Good Samaritan Society - St Martin Village
4825 Jericho Way, Rapid City, SD 57702 · Non profit - Corporation · 60 certified beds · (605) 343-1919 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- no federal fines or payment denials on record
- a high payroll-based staffing rating (4/5)
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its payroll-based staffing score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
- nursing-staff turnover (60%) runs well above the national median (45%)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Worth a closer look. This home's staffing rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.
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
| Overall quality measures | 3 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 3 of 5 |
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.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 13.2% | 21.3% | 15.4% | better |
| Long-stay residents who lose too much weight | 11.7% | 5.6% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 1.7% | 2.1% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 5.0% | 2.9% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 0.0% | 5.7% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 5.5% | 5.5% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 11.4% | 19.4% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 10.9% | 17.4% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 91.8% | 96.9% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.5% | 4.6% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 31.5% | 25.4% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 5.9% | 24.6% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.2% | 2.0% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 54.4% | 78.2% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 27.7% | 19.9% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 14.7% | 12.0% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 1.46 | 1.52 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 2.87 | 1.75 | 1.80 | worse |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
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.
53.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 115 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 75.3% 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 89 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 0.37 therapist hours per resident per day in 2026Q1 — more than 63% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 53.6%CMS range 45.6–62.9 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 8.4%CMS range 5.1–12.8 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 75.3% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 70.8% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 61.8% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 82.1% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 90.9% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.9% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.9% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.2%CMS range 2.8–10.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.88 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 60 beds and averages 57.9 residents a day — about 96% 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 3.73 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.39 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.04 is below 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 3.12 hrs/resident/day on weekends vs 3.98 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 1.57 to 0.95 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 60% is well above 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.
19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.
- Potential for harm · D2025-09-04 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on South Dakota Department of Health (SD DOH) complaint review, record review, interview, and policy review, the provider failed to follow their policy for reporting to the SD DOH and one of one sampled resident's (1) representative of the resident's injury of bruising to her left arm and hand with unknown cause (origin).Findings include:1 Review of a 7/16/25 SD DOH complaint intake revealed that during the weekend of 7/4/25, resident 1 was visited by her family. The resident's left hand and arm had shown no signs of injury at that time. The resident's family had returned a few days later to visit and noticed extreme bruising and swelling of her [the resident's] left hand and forearm. Digital photographs of resident 1's hand taken by the family during that visit showed the underside of the resident's hand had purple and black bruising of her fingers and palm that extended upwards to her forearm. The entire top of the resident's left hand was similarly bruised. The resident's family had not been notified that resident 1 had been injured.Interview on 9/4/25 at 9:00 a.m. and…
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.
- Potential for harm · D2025-09-04 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond 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) complaint review, observation, record review, interview, and policy review, the provider failed to ensure an investigation was completed and documented for one of one sampled resident (1) with an injury of bruising to the resident's left arm and hand with unknown cause (origin).Findings include:1 Review of a 7/16/25 SD DOH complaint intake revealed that during the weekend of 7/4/25, resident 1 was visited by her family. The resident's left hand and arm had shown no signs of injury at that time. The resident's family had returned a few days later to visit and noticed extreme bruising and swelling of her [the resident's] left hand and forearm. Digital photographs of resident 1's hand taken during that visit showed the underside of the resident's hand had purple and black bruising of her fingers and palm that extended upwards to her forearm. The entire top of the resident's left hand was similarly bruised. Observations 9/3/25 at 10:10 a.m. of resident 1's room revealed there were bilateral 1/4 siderails on her bed, and it was…
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.
- Potential for harm · D2025-09-04 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and policy review, the provider failed to follow nursing professional standards of practice for implementing and documenting neurological checks according to the provider's policy for one of one sampled resident (2) who had fallen and sustained a head injury. Findings include:1. Record review of resident 2's electronic health record (EHR) revealed:*She was admitted to the facility on [DATE].*Her diagnoses included blindness, cerebral infarction (stroke), hearing loss, rheumatoid arthritis (an auto-immune disease affecting small joints in the hands and feet, and can damage other body systems), repeated falls, major depressive disorder, dementia (a group of symptoms affecting memory, thinking, and social abilities) without behavioral, psychotic, and mood disturbance, anxiety disorder, and traumatic subdural hemorrhage (fall with head injury that caused bleeding inside the skull).*She had been taking Aspirin (an anticoagulant or blood thinner medication) since 2021.*Her fall risk…
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.
