67 beds · Non profit - Corporation
Medicare rates it below most South Dakota homes, and inspectors found problems that harmed residents or put them at serious risk.
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“Actual harm” and “immediate jeopardy” are Medicare’s most serious inspection findings. Fines and payment denials are penalties Medicare imposed. Ask the home what changed since. A home with nothing listed here can still have lower-level citations — see Inspections below.
Sources from Medicare’s agency (CMS): CMS Provider Information & Penalties, snapshot 2026-09-01, retrieved 2026-10-09; CMS Health Deficiencies summary, as of 2026-08-01, retrieved 2026-10-08.
Total nurse time per resident per day: 4.78 hours (SD avg 3.79). Registered nurse time: 0.59 hours.
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Medicare's roll-up of health inspections, staffing, and quality measures on a 1-to-5 scale. It does not measure family experience, cost, or bed availability, and it does not by itself say whether this home is right for one specific resident.
How this home did on its most recent unannounced state health inspections, compared to other homes. It does not measure staffing levels or clinical quality on its own.
Nurse staffing hours per resident per day, from payroll-based records Medicare verifies against payroll data. It does not measure the skill or attentiveness of the staff on duty, only the hours reported.
A Medicare composite of clinical outcomes reported by the facility, such as falls, pressure ulcers, and hospitalizations. It does not measure every aspect of clinical care, and it relies on the facility's own reporting.
| Measure | This home | SD average | National average |
|---|---|---|---|
| Long-stay residents who need more help with daily activities than before | 32.8% | 21.3% | 13.9% |
| Long-stay residents who lose too much weight | 6.0% | 5.6% | 5.2% |
| Long-stay residents with a catheter left in the bladder | 4.5% | 2.1% | 0.8% |
| Long-stay residents with a urinary tract infection | 0.8% | 2.9% | 1.6% |
| Long-stay residents with depressive symptoms | 0.0% | 5.7% | 12.8% |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| Long-stay residents who had a fall with major injury | 7.4% | 5.5% | 3.2% |
| Long-stay residents given the pneumococcal (pneumonia) vaccine | 90.5% | 94.9% | 93.5% |
| Long-stay residents whose ability to walk independently worsened | 23.4% | 19.4% | 14.1% |
| Long-stay residents who received an antianxiety or sleep medication | 9.0% | 17.4% | 19.5% |
| Long-stay residents given the seasonal flu vaccine | 98.5% | 96.9% | 95.5% |
| Long-stay residents with pressure ulcers | 5.4% | 4.6% | 4.6% |
| Long-stay residents with new or worsened bowel or bladder incontinence | 30.4% | 25.4% | 19.0% |
| Long-stay residents who received an antipsychotic medication | 39.4% | 24.6% | 15.4% |
| Hospitalizations per 1,000 long-stay resident days | 1.20 per 1,000 days | 1.52 per 1,000 days | 1.90 per 1,000 days |
| Outpatient emergency room visits per 1,000 long-stay resident days | 0.79 per 1,000 days | 1.75 per 1,000 days | 1.78 per 1,000 days |
| Short-stay residents given the pneumococcal (pneumonia) vaccine | 80.5% | 83.5% | 82.0% |
| Short-stay residents who newly received an antipsychotic medication | 2.1% | 2.0% | 1.6% |
| Short-stay residents given the seasonal flu vaccine | 31.8% | 78.2% | 79.8% |
| Short-stay residents who were rehospitalized after admission | 4.0% | 19.9% | 23.8% |
| Short-stay residents who had an outpatient emergency room visit | 6.3% | 12.0% | 12.0% |
Lower is better for falls, pressure ulcers, medications and hospital visits; higher is better for vaccines. Compare with the state, not with zero.
Source: CMS resident assessments (MDS) and claims quality measures, 2024Q3-2025Q2 | 2025Q2-2026Q1, retrieved 2026-10-08.
Source: CMS Nursing Home Ownership, as of 2026-08-01, retrieved 2026-10-08.
Your next step
Walk the building, ask what a rating can’t tell you, and write down who showed you around and what they said.
Open tour sheetNearby means the same city first, then the same ZIP-code area and state. This is not a quality ranking.
Firsthand experiences from patients, families, and people who toured or interviewed this provider. These are separate from Medicare ratings and inspection findings.
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We review all ratings under the same rules: firsthand experience, no spam, harassment, conflicts of interest, or someone else’s private information. A low rating alone is never a removal reason. Tours are labeled separately. Reviews do not establish clinical quality.
Use a nickname or first name and last initial. Do not include medical records, diagnoses, contact details, or patient or staff names. Sign in with the same email to edit or withdraw your review. Provider responses require email verification, content review, and a separate check of representative authority through an independently listed contact.
Reports go to our team; they do not automatically hide reviews. For urgent safety issues, contact the provider, your state regulator, or emergency services.
