up in continuity of care: clinicians often remember prior visits, chart history is readily available, and coordination with clinics and specialists tends to proceed smoothly. Prospective patients should confirm the availability of MRI transfer pathways, understand transfer timelines if MRI becomes necessary, and verify the effectiveness of post-discharge resources to ensure a prepared, safe transition home or to a higher level of care if needed.
In sum, Monument Health ER in Custer is a standout choice for urgent and emergent care where the priority is rapid diagnosis, competent treatment, and clear, compassionate communication in a welcoming, professional environment. It is best suited for those who want a reliable emergency hub in a rural-urban gateway, people who value speed, warmth, and thoroughness and who can accept that some imaging and some long-term care may reside outside the immediate campus. Alternatives deserve consideration for patients who require MRI on site, extensive cancer care, or a single-campus experience with every specialty under one roof. For most families facing an urgent health need near the Black Hills, this center embodies practical, high-quality care, with a network ready to scale up as the medical picture evolves.
76 resident community capacity
Skilled Nursing FacilitySkilled Nursing Facilities are crucial for seniors as they provide round-the-clock medical care, rehabilitation services, and assistance with daily activities. These facilities ensure that seniors receive the specialized care they need to maintain their health and well-being as they age.
Air-conditioningAir conditioning is important for seniors as they are more vulnerable to heat-related illnesses and may have underlying health conditions that make it difficult for them to regulate their body temperature. It helps to keep them comfortable, safe, and healthy in hot weather.
Beauty salonBeauty salons are important for seniors because they provide a space for them to feel pampered, socialize, and maintain their personal grooming and hygiene. Regular visits to a beauty salon can help boost seniors' self-esteem and overall well-being.
Cable or satellite TVCable or satellite TV is important for seniors because it provides entertainment, news, and companionship, helping to combat loneliness and boredom. It also offers a wide range of programming options tailored to different interests and preferences.
Computer centerA computer center is essential for seniors as it provides access to technology, communication tools, and resources that can enhance their daily lives. It allows them to stay connected with loved ones, engage in online activities, and learn new skills, ultimately promoting socialization and mental stimulation.
Dining roomDining rooms are important for seniors as they provide a space for socialization, connection, and nutritious meals. They offer opportunities for residents to bond over shared meals, foster a sense of community, and promote healthy eating habits. Dining rooms also ensure that seniors have access to well-balanced meals tailored to their dietary needs and preferences.
Fitness roomHaving a fitness room in a senior living community is essential for seniors to stay active, maintain their physical health, and improve their overall well-being. Regular exercise can help prevent falls, reduce the risk of chronic diseases, and promote mental sharpness. It also provides social opportunities for residents to connect with others and enjoy a sense of community.
Fully furnishedFully furnished senior living communities are important for seniors because they provide convenience, comfort, and a hassle-free moving experience. Seniors can easily settle into their new living space without the stress of having to buy and move furniture. This allows them to focus on enjoying their new home and community.
Gaming roomGaming rooms are important for seniors as they provide a fun and engaging environment for socializing, cognitive stimulation, and physical activity. Games can improve memory, problem-solving skills, and overall mental well-being while fostering friendships and reducing feelings of isolation.
GardenGardens are important for seniors as they provide a peaceful and therapeutic environment for relaxation, physical activity, and socialization. Being in nature has been shown to reduce stress, improve mood, and promote overall well-being. Gardens also offer opportunities for seniors to engage in gardening activities, which can improve mobility, flexibility, and cognitive function. Additionally, gardens create a sense of community and connection with others who share a passion for plants and outdoor spaces.
Housekeeping servicesHousekeeping services are important for seniors because they help maintain a clean and safe living environment, promote independence, and reduce the risk of accidents or illnesses. Additionally, having assistance with household chores can alleviate physical strain and allow seniors to focus on other aspects of their well-being.
KitchenetteKitchenettes are important for seniors living in senior living communities because they provide the convenience and independence of being able to prepare simple meals and snacks in the comfort of their own living space. This can help promote a sense of autonomy and well-being for seniors, allowing them to maintain some level of control over their dietary choices and daily routines.
Move-in coordinationMove-in coordination is important for seniors because it helps ease the transition into their new living environment. It ensures that all logistics, such as packing, organizing movers, and setting up utilities are taken care of, allowing seniors to focus on settling in and adjusting to their new home. Having a smooth move-in process can alleviate stress and anxiety, making the transition smoother and more enjoyable for seniors.
Outdoor spaceOutdoor spaces are important for seniors as they provide opportunities for physical activity, social interaction, exposure to natural light and fresh air, and a sense of connection to nature. Having access to outdoor spaces can improve overall well-being and quality of life for older adults living in senior communities.
