Jenkin's Living Center

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.

64.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 114 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 76.8% 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 69 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 0.38 therapist hours per resident per day in 2026Q1 — more than 65% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 1% 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.

Staffing

How full it usually is: this home is certified for 110 beds and averages 72.1 residents a day — about 66% occupied, or roughly 38 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.67 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 2.11 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 3.24 hrs/resident/day on weekends vs 3.85 on weekdays — 16% thinner on weekends. RN hours go from 0.66 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 54% 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 fewer than at the previous inspection — improving. 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.

27 citations, most serious first. The 13 most serious are shown; the remaining 14 are one tap away and print in full.

• Immediate jeopardy · Jcited before2023-10-06 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, South Dakota Department of Health (SD DOH) incident report review, and manufacturer's recommendations review, the provider failed to ensure one of one sampled resident (13) was assessed for the appropriate lift type Maxi Move ( a mechanical device used to transfer residents), the correct size of sling, and the number of staff required to perform a transfer with a Maxi Move lift safely. Findings include: On 10/4/23 at 5:00 p.m. an immediate jeopardy was identified related to quality of care F684. Notice: Notice of immediate jeopardy was given verbally and in writing on 10/4/23 at 7:00 p.m. to administrator A and director of nursing (DON) B and assistant director of nursing (ADON) C. On 10/4/23 at 5:00 p.m. an immediate jeopardy was determined when the facility failed to ensure the following: *A resident assessment for proper mechanical lift equipment use and the number of staff required to operate the lift equipment safely was followed by manufactures recommendations which include: -A clinical assessment of the patient's suitability for transfer…

  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 · H2024-04-04 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 interventions of regular toileting, checking and changing incontinent briefs, or repositioning were consistently implemented for six of six sampled residents (15, 14, 13, 5, 12, and 2) who developed pressure ulcers after their admission to the facility. Finding include: 1. Observation on 3/20/24 at 10:53 a.m. of resident 15 lying in her bed with the head of bed in the upright position. Observation on 3/20/24 at 1:55 p.m. of resident 15 lying in the same position as when she was observed above at 10:53 a.m. that morning. Interview on 3/21/24 at 11:22 a.m. with resident 15 stated: *After meals she would sometimes had to wait up to five hours before staff would get her back to her room. *Last night she requested to use the bathroom and staff told her that they did not have time to put her on the toilet and told her to urinate in her brief and they would come back and clean her up. *She preferred to use the toilet 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-04-04 · 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 interview, record review, observation, and policy review, the provider failed to ensure one of one sampled resident (1) was free from an injury caused by the use of a mechanical lift sling. Findings include: 1. Interview on 3/21/24 at 8:14 a.m. with resident 1 revealed the following: *She was left in a mechanical lift sling in her bathroom for at least two to three hours. *She stated, I cried, prayed, tried to holler, but no one heard me. I could hear them (staff members) laughing and talking. -The lift sling was pressing into her leg and really hurt, and her leg was still hurting her on the day of the interview. -She thought it was Monday (3/18/24), as the staff members were getting everyone ready for BINGO. Review of resident 1's electronic medical record revealed the following: *She was admitted on [DATE]. *Her 1/17/24 Brief Interview on Mental Status score was an 11, indicating she had mild cognitive impairment. *Her diagnoses included: hemiplegia affecting her right side, scoliosis, anxiety…

  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 · E2026-05-21 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and policy review, the provider failed to ensure that resident medications were secured by three of three licensed nurses, contracted travel licensed practical nurse (LPN) I, LPN M, and registered nurse (RN) nurse manager H, who left medication carts unlocked and unattended. Findings include: 1. Observation on 5/19/26 at 11:01 a.m. revealed registered nurse (RN) nurse manager H left the medication cart unlocked, in the nurse's station by the elevator and storage room marked room [ROOM NUMBER], during the fire drill. 2. Observation and interview on 5/20/26 at 8:19 a.m. outside of resident 9's room with contracted travel LPN I revealed there was a medication cart that was unlocked and no staff member was present. At 8:20 a.m., contracted travel LPN I returned to the medication cart and confirmed it was unlocked. She left the cart unlocked and went into the dining room to give a resident their medication. She stated that it was not her normal practice to leave the medication cart…