- Potential for harm · E2025-03-27 · tag F0561 — failed to honor residents' choices — patternHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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 support residents' right to choose and receive the frequency and type of shower or bath consistent with their preferences for 7 of 17 sampled residents (20, 13, 38, 18, 15, 42, and 306). Findings include: 1. Interview on 3/24/25 at 3:30 p.m. with resident 20's daughter/power of attorney (POA) revealed: *Resident 20 was scheduled for a bath weekly. *She previously was bathed twice weekly but resident 20's daughter/POA was told she no longer received twice weekly baths because there was not enough staff to accommodate that. Review of resident 20's electronic medical record (EMR) revealed: *She was admitted on [DATE]. *Her 2/17/25 Brief Interview of Mental Status (BIMS) assessment score was 6, which indicated she had severe cognitive impairment. *She was documented to have been bathed weekly. *Her Sit-Stand-Walk Data Collection Tool assessment indicated she preferred two or more baths per week. *Resident 20's 3/26/25 care plan did 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.
- Potential for harm · E2025-03-27 · tag F0657 — failed to keep the care plan current — patternDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 eight sampled residents' (1 and 51) care plans were revised to reflect their current status and care needs. Findings include: 1. Observation and interview on 3/24/25 at 3:13 p.m. with resident 51 and his spouse revealed: *The resident's room was without any personal items from home. *He was admitted to the facility after back surgery. He had a complicated and extensive hospitalization. *His goal was to return home with his spouse after his rehabilitation stay at the facility. *His pain had improved since he was admitted to the facility. *The resident's affect was flat. *In early March 2025, the resident's medical provider had recommended he see a counselor for his worsening depression. -The resident's spouse had asked that a male counselor see the resident. She was told there were no male counselors available to have met with the resident. No other counseling alternatives had been discussed with her or 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.
- Potential for harm · E2025-03-27 · tag F0725 — failed to have enough nursing staff — patternProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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, grievance review, and facility assessment review, the provider failed to have enough sufficient staff available to promote resident's rights, physical, mental, and psychosocial well-being for: *Eleven of fifteen sampled residents (7, 13, 14, 15, 18, 20, 26, 33, 38, 42, and 306) who were dependent on the staff to assist them with grooming, bathing, and toileting. *Five of five additional residents (22, 36, 45, 54, and 55) who had filed grievances on bathing and extended call light response time. Findings include: 1. Observation and interview on 3/24/25 at 2:14 p.m. with resident 33's in her room revealed, she: *Had multiple long gray facial hairs extending from her chin. *Reported that there were times when it took staff a long time to answer her call light. *Had waited longer to have her call light answered at night. Review of resident 33's electronic medical record (EMR) revealed: *She was admitted on [DATE]. *Her Brief Interview of Mental Status (BIMS) assessment…
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.
- Potential for harm · E2025-03-27 · tag F0755 — failed to provide safe pharmacy services — patternProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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: *Two nurses had signed for the receipt of controlled medications (medications at risk for abuse and addiction) on the controlled drug record for five of five residents (6, 15, 21, 24, and 31) who were prescribed controlled medications *One prescribed controlled liquid medication concentration was documented on the Controlled Drug Record for one of one resident (31). *The destruction of fentanyl patches for one of one sampled resident (6) was accurately documented appropriately by individuals authorized to destroy controlled medications. Findings include: 1. Observation on 3/24/25 at 2:30 p.m. of the controlled substance binders on the south medication carts revealed: *A handwritten Controlled Drug Record identified as resident 15's for 24 lorazepam (a controlled anti-anxiety medication) 0.5 milligrams (mg) tablets did not indicate when the medication was received or who verified the receipt of the medication. *A Controlled Drug Record identified as resident 6's for 60 pregabalin (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.
- Potential for harm · E2025-03-27 · tag F0759 — failed to keep medication error rate low — patternEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review, policy review, and manufacturer's recommendations review, the provider failed to ensure a medication error rate of less than 5 percent related to: *A topical pain medication was not applied according to the manufacturer's recommendations for two of two sampled residents (18 and 42) by one of one observed registered nurse (RN) (S). *An oral medication was given to one of one sampled resident (42) without a physician's order by one of one observed RN (S). Those observations created a medication error rate of 10.71%. Findings include: 1. Observation and interview on 3/26/25 from 7:42 a.m. through 8:28 a.m. of registered nurse (RN) S during medication (med) administration revealed: *She dispensed an unknown amount of diclofenac sodium external gel 1% (for arthritis pain and inflammation) into a med cup and administered the gel to resident 18's right lower chest. -The order on resident 18's medication administration record (MAR) indicated she was to receive two grams of the gel. *She dispensed an unknown amount of diclofenac sodium external…
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.
