United Living Community

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.

33.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 58 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 38.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 31 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.03 therapist hours per resident per day in 2026Q1 — more than 1% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% 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 67 beds and averages 65.1 residents a day — about 97% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. 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 4.78 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.59 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.62 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 4.22 hrs/resident/day on weekends vs 5.00 on weekdays — 16% thinner on weekends. RN hours go from 0.73 to 0.24 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% 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.

22 citations, most serious first. The 12 most serious are shown; the remaining 10 are one tap away and print in full.

• Actual harm · G2025-07-10 · 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

  Based on the South Dakota Department of Health (SD DOH) complaint intake review, interview, observation, record review, and policy review, the provider failed to communicate with staff and implement fall prevention interventions, which potentially contributed to at least six falls (four of which resulted in injuries) from 2/1/25 to 7/6/25 for one of two sampled residents (1).Findings include: 1. Review of the SD DOH complaint intake received on 4/7/25 revealed:*An anonymous community member called to express their concerns about resident falls at the facility.*They specifically mentioned resident 1's falls which had resulted in issues.-They did not explain what those issues were. 2. Review of resident 1's electronic medical record (EMR) revealed:*Her 6/10/25 Brief Interview for Mental Status (BIMS) assessment score was 5, which indicated had severe cognitive impairment.*Her diagnoses included Parkinson's disease, dementia, anxiety, muscle weakness, repeated falls, hypertension, chronic pain, and wandering.-Parkinson's disease affects brain cells, causing movement and balance…

  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 · Gcited before2024-06-26 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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, record review, and policy review, the provider failed to protect one of two sampled resident (1) from physical and verbal abuse, and one of two sampled resident (2) from verbal abuse and involuntary seclusion by resident 3's spouse. Findings include: 1. Review of the SD DOH FRI submitted on 6/15/24 at 7:35 p.m. revealed: *Registered nurse (RN) D reported that certified nurse aide (CNA) C witnessed resident 3's spouse wheeling resident 1 down the hall. *Resident 1 was holding his hand up as if he may have been attempting to grab resident 3's spouse. *In response to resident 1's action, resident 3's spouse hit [resident 1] over the head with her right hand. *RN D immediately assessed resident 1 and when asked if resident 3's spouse hit him, his response was that resident 3's spouse tried to hit him, and I blocked her. *RN D's physical assessment of resident 1 did not reveal any redness, bruising, or raised…

  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 · Fcited before2025-12-04 · 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 observation, interview, and record review, the provider failed to maintain the kitchen floor and windowsill in the dish room in a clean and sanitary manner in one of one main kitchen.Findings include: 1. Observation on 12/2/25 from 8:17 a.m. to 8:41 a.m. during the initial kitchen tour in the main kitchen revealed the floor underneath the rubber mats in the dish room was caked with a brown and black substance. The rest of the tile floor in the kitchen was gray in color and appeared to be clean. The rubber mats in the dish room were the standard slip-resistant black rubber mats with drainage holes in it.The windowsill in the dish room was visibly dusty, with scattered food crumbs, dead flies, and mosquitoes. A large, white, fluffy seed, resembling a dandelion seed, was also present on the surface.Interview on 12/2/25 at 8:23 a.m. with cook U revealed that the dish room rubber mats were usually cleaned monthly in the warmer months. They would take the mats outside to pressure wash them. They could not do that now that it was below freezing temperatures outside. She could not…

