Sun Dial Manor

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.20 therapist hours per resident per day in 2026Q1 — more than 22% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 28% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 37 beds and averages 19.4 residents a day — about 52% occupied, or roughly 18 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.08 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.98 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.47 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.63 hrs/resident/day on weekends vs 4.26 on weekdays — 15% thinner on weekends. RN hours go from 1.12 to 0.64 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 56% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 12 most serious are shown; the remaining 9 are one tap away and print in full.

• Actual harm · G2024-10-29 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), observation, interview, and record review, the provider failed to ensure the safety of one of one sampled resident (1) who fell out of an electric lift chair and received a laceration to her left temple that required sutures. Findings include: 1. Review of the provider's 10/21/24 SD DOH FRI regarding resident 1 revealed: *On 10/20/24 at 5:27 p.m. she was found by certified nursing assistant (CNA) F lying on the floor of her room in front of her electric lift chair that was in the highest position with blood surrounding her head. *CNA F called for the nurse, Minimum Data Set (MDS) coordinator/infection preventionist C. *MDS coordinator/infection preventionist C assessed resident 1 and, after contacting the on-call provider and resident 1's daughter, sent resident 1 by ambulance to the nearby hospital's emergency department (ED) due to the large laceration to her left temple. -Her LOC (Level of Cognition) and ROM (Range of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-12-21 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on South Dakota Department of Health (SDDOH) report review, record review and interview, the provider failed to ensure one of one sampled resident (8) had received appropriate and necessary care and treatment for nine days after a witnessed fall in her bathroom. Findings include: 1. Review of resident 8's medical records revealed: *On 8/30/23 at 7:07 a.m. included: -Resident 8 had a witnessed fall in the bathroom while a certified nursing assistant (CNA) was doing morning cares. -Range of motion was intact, but resident winced with moving the left leg and she would hold on to her left hip. - Resident 8 was unable to give description and could not describe her pain level. -Resident was assisted to a standing position and was helped to her recliner with extensive assist of two staff. *On 8/30/23 at 8:30 a.m. she received acetaminophen 325 milligram (mg) two tablets for pain. *Her physician had been notified on 8/30/23 at 10:30 a.m. by facsimile of her above fall and complaints of left hip pain. Orders had been received at 11:33 a.m. If pain persist she should be seen as she may…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-29 · tag F0610 — failed to investigate and act on abuse reports — pattern
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on South Dakota Department of Health (SD DOH) facility reported intake (FRI) review, interview, record review, and policy review, the provider failed to ensure an investigation was completed and documented for four of five resident elopements (leaving the facility without staff knowledge) after one of one resident (2) eloped on 11/22/25, 11/29/25, 12/4/25, and 1/1/26. Findings include: 1. Review of the provider's SD DOH FRIs regarding resident 2 revealed that the resident eloped from the facility on 11/22/25, 11/29/25, 12/4/25, and 1/1/26. On 11/22/25, resident 2 exited the building when another family was entering the building at around 4:20 p.m. Resident 2 was outside for less than 10 minutes. The report indicated that witness reports are being obtained. After that incident, the provider implemented a walking schedule with resident 2 so she could go outside every day with supervision. On 11/29/25 at around 6:38 a.m., resident 2 exited the building and walked towards the driveway. The door alarmed as intended, and staff were able to find resident 2 immediately and brought her…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-05-21 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on policy review, observation, record review, and interview, the provider failed to ensure one of one low-temperature dishwasher: *Wash and rinse cycle temperatures were monitored and documented at each meal according to their policy. *Chlorine sanitizer concentration level was monitored and documented at least once per shift according to accepted food safety standards of practice. Findings include: 1. Review of the facility's undated Dish Machine Temperature Log revealed: Policy: Dishwashing staff will monitor and record dish machine temperatures to assure proper sanitizing of dishes. Procedure: The director of food and nutrition services will post a log near the dish machine for the staff to document temperatures. 2. Staff will record dish machine temperatures for the wash and rinse cycles at each meal. The director of food and nutrition services will spot check this log to assure temperatures are appropriate and staff is correctly monitoring dish machine temperatures. 2. Observation on 5/18/25 at 3:15 p.m. in the kitchen revealed: *The mechanical dishwashing machine had a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-21 · tag F0582 — pattern