  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 · Ecited before2026-05-21 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  A. Based on observation, interview, and policy review, the provider failed to ensure infection control practices were followed by three of three observed certified nursing assistants (CNA) (D and E) and one of one registered nurse (RN) G when assisting three of four sampled residents (2, 6, and 44) with personal care.Findings include: 1. Observation on 5/20/26 at 8:45 a.m. of CNA D assisting resident 44 in his room revealed there was a sign on the resident's door that indicated he was on enhanced barrier precautions (EBP) (the implementation of personal protective equipment (PPE) which included the use of gloves, gowns, and masks to prevent the spreading of organisms). All staff had to wear a gown and gloves when assisting the resident. Without washing or sanitizing her hands, CNA D put on a gown and a pair of gloves before entering the resident's room. With those gloved hands, CNA D opened the resident's closet door, gathered clean clothes, and laid them on the resident's bed. She moved the resident's bed and the bedside table to make more room to assist him. She tore a garbage bag…

  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 before2026-05-21 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on the interview, call light log documentation review, and policy review, the provider failed to ensure the staff responded promptly to one of two sampled residents (2) who reported being incontinent (involuntary urine or bowel leakage) while waiting for her call light to be answered.Findings Include: 1. Interview on 5/19/26 at 10:39 am with resident 2 revealed she had concerns that when the facility was short on staff, her call light was not answered quickly enough. She stated, we wait forever to get the call light answered. This caused her to be incontinent of bowel. She stated, she feels embarrassed and frustrated when this happens.2. Resident 2 admitted into the facility on 2/1/2021. Review of resident 2's electronic medical record (EMR) revealed her 4/7/26 Brief Interview for Mental Status (BIMS) assessment score was 14, which indicated her cognition was intact.She had diagnoses of Hemiplegia (the inability to move or control the muscles) and hemiparesis (one side of a person's body is weak) affecting…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-21 · tag F0812 — failed to store, cook, and serve food safely — isolated
  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, manufacture instruction review, and policy review, the provider failed to ensure that two of three dish machines reached the minimum temperatures for the wash and rinse cycles before washing the dishes.Findings include:1. Observation and interview on 5/19/26 at 9:32 a.m. in the main kitchen with cook K revealed a sign on the commercial dish machine that read When taking temps [temperatures] on the dish machines, please make sure you are running the dish machine at least 3 times/or getting to the correct temp before recording a temp as some of them have sat without being ran so they need to get up to temp before using., signed by food service supervisor L. [NAME] K ran the first tray of dishes through the dish machine, and the wash temperature reached 142 degrees and the rinse temperature reached 164 degrees. For the second load of dishes that cook K ran through the dish machine the wash temperature reached 154 degrees, and the rinse temperature reached 186 degrees.When asked about the dish machine temperature cook K stated, that she needed to run 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-11 · tag F0658 — failed to meet professional standards of care — isolated
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on South Dakota Department of Health (SD DOH) facility reported incident (FRI), interview, and policy review, the provider failed to ensure a contracted licensed practical nurse (LPN) (F) had followed nursing professional standards of practice for the preparation of one of one sampled resident's (1) physician-ordered medication administration delivered through a syringe driver according to the provider's policy. That failure resulted in a medication error. Findings include: 1. Review of 5/13/25 SD DOH FRI revealed: *Resident 1 was admitted on [DATE] and was receiving hospice services. *A syringe driver (a battery powered pump that delivers medications under the skin) was initiated on 5/9/25. *That pump was to continuously deliver medications for pain, anxiety, and agitation to the resident twenty-four hours a day. *On 5/12/25 at 4:30 a.m., the syringe medication was prepared by travel licensed practical nurse (LPN) F who then began its administration. *The oncoming nurse, LPN D changed the syringe at 6:30…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-01-30 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  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 infection prevention and control practices were implemented for: *The maintenance and disposal of resident care items in one of one shower room. *Transmission based precautions by four of four staff (certified nursing assistant (CNA) T, CNA X, licensed practical nurse (LPN) P, and wound care nurse (WCN) I) for five of five sampled residents (62, 68, 25, 6, and 66) who had care concerns requiring personal protective equipment (PPE). *Hand hygiene and glove use by five of five staff (CNA W, LPN P, LPN DD, LPN N, and staff development coordinator (SDC) H) for four of four