- Potential for harm · E2025-03-27 · tag F0761 — failed to label and store drugs safely — patternEnsure 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, and record review, the provider failed to ensure: *Medications for two of two residents (28 and 12) were properly labeled. *Medications for four of four residents (28, 50, 6, 12) were dated when opened. *Temperatures for two of two medication rooms (north and south) were monitored for acceptable medication storage temperatures according to the provider's policy. *Expired nutritional supplements and supplies were removed from two of two medication rooms (north and south). Findings include: 1. Observation and interview on 3/24/25 at 2:40 p.m. of a south medication cart with registered nurse (RN) G revealed: *There was a plastic bag with resident 28's identifying information on the outside of the plastic bag. -In the plastic bag was a Levemir (long-acting) insulin pen. --The Levemir pen did not have a resident's name on the label. --It was marked as opened on 2/11/24. *RN G verified the date the Levemir was opened was marked 2/11/24 and there was no resident name on the insulin pen. *She indicated a medication should be labeled with a resident's name to…
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.
- Potential for harm · Dcited before2025-03-27 · tag F0658 — failed to meet professional standards of care — isolatedEnsure 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 record review, observation, interview, and policy review, the provider failed to ensure: *The physician was notified of medications not administered due to unavailability as directed in the provider's policy for one of one sampled resident (20). *A physician's order to take vital signs every six hours was followed for one of one sampled resident (38) for an infection. Findings include: 1. Review of resident 20's medication administration record (MAR) revealed: *She had physician's order for Benefiber Oral Tablet Chewable (Wheat Dextrin) [fiber supplement] 1 tablet by mouth in the morning for constipation related to DRUG INDUCED CONSTIPATION. -In March 2025 resident 20's Benefiber was documented not available 13 times. --Unlicensed medication aide (UMA) L had documented all the medication not available in March 2025 for the Benefiber. *She had a physician's order for Citracal Plus Tablet (Multiple Minerals-Vitamins) [calcium with vitamin D supplement] 1 tablet by mouth one time a day related to VITAMIN D DEFICIENCY. -Resident 20's Citracal was documented as not available on…
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.
Show the remaining 9 citations
- Potential for harm · D2025-03-27 · tag F0700 — isolatedTry 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, record review, interview and policy review, the provider failed to ensure residents who used assist/grab bars (bed rails) had: *A routine assessment, when a assist/grab bar was initiated and quarterly, was completed for four of eight sampled residents (6, 8, 33, and 38). *A signed consent for the use for the assist/grab bars for one of six sampled resident (6), with cognitive impairment, and a power of attorney (POA). *Received education on the risks of use versus benefits of the use of assist/grab bars for five of six sampled residents (6, 23, 26, 33, and 38). *Other attempted interventions were documented on five of eight sampled residents (6, 13, 23, 33, and 38). Findings include: 1. Observation on 3/24/25 at 2:14 p.m. of resident 33's room revealed she had bilateral (on both sides) assist/grab bars in the upright position near the head of her bed. Review of resident 33's electronic medical record (EMR) revealed: *She was admitted on [DATE]. *Her Brief Interview of Mental Status (BIMS)…
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.
- Potential for harm · D2025-03-27 · tag F0745 — failed to provide medically-related social services — isolatedProvide medically-related social services to help each resident achieve the highest possible quality of life.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review, and job description review, the provider failed to assess, document, and implement interventions for one of one sampled resident (51) with a mood disorder. Findings include: 1. Observation and interview on 3/24/25 at 3:13 p.m. with resident 51 and his spouse revealed: *The resident's room was without any personal items from home. *He enjoyed music but had no way to listen to it. He was Lutheran and would not have objected to having clergy from that faith visit him. His spouse was working with a visually impaired service provider so the resident had access to books on tape. *He was admitted to the facility after back surgery after a complicated and extensive hospitalization. -His goal was to return home with his spouse after his rehabilitation stay at the facility. *His pain had improved since he was admitted to the facility. *The resident's affect was flat. *In early March 2025, the resident's physician had recommended he see a counselor for worsening depression. -The resident's spouse had asked that a male counselor see 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.