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the provider failed to ensure the proper Medicare notices were filled out completely and were in the required format for three of three sampled residents (1, 6, and 75) prior to their discharge from Medicare Part A skilled services. Findings include: 1. Review of the Entrance Conference Worksheet completed by the provider on 5/19/25 revealed three residents were identified as having been discharged from Medicare Part A skilled services: *Two of those residents (1 and 6) remained in the facility following their discharge from Medicare Part A skilled services. *One of those residents (75) was discharged home following her discharge from Medicare Part A skilled services. 2. Review of the Notice of Medicare Non-Coverage (NOMNC) form CMS-10123, with a revision date of 12/31/11, for resident 1 completed by executive director (ED) A revealed: *The provider's name, address, and phone number were not listed as required above the title of the form. *The Patient Number filled in by ED…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-21 · tag F0641 — pattern
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the provider failed to ensure four of fourteen sampled residents (3, 6, 11, and 20) with bed rails determined to not be restraints were accurately coded on the Minimum Data Set (MDS) assessments. Findings include: 1. Observation and interview on 5/19/25 at 10:16 a.m. with resident 3 revealed: *She was in her room, sitting in her wheelchair. *An electric list chair was in her room, and half bed rails were on both sides of her bed. *She stated she felt her electric lift chair and bed rails had not restrained her but were a help to her. Review of resident 3's electronic medical record (EMR) revealed: *She was admitted on [DATE]. *Her 4/21/25 Brief Interview for Mental Status (BIMS) assessment score was 15, which indicated she was cognitively intact. *She had signed a Side Rails Informed Consent and Release on 9/10/24. *A 10/15/24 physician order stated, May use specialized pull up bar at HOB [head of bed] for bed mobility, repositioning, and getting in/out of bed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-21 · tag F0655 — pattern
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, observation, and policy review, the provider failed to ensure baseline care plans had been completed and a written summary of the baseline care plans had been provided to the resident or their representative for four of four recently admitted sampled residents (3, 19, 20, and 175) within 48 hours of their admission to the facility. Findings include: 1. Interview on 5/19/25 at 10:00 a.m. with resident 3 revealed: *She had admitted to the facility from the provider's assisted living facility last year. *She could not recall if her care needs and services were discussed with her after her admission. *She had not received a summary or paper copy of her baseline care plan or a list of her medications. Review of resident 3's electronic medical record (EMR) revealed: *Her 4/21/25 Brief Interview for Mental Status (BIMS) assessment score was 15, which indicated she was cognitively intact. *She was admitted on [DATE]. *There were no progress notes from 2/19/24 to 2/21/24 that addressed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-21 · tag F0700 — pattern
  Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and policy review the provider failed to ensure: *A bed rail was properly installed for one of one sampled resident (20). *Entrapment risk was assessed for two of two sampled residents (11 and 20) with bed rails. *There was documented resident-specific risk versus benefits education provided for the informed consent for use of bed rails for two of two sampled residents (11 and 20). *Alternatives were attempted and documented prior to the installation of bed rails for two of two sampled residents (11 and 20). *There was routine maintenance of the bed rails for two of two sampled residents (11 and 20). Findings include: 1. Observation on 5/19/25 at 8:37 a.m. of resident 20's room revealed there was a black P-shaped bed rail on the left side of his bed. Observation and interview on 5/19/25 at 4:12 p.m. with resident 20 in his room revealed: *He used the bed rail to help him move while in bed. *He stated his son had brought the bed rail to the facility and installed it…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-21 · tag F0813 — pattern