Private bathroomsPrivate bathrooms are important for seniors in senior living communities because they provide independence, dignity, and comfort. Having a private bathroom allows seniors to maintain their personal hygiene routines without the need for assistance, promoting a sense of autonomy and privacy. Additionally, private bathrooms help prevent the spread of infections and provide a safe and clean environment for seniors to navigate safely.
Restaurant-style diningRestaurant-style dining is important for seniors because it allows them to enjoy delicious, nutritious meals in a social and upscale setting. This enhances their dining experience, promotes healthy eating habits, and fosters socialization with fellow residents, ultimately contributing to their overall well-being and quality of life.
Small librarySmall libraries are important for seniors as they provide access to a variety of reading materials, including books, newspapers, and magazines. This can help stimulate their minds, keep them engaged, and provide a sense of community through book clubs and other social activities. Additionally, reading has been shown to improve cognitive function and overall mental well-being in older adults.
TelephoneTelephones are important for seniors as they provide a lifeline for communication with loved ones, emergency services, and healthcare providers. They offer a sense of security and independence, enabling seniors to stay connected and access assistance when needed.
Wellness centerWellness centers are important for seniors because they offer a variety of programs and services that promote physical, mental, and emotional well-being. These centers provide opportunities for exercise, socialization, education, and relaxation, helping seniors maintain their overall health and quality of life.
Wi-Fi/high-speed internet availableWi-Fi/high-speed internet is important for seniors to stay connected with loved ones, access online resources, and participate in virtual activities to combat feelings of loneliness and isolation. It also allows them to easily manage healthcare needs, access entertainment, and engage in lifelong learning opportunities.
Community operated transportationCommunity operated transportation is crucial for seniors as it provides them with the means to access essential services, social activities, and medical appointments. It allows seniors to maintain their independence and quality of life by ensuring they can participate in activities outside of their homes. Additionally, community-operated transportation services offer a safe and reliable way for seniors to travel without having to rely on family or friends for assistance. Transportation arrangementTransportation arrangements are crucial for seniors as they may face challenges with driving, mobility, or access to public transportation. Having reliable transportation services ensures that seniors can easily attend appointments, social activities, and maintain their independence and quality of life. Transportation arrangement (non-medical)Transportation arrangements are essential for seniors as they provide access to essential services, activities, and social interactions outside the home. This service helps maintain independence, mobility, and overall well-being for seniors who may have limited transportation options. Transportation to doctors appointmentsTransportation to doctors appointments is crucial for seniors as it ensures they have access to necessary medical care and support, promoting their health and well-being. It allows them to receive timely treatment, monitor existing conditions, and address any new health concerns efficiently. Additionally, transportation services can help seniors maintain their independence and quality of life by enabling them to stay connected with their healthcare providers.
12-16 hour nursing12-16 hour nursing care is crucial for seniors in order to ensure around-the-clock monitoring, timely medication administration, and prompt response to any health concerns or emergencies. This level of care helps to promote the overall well-being and safety of seniors living in senior living communities.
24-hour call system24-hour call systems are important for seniors because they provide peace of mind and immediate assistance in case of emergencies. This technology ensures that help is always available, promoting safety and security for elderly individuals living alone or in assisted living facilities. 24-hour supervision24-hour supervision is important for seniors to ensure their safety, well-being, and access to immediate assistance in case of emergencies or health issues. This constant support provides peace of mind for both seniors and their loved ones, allowing them to age in place with dignity and security.
Activities of daily living assistanceActivities of daily living assistance are important for seniors because they provide essential support with tasks such as eating, bathing, dressing, and mobility. This assistance helps seniors maintain their independence, dignity, and overall quality of life as they age.
Assistance with bathingAssistance with bathing is crucial for seniors as it helps maintain personal hygiene, prevents infections, and ensures their overall well-being and comfort. It also provides a sense of dignity and independence for seniors who may struggle with this task on their own.
Assistance with dressingAssistance with dressing is important for seniors because it helps maintain their independence, promotes personal hygiene, prevents accidents and injuries, and improves overall quality of life. This service ensures that seniors can continue to dress comfortably and confidently, despite any physical limitations they may have.
Assistance with transfersAssistance with transfers is crucial for seniors as it helps prevent falls and injuries, maintains their independence, and ensures they can safely navigate their living environment. It also provides peace of mind for both seniors and their loved ones.
Diabetes dietA diabetes diet is crucial for seniors as it helps manage blood sugar levels, reduce risks of complications, and improve overall health and well-being. By following a balanced and nutritious diet tailored to their specific needs, seniors can better control their diabetes and enhance their quality of life. Meal preparation and serviceMeal preparation and service are crucial for seniors as they may have limited mobility or energy to cook nutritious meals. Having access to healthy and convenient food options can ensure they are getting the proper nutrition needed to maintain their overall health and well-being.
Medication managementMedication management is crucial for seniors to ensure they are taking the right medications at the correct dosages and times. This helps prevent adverse drug interactions, reduces the risk of medication errors, and promotes overall health and well-being. Proactive management also allows for adjustments as needed based on changing health conditions or new prescriptions.