  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 · E2025-12-04 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and policy review, the provider failed to ensure resident medications were securely stored for six of twenty-four sampled residents (8, 63, 64, 71, 72, and 73) in the South Ridge unit.Findings include:1. Observation on 12/2/25 at 10:10 a.m. in resident 8's room revealed there was a jar of Vick's VapoRub sitting on top of her overbed desk. It was in plain view from the doorway.2. Observation on 12/3/25 at 9:18 a.m. in resident 72's room revealed there was a bottle of Systane eyedrops, a tube of Vaseline, and a bottle of saline nasal spray sitting on his bedside table. They were in plain view from the doorway.Interview on 12/4/25 at 8:14 a.m. with resident 72 revealed that his wife brought in the Systane eye drops and the saline nasal spray to him. He confirmed the facility probably didn't know that his wife brought those medications in for him to use.3. Observation on 12/3/25 at 9:26 a.m. outside of resident 71's room revealed a cabinet with a combination lock drawer. The drawer was not locked. The following medications were accessible:…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-12-04 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  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 follow the planned menu for the pureed diet, which had the potential to affect all residents who were prescribed the pureed diet, for two of two meals observed, and failed to follow the planned menu for all diet types for one of two meals observed which had the potential to affect all residents.Findings include: 1. Observation on 12/2/25 at 10:59 a.m. in the memory care unit dining room revealed the posted menu listed pulled pork sandwiches, potato salad, V8 juice (a brand of tomato juice), and pistachio dessert. Dietary aide (DA) S did not serve pureed potato salad to the residents on a pureed diet, as the kitchen did not send any pureed potato salad. Those residents were not offered an alternative to the potato salad. Instead, DA S only served them the pureed sandwich, V8 juice, and pureed dessert.2. Observation on 12/2/25 at 11:20 a.m. in the [NAME] View dining room revealed the posted menu was the same as listed above…

  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 · D2025-12-04 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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, and policy review, the provider failed to ensure that one of eighteen sampled resident's (72) right to a sense of dignity and respect was maintained related to wearing incontinence products and experiencing an incontinence episode, and that preferences were followed related to staff assistance with walking.Findings include: 1. Interview on 12/4/25 at 8:14 a.m. with resident 72 revealed that he had a concern with the staffing levels and the amount of time he had to wait to get help since he admitted to the facility on [DATE]. He waited for over 20 minutes for someone to answer his call light on the morning of 11/19/25. He waited so long that he lost control of his bladder and urinated in bed. He expressed feelings of embarrassment after he wet the bed.He spoke with one of the facility managers about his experience and expressed his displeasure. Since talking to them, he has not had many issues with long call light wait times.He confirmed that he could tell when he needed to go…

  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 · D2025-12-04 · 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 two of two sampled residents (8 and 72) who had medications at their bedside were 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 [DATE] at 10:10 a.m. with resident 8 in her room revealed she had a jar of Vick's VapoRub ointment on her overbed desk. She stated she was sick recently and she used the ointment to rub on her chest and under her nose to help her breathe.Review of resident 8's electronic medical record (EMR) revealed there was no physician's order for the use of the Vick's VapoRub. There was no evidence that a medication self-administration assessment had been completed to assess her competence and safety with using the medication by herself.Her [DATE] Brief Interview for Mental Status (BIMS) score was 15, meaning she was cognitively intact.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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-04 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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), interviews, and policy review, the provider failed to protect the resident's right to be free from neglect by certified nursing assistant (CNA) C who pivot transferred resident (28) causing her to have a fall without injuries. The resident was care planned for use of a stand lift with two staff assistance for all transfers.Findings include:1. Review of provider's SD DOH FRI dated 11/26/25 with attached care plan for resident 28, and disciplinary action for CNA C revealed:*The report was a FRI for suspicion of abuse or neglect.*Resident 28 had a fall on 11/24/25 at 6:03 p.m. in the facility.*Her Brief Interview for Mental Status (BIMS) score as of 11/26/25 was 99 meaning an incomplete or failed interview.*Resident 28's care plan indicated:-She needed physical staff assistance with guided limb placement and cueing using a stand aid (mechanical lift used to assist from a seated to a standing position).-To not leave the [resident…