  Have a policy regarding use and storage of foods brought to residents by family and other visitors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  2. Interview and observation on 5/19/25 at 9:22 a.m. in resident 5's room revealed: *She had a refrigerator in her room. *There was no temperature log with the refrigerator temperatures posted on or near the refrigerator for May 2025. *There was a thermometer on the inside of the refrigerator door that read 33° Fahrenheit (F). *She stated the refrigerator temperatures were not checked daily by staff. *Her daughter would check the refrigerator every few days when she visited. *The resident would keep her drinks and snacks in the refrigerator, so they were available to her when she wanted them. 3. Observation on 5/20/25 at 10:42 a.m. in resident 5's room of her refrigerator revealed: *The temperature read 32°F. *The top shelf contained the following items: -A 64-ounce plastic bottle of opened prune juice with no open date. -Four 4-ounce opened vanilla pudding cups with no open dates. -One metal Christmas canister with a lid that contained candy. -One small Styrofoam cup with a lid that contained an unidentified liquid that was unlabeled and had not been dated. *The bottom shelf…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-05-21 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and policy review, the provider failed to follow appropriate infection control practices to ensure: *Shared sit-to-stand mechanical lift slings used for three of three residents who required the sit-to-stand mechanical lift for transfers was properly disinfected between resident use. *Personal protective equipment (PPE) was available in one of one soiled utility rooms to prevent infections and cross-contamination when using the hopper to rinse soiled linens. 1. Observation on 5/19/25 at 8:50 a.m. of the soiled utility room revealed: *There was a hopper (a flushing device used to rinse items and linens soiled with bodily fluids) without a barrier to prevent splash contamination to staff who cleaned contaminated linen. *No gown or eye protection was available in the soiled utility room to be worn by staff to prevent contamination of staff clothing while they used the hopper to rinse out soiled linens. 2. Interview on 5/20/25 at 10:54 a.m. with CNA N revealed: *Staff used the hopper in the soiled utility room to rinse out soiled linens prior to sending…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-21 · tag F0940 — failed to train staff — pattern
  Develop, implement, and/or maintain an effective training program for all new and existing staff members.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, interview, and policy review, the provider failed to follow their policy and facility assessment to ensure an effective training program for one of two contracted (agency) staff (O). Finding included: 1. Review of the provider's 10/18/2024 Employee Orientation & Ongoing Education policy revealed: *Purpose: To assure all new employees, current employees, & volunteers receive the education and information required by federal, state, & facility regulations. *Policy Statements: Orientation Program for All New Employees includes the following: -Watching the Mandatory Extravaganza DVDs: *Disc 1: Mandatory. -Safety First. -Infection Prevention. -Workplace Environment. --Resident Rights and Compliance. *Disc 2: Caregiver. -Resident Care. -Caregiver Well-Being. -Health Conditions. *Handwashing Demonstration *Completing additional information as outlined in the New Employee Orientation Checklist. *Reading and understanding the following documents & policies: -Resident's Rights. -Abuse Prevention and Protection of Resident Rights. -Ethics and Compliance. -Notice of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-21 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and policy review, the provider failed to ensure one of one sampled resident (1) observed self-administering a nebulizer (device that converts liquid medication into an inhaled mist) treatment in her room, was assessed for the ability to safely self-administer medications, and had a physician's order to self-administer medications according to the provider's policy. Findings include: 1. Observation and interview on 5/19/25 at 8:38 a.m. with resident 1 in her room revealed: *A nebulizer machine with a disassembled nebulizer mask was on her bedside table. *She stated she administered nebulizer medication treatments multiple times per day. *Nursing staff would bring her the medication, set up the nebulizer administration of the medication, leave her room, and then she would administer the nebulizer treatment to herself. *She stated staff would return to her room after she finished administering the nebulizer treatment. They would rinse out the nebulizer mask and then…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$24,528 in federal fines across 2 penalties.

• $10,839 — penalty dated 2024-10-29
• $13,689 — penalty dated 2023-12-21

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 19 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in SD