Mental wellness programMental wellness programs are essential for seniors as they promote cognitive stimulation, emotional support, and social engagement. These programs help prevent isolation, depression, and cognitive decline, ultimately enhancing the overall quality of life for older adults.
Special dietary restrictionsSpecial dietary restrictions are important for seniors because age-related changes in metabolism and health conditions can make it difficult for their bodies to process certain foods. By following a diet tailored to their specific needs, seniors can maintain their overall health and well-being, manage chronic conditions, and reduce the risk of complications such as malnutrition or food interactions with medications. Diabetes dietA diabetes diet is crucial for seniors as it helps manage blood sugar levels, reduce risks of complications, and improve overall health and well-being. By following a balanced and nutritious diet tailored to their specific needs, seniors can better control their diabetes and enhance their quality of life. Special dietary restrictionsSpecial dietary restrictions are important for seniors because age-related changes in metabolism and health conditions can make it difficult for their bodies to process certain foods. By following a diet tailored to their specific needs, seniors can maintain their overall health and well-being, manage chronic conditions, and reduce the risk of complications such as malnutrition or food interactions with medications. Community-sponsored activitiesCommunity-sponsored activities are important for seniors as they provide opportunities for social interaction, mental stimulation, and physical activity. These activities can help improve overall well-being, combat loneliness and isolation, and promote a sense of belonging and purpose among older adults.
Concierge servicesConcierge services are essential for seniors as they provide assistance with daily tasks and errands, enhance their quality of life by offering convenience and personalized care, and promote a sense of safety and security. Fitness programsFitness programs are crucial for seniors as they help improve strength, flexibility, balance, and overall well-being. Staying active can reduce the risk of chronic diseases, improve mental health, and enhance quality of life in older adults.
Planned day tripsPlanned day trips are important for seniors because they offer opportunities for socialization, mental stimulation, and physical activity. They provide a change of scenery and help seniors stay engaged and connected to their community, promoting overall well-being and quality of life. Resident-run activitiesResident-run activities are important for seniors as they encourage social interaction, creativity, and a sense of autonomy. These activities empower seniors to stay engaged and active in their community while fostering meaningful connections with their peers. Scheduled daily activitiesScheduled daily activities are important for seniors because they provide structure, socialization, mental stimulation, and physical activity. Engaging in regular activities can improve overall well-being and quality of life for seniors living in a community setting.The Regional Health Care Center - Custer in Custer, SD is an assisted living community that offers a wide range of amenities and care services for its residents. The community prioritizes the comfort and well-being of its residents by providing a variety of amenities to enhance their quality of life.
Residents can enjoy the convenience and luxury of having a beauty salon within the community, ensuring they can always look and feel their best. There is also access to cable or satellite TV for entertainment and relaxation. The community operates its own transportation service, making it easy for residents to get around the area safely and conveniently.
For those who enjoy using computers, there is a computer center available for use. A fully furnished environment allows residents to move in with ease and start enjoying their new home immediately. The gaming room provides entertainment options for those who enjoy playing games.
Outdoor spaces such as gardens allow residents to enjoy nature and fresh air. Housekeeping services ensure that the living spaces are clean and comfortable at all times. Each resident has their own private bathroom for added privacy and convenience.
Meals are provided in a restaurant-style dining room, offering delicious cuisine prepared by professional chefs. Special dietary restrictions can be accommodated to ensure that all residents receive meals that suit their needs. For those who prefer self-preparation, there is a kitchenette available.
Residents have access to telephone services within their living quarters, allowing them to stay connected with loved ones. Non-medical transportation arrangements are made for appointments outside of the facility, including doctor's appointments.
The wellness center offers various programs designed to promote mental wellness and overall health for all residents. Wi-Fi/high-speed internet is available throughout the community for easy communication and online activities.
In terms of care services, 24-hour call systems ensure that assistance is always readily available when needed. Trained staff provide 24-hour supervision to ensure safety at all times. Assistance with activities of daily living such as bathing, dressing, and transfers is provided. The community also offers a diabetes diet and assistance with medication management.
Residents can enjoy an array of activities to keep them active and engaged. Concierge services are available to assist in planning day trips and outings. Fitness programs are offered to promote physical health, and there are resident-run activities for social interaction. Daily activities are scheduled to provide a variety of options for residents to participate in.
The Regional Health Care Center - Custer is located in a vibrant area with several cafes, parks, restaurants, pharmacies, places of worship, and a hospital nearby. This ensures that residents have easy access to various amenities and healthcare facilities within the surrounding community.
Overall, this assisted living community provides a comfortable and supportive environment for residents to live their best lives while receiving the care they need.
Regional Health Care Center - Custer is located at 1065 Montgomery Street, Custer, SD 57730 in Pennington County, South Dakota
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