  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 · D2025-12-04 · tag F0806 — failed to honor food preferences — isolated
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the provider failed to serve appropriate gluten-free foods to one of one sampled resident (70) who was on a gluten-free diet for one of two meals observed.Findings include: 1. Observation on 12/4/25 from 10:48 a.m. to 11:23 a.m. in the South Ridge dining room revealed the menu extension binder (a detailed menu of what each therapeutic diet was supposed to receive, including serving size amounts) indicated that the gluten-free diet was supposed to receive a plain hamburger, a half cup of gluten-free mashed potatoes, a quarter cup of gluten-free gravy, a half cup of California vegetable blend (cooked broccoli, cauliflower, and carrots), a gluten-free dessert (the menu did not specify what kind of dessert), and a gluten-free bun.Dietary aide (DA) K served resident 70 the regular menu which consisted of a country fried steak, mashed potatoes with country gravy, and cooked vegetables. He received two gluten-free [NAME] Krispie treats. Resident 70 ate the country fried steak, mashed potatoes, and country gravy.2. Interview on 12/4/25 at…

  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 · D2025-12-04 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  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, interview, and policy review, the provider failed to ensure four of four sampled residents' (1, 4, 28, and 30) right to immunize against pneumococcal disease was maintained and followed in accordance with national standards of practice. Failure to offer vaccination placed residents at increased risk for pneumococcal disease.Findings include:1. Record review of resident 1's electronic medical record (EMR) revealed he last had a pneumococcal vaccine on 1/8/20. The documentation did not indicate what exact vaccine he was administered. He did not have a documented allergy to the pneumococcal vaccine. He did not have a documented signed refusal document for the pneumococcal vaccine. He was admitted to the facility on [DATE]. 2. Record review of resident 30's EMR revealed no documentation that the resident received or had been offered and declined a pneumococcal vaccine. He did not have a documented allergy to the pneumococcal vaccine. He did not have a documented signed refusal for the…

  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 · Dcited before2025-08-14 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on the South Dakota Department of Health (SD DOH) facility reported incident (FRI) review, interview, and record review, the provider failed to protect one of one sampled resident's (1) right to be free from potential neglect by two of three certified nursing assistants (CNAs) (E and J) who had neglected to assist resident 1 off the toilet in a reasonable amount of time, and did not inform the oncoming shift that the resident was still on the toilet, which resulted in the resident sitting on the toilet for at least two hours.Findings include: 1. Review of the provider's 7/28/25 submitted SD DOH FRI revealed that on 7/27/25 at around 1:30 p.m., CNA I had helped resident 1 onto the toilet using a stand-aid (a mechanical lift used to assist from a seated to a standing position) and then left to assist another resident. CNA I told CNAs E and J that resident 1 was on the toilet before he left the unit.Around 3:40 p.m., CNA C found resident 1 sleeping on the toilet and helped her off the toilet. Registered nurse (RN) H checked resident 1's skin, found some redness, and applied zinc…

  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 · E2025-07-10 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on the South Dakota Department of Health (SD DOH) complaint intake review, record review, interview, and policy review, the provider failed to adequately monitor for neurological changes and follow the provider's falls protocol for two of three sampled residents (1 and 2) after they had fallen.Findings include:1. Review of the SD DOH complaint intake received on 4/7/25 revealed:*An anonymous community member called to express their concerns about resident falls at the facility.*Resident 1's falls, which had resulted in issues, was specifically mentioned with no explanation of what those issues were. 2. Review of resident 1's electronic medical record (EMR) revealed:*Her 6/10/25 Brief Interview for Mental Status (BIMS) assessment score was 5, which indicated she had severe cognitive impairment.*Her diagnoses included Parkinson's Disease, dementia, anxiety, muscle weakness, repeated falls, hypertension, chronic pain, and wandering.-Parkinson's Disease affects brain cells, causing movement and balance problems.-Dementia causes memory loss and confusion, affecting daily life…

  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

“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

$33,027 in federal fines across 2 penalties.

• $20,332 — penalty dated 2025-07-10
• $12,695 — penalty dated 2024-05-23

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

2 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.

About 86% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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