- Potential for harm · Dcited before2025-03-27 · tag F0880 — failed to prevent and control infections — isolatedProvide 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, record review and policy review, the provider failed to Follow proper infection control practices and precaution interventions related to: *The use of personal protective equipment (PPE) to help prevent the transmission of infections for three of three sampled residents (1, 31, and 24). *Maintaining the cleanliness of four of four handwashing sinks used by staff (Charting Station 1, Charting Station 2, Charting Area 151, and Charting Area 174) in two of two residential living units (North and South). Findings include: 1. Observation of resident 1's room on 3/24/25 at 3:10 p.m. revealed: *There was a magnet on the door frame of her room that indicated she was on transmission based precautions (TBP). -There were gowns outside of her room for staff to don (put on). Interview on 3/24/25 at 3:12 p.m. with resident 1 revealed: *Resident indicated that she is on EBP because It tells people who are sick to not come into my room. - She verified they wear gloves when caring for her, but they do not wear gowns. Review of resident 1's electronic medical record…
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.
- Potential for harm · D2024-02-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 the South Dakota (SD) Department of Health (DOH) facility reported incident (FRI), observation, interview, record review, and policy review, the provider failed to ensure a secure environment by silencing alarms on 2 of 8 egress doors located on the north and south units. Findings include: 1. Review of the SD DOH FRI on 2/21/24 at 8:30 a.m. revealed: *A physical environment complaint resulting in an elopement of a resident. *A resident eloped from an alarmed door, but the alarm was silenced when the door closed. *The resident was outside the facility for 6 minutes. *The temperature at the time of the incident was in the 40s and the resident was wearing a light jacket. *The resident was found by a nurse going to lunch. *The resident had no history of elopement. 2. Observation on 2/21/24 at 8:50 a.m. of the east egress door on the south unit revealed: *A camera was located above the door on the ceiling. *An alarm sounds sign was painted on the top part of the glass door. *A keypad required a numerical…
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.
- Potential for harm · Ecited before2023-11-02 · tag F0880 — failed to prevent and control infections — patternProvide 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, record review, and policy review, the provider failed to ensure infection prevention and control practices were implemented for the following: *Appropriate glove use by one of one licensed practical nurse (LPN) (F) during skincare treatments for two of two sampled residents (36) and (44). *A water management program (WMP). *Appropriate handling of a glucometer in a cloth case by one of one LPN (F) during a blood sugar check for one of one sampled residents (20). *Appropriate handling of an eye drop bottle by one of two LPN (F) during medication administration for one of two sampled residents (20). *Appropriate handling of plated food during food service. Findings include: 1. Observation on 10/31/23 at 12:40 p.m. in resident 44's room revealed: *Certified nurse aide (CNA) L and occupational therapist M assisted the resident to sit at the edge of her bed to prepare her for a wheelchair transfer. -CNA L noticed blood on the resident's back which the resident stated had been caused by scratching her back. -The back of the resident's shirt had small tears…
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.
- Potential for harm · D2023-11-02 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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 (112) had a documented diagnosis and was assessed for the removal of her Foley catheter. Findings include: 1. Observation and interview on 10/31/23 at 12:15 p.m. with resident 112 revealed she: *admitted after a fall in the community which required orthopedic surgery. *Was non-weight bearing (NWB) on her right leg. *Participated in physical therapy and was making progress with her physical mobility. *Had a Foley catheter bag attached to her wheelchair. -Had not required the use of a catheter before her surgery. Observation on 11/01/23 at 4:50 p.m. of resident 112 revealed she: *Was seated in a wheelchair in the doorway between her bathroom and her room. *Had activated her bathroom call light for staff to help her pull up her pants after she had used the toilet. *Had not waited for staff assistance before she transferred herself from the toilet to her wheelchair independently. *Her catheter…
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.
- Potential for harm · Dcited before2022-11-03 · tag F0658 — failed to meet professional standards of care — isolatedEnsure 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
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's (45) physician order (PO) for daily weight monitoring and physician notification of weight gains greater than two pounds (lbs.) in a 48-hour timeframe had been followed. *One of one sampled resident's (36) PO for weight monitoring had been clarified for weight parameters and physician notification by nursing staff. Findings include: 1. Observation and interview on 11/1/22 at 10:30 a.m. and on 11/2/22 at 3:20 p.m. with resident 45 and his spouse revealed: *He was admitted on [DATE] from a local hospital following treatment for congestive heart failure (CHF). *They had not known if any specific interventions such as fluid restriction or weight monitoring had been implemented relating to his CHF diagnosis. Review of resident 45's medical record revealed his diagnoses included: heart failure, chronic obstructive pulmonary disease, Parkinson's disease, ischemic cardiomyopathy, and…
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.