observed sampled residents (6, 66, 59, and 328). Findings include: 1. Observation on 1/28/25 from 9:53 a.m. to 10:36 a.m. in the shower room [ROOM NUMBER] on the Pine Village memory care unit on the second floor revealed there was: *A used nail file and a dirty hair pick with visible hair and lint sitting on top of the wall-mounted glove box to 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 · E2025-01-30 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  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 and interview, the provider failed to maintain resident rooms and resident common areas in a clean manner free from strong odors, sticky floors, and damage to the walls and bathroom tiles for at least seven resident rooms, at least one resident common area, and at least one shower and one tub room. Findings include: 1. Observations on 1/28/25 from 9:53 a.m. to 10:36 a.m. in the Pine Village memory care unit on the second floor revealed: *In resident room [ROOM NUMBER]: -There were gouges in the corner with exposed drywall. -Phone cords were in a tangled pile on the floor behind the resident's rocking chair. *In resident room [ROOM NUMBER]: -There were at least five vertical gouges in the wall behind the tan recliner, ranging from approximately two to six inches in size. *In resident room [ROOM NUMBER]: -Drywall was exposed on the out-[NAME] corner. -Painter's tape had been left on the baseboard. -The wall next to the bed had at least eight quarter-sized gouges, with drywall exposed. -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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-01-30 · tag F0657 — failed to keep the care plan current — pattern
  Develop 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 resident care plans had been revised to reflect their current needs for: A. One of one sampled resident (19) who received hospice services. B. Five of five residents (6, 7,15, 19, and 41) who received a pureed diet and were included in the paid feeding assistants program. C. Five of five sampled residents (6, 25, 62, 66, and 68) who required transmission-based precautions (TBP). D. Three of three sampled residents (40, 45, and 70) who required monitoring for medications they received. E. One of one sampled resident (10) who required placement on a secure memory unit. Findings include: A. 1. Interview on 1/29/25 at 11:34 a.m. with licensed practical nurse (LPN) L regarding resident 19 revealed resident 19 had gallstones, no surgery was recommended, and she began receiving hospice services about two weeks ago. 2. Interview on 1/30/25 at 8:52 a.m. certified nursing assistant (CNA) FF regarding identifying residents who…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-01-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the provider failed to properly store products determined to be unsafe for cognitively impaired residents for at least 10 residents (7, 9, 15, 23, 36, 38, 40, 44, 46, and 69) on one of two memory care units. Findings Include: 1. Observations on 1/28/25 at 10:25 a.m. in resident 36's room revealed: *There was a sign posted on the mirror in the bathroom that read, Any product with 'Keep Out of Reach of Children' printed on its label needs to be kept on a closet shelf, i.e alcohol, mouthwash, [NAME] 24 [a moisturizing body cream], Baza Cleanse [a no-rinse lotion], deodorant, etc. Thanks! -Mouth Rinse, deodorant, and toothpaste were stored on a shelf in the bathroom and were accessible to the resident. *CPAP (continuous positive airway pressure) cleaning wipes were stored on top of the resident's dresser and accessible to the resident. -The container label read Keep out of reach of children. 2. Interview on 1/28/25 at 3:03 p.m. with resident 36 revealed she 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-01-30 · tag F0811 — pattern
  Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
  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 five of five residents (6, 7,15, 19, and 41) who received a pureed diet and assessed to have complicated eating problems were not assisted to eat by paid feeding assistants. Findings include: 1. Observation and interview on 1/28/25 between 11:42 a.m. and 12:08 a.m. with cosmetologist AA in the Dixie dining room revealed: *Cosmetologist AA was seated next to resident 19 at the assisted dining table. *Cosmetologist AA was trained as a hair stylist, certified to assist in the kitchen, and had completed a training program for paid feeding assistants. She was not a certified nursing assistant (CNA). *Resident 19 had a recent weight loss, was on a pureed diet due to pocketing of food, and had recently began receiving hospice services. *Resident 19 was served a plate with mashed potatoes with gravy, pureed meat, and a dish that contained pureed pie. *Cosmetologist AA assisted resident 19 in eating with a spoon and drinking from a cup with two handles and a lid. *Cosmetologist AA asked another…

  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

“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

$53,086 in federal fines across 2 penalties.

• $43,771 — penalty dated 2024-04-04
• $9,315 — penalty dated 2023-10-06

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

Who owns this facility

CMS files one row per role, so the 25 rows in the source record cover these 19 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

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 2024. 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, FY2024). 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