- Potential for harm · D2022-11-03 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. Observation and interview on 11/1/22 at 3:47 p.m. with resident 36 revealed he: *Was alert, hard of hearing, and able to understand and answer simple questions. *Denied any concerns and stated he did not want to talk long because he was going to an activity. *Was sitting in a wheelchair and wearing a shirt, basketball shorts, and slip on shoes. *Had white bilateral compression stockings on both legs that went from his feet extending to his upper thighs. *Had a moderate amount of edema to both lower legs from his feet to above his knees. *Became short of breath while talking with this surveyor causing him to pause for air. *Had not known if he was on any type of restricted fluids. Review of resident 36's medical record included diagnoses of: generalized edema, cardiac murmur, bradycardia, atrial flutter, persistent atrial fibrillation, hypertension, endocarditis, hypo-osmolality (low electrolytes, protien, and nutrients) and hyponatremia (low blood sodium), abnormal weight loss, vascular dementia with…
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.
- Potential for harm · D2022-11-03 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure 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, record review, and policy review, the provider failed to ensure kitchen cleanliness was maintained for: *One of one main kitchen, located in a separate building from the long term care facility. *One of one serving kitchen, located in between the facility's north and south dining rooms. *One of two ice dispensers located in the north dining room serving area. Findings include: 1. Initial walk through observation and interview of the main kitchen on 11/1/22 from 9:07 a.m. to 9:30 a.m. with food and nutrition supervisor (FNS) C revealed: *The main kitchen produced 600 meals a day, providing meals to the independent living, assisted living, and long term care residents. -These meals were placed into stainless steel holding pans and taken by rolling carts from the main kitchen to the serving kitchen located in the long term care facility. *The warming oven contained a large amount of burned and dried food particles covering the entire inside bottom, walls, and door of the oven. *The gas stove cast iron cooking grates were coated in dried grease and…
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.
“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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to GOOD SAMARITAN SOCIETY — 92 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 3.0 | -1.0 vs chain |
| Health inspection | 2 of 5 | 2.8 | -0.8 vs chain |
| Staffing | 4 of 5 | 4.0 | ≈ chain avg |
| Quality measures | 3 of 5 | 2.8 | +0.2 vs chain |
The other 91 homes this chain runs (chain average 3.0★, per CMS)
Showing 40 of 91; lowest-rated first.
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| SANFORD | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 01/01/2019 |
| BADE, PRISCILLA | Individual | CONTRACTED MANAGING EMPLOYEE | — | since 07/01/2021 |
| MCCRODEN, JANA | Individual | W-2 MANAGING EMPLOYEE | — | since 01/01/2023 |
| MORRISON, TONY | Individual | W-2 MANAGING EMPLOYEE | — | since 01/01/2019 |
| CAIN, JAMES | Individual | CORPORATE DIRECTOR | — | since 05/30/2024 |
| ENGBRECHT, WESLEY | Individual | CORPORATE DIRECTOR | — | since 05/30/2024 |
| GASSEN, WILLIAM | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 05/30/2024 |
| GULSVIG, NEIL | Individual | CORPORATE DIRECTOR | — | since 05/30/2024 |
| HERSETH SANDLIN, STEPHANIE | Individual | CORPORATE DIRECTOR | — | since 05/30/2024 |
| LUNDEEN, MARK | Individual | CORPORATE DIRECTOR | — | since 05/30/2024 |
| MOLBERT, LAURIS | Individual | CORPORATE DIRECTOR | — | since 05/30/2024 |
| NORTH, ANDREW | Individual | CORPORATE DIRECTOR | — | since 05/30/2024 |
| SHULKIN, DAVID | Individual | CORPORATE DIRECTOR | — | since 05/30/2024 |
| TEIKEN, BRENT | Individual | CORPORATE DIRECTOR | — | since 05/30/2024 |
| VENTLING-HERRMANN, MARNIE | Individual | CORPORATE DIRECTOR | — | since 05/30/2024 |
| DYKHOUSE, DANA | Individual | CORPORATE OFFICER | — | since 05/30/2024 |
| FLUIT, JOEL | Individual | CORPORATE OFFICER | — | since 10/01/2022 |
| MIDDLETON, AIMEE | Individual | CORPORATE OFFICER | — | since 01/27/2022 |
| OLSON, NICHOLAS | Individual | CORPORATE OFFICER | — | since 04/08/2024 |
| ROGERS, MICHAEL | Individual | CORPORATE OFFICER | — | since 06/13/2022 |
| SCHEMA, NATHAN | Individual | CORPORATE OFFICER | — | since 01/01/2022 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 01/01/2019 |
CMS files one row per role, so the 23 rows in the source record cover these 22 parties — each is shown once here with every role it holds. Nothing is omitted.
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.
This home reported $1.9M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. 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
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the South Dakota Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 435134. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-03-27, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.