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    Nursing home · GARRETSON, SD

    PALISADE HEALTHCARE CENTER

    920 4TH ST, GARRETSON, SD 57030

    CMS certification number: 435115 · Updated October 1, 2026

    CMS abuse-related concern

    CMS has flagged this facility for abuse-related concerns. Review its official inspection information.

    Request care assistance6055943466Directions

    At a glance

    Official CMS profile

    CMS overall rating

    1 / 5

    Certified beds

    55

    Residents / day

    48.6

    Ownership

    For profit - Corporation

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Corporation
    County
    Minnehaha
    Certified beds
    55
    Average residents per day
    48.6
    First certified
    October 1, 1998

    CMS quality ratings

    Overall
    1 / 5
    Health inspections
    1 / 5
    Staffing
    2 / 5
    Quality measures
    4 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Minnehaha, South Dakota. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    1.00
    County peers
    2.75
    n=8
    State peers
    3.01

    Nurse hours / resident / day

    This home
    3.50
    County peers
    4.33
    n=8
    State peers
    3.86
    n=90

    Weekend nurse hours / resident / day

    This home
    2.76
    County peers
    3.76
    n=8
    State peers
    3.28
    n=90

    Nursing staff turnover (%)

    This home
    63.80
    County peers
    41.98
    n=9
    State peers
    48.39
    n=86

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 21.1% below the all-days average. How is weekend coverage maintained?
    • What changes were made after the abuse-related CMS flag, and how are residents protected today?
    • CMS reports 63.8% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    8
    Health citations
    29
    Resident measures
    17
    Ownership records
    34
    Penalties
    5
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.49675
    Reported RN Staffing Hours per Resident per Day
    0.60060
    Reported LPN Staffing Hours per Resident per Day
    0.61867
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.27747
    Total number of nurse staff hours per resident per day on the weekend
    2.76013
    Registered Nurse hours per resident per day on the weekend
    0.38855
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.10053
    Total nursing staff turnover
    63.8
    Registered Nurse turnover
    50.0
    Number of administrators who have left the nursing home
    1
    Chain Name
    EVERGREEN HEALTHCARE GROUP
    Number of Facilities in Chain
    43
    Chain Average Overall 5-star Rating
    2.3
    Special Focus Status
    SFF Candidate
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    SD
    Urban
    Y
    Chain ID
    846
    Latitude
    43.7173
    Location
    920 4TH ST,GARRETSON,SD,57030
    ZIP Code
    57030
    City/Town
    GARRETSON
    Longitude
    -96.496
    QM Rating
    4
    Abuse Icon
    Y
    Chain Name
    EVERGREEN HEALTHCARE GROUP
    County/Parish
    Minnehaha
    Provider Name
    PALISADE HEALTHCARE CENTER
    Provider Type
    Medicare and Medicaid
    Overall Rating
    1
    Ownership Type
    For profit - Corporation
    Number of Fines
    5
    Processing Date
    2026-10-01
    Staffing Rating
    2
    Provider Address
    920 4TH ST
    Telephone Number
    6055943466
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    PALISADE SNF OPERATIONS, LLC
    Long-Stay QM Rating
    5
    High Performing Icon
    N
    Short-Stay QM Rating
    3
    Special Focus Status
    SFF Candidate
    Nursing Case-Mix Index
    1.28443
    Chain Average QM Rating
    2.9
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    1
    Number of Certified Beds
    55
    Provider SSA County Code
    490
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    50.0
    Total Number of Penalties
    5
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.91078
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    63.8
    Chain Average Staffing Rating
    3.3
    Number of Facilities in Chain
    43
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    435115
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    249546.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    183
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    170.250
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    48.6
    Chain Average Overall 5-star Rating
    2.3
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    132
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.2
    Rating Cycle 1 Health Deficiency Score
    183
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    132
    Rating Cycle 1 Standard Survey Health Date
    2025-08-07
    Rating Cycle 2 Standard Health Survey Date
    2024-03-18
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.65426
    Case-Mix RN Staffing Hours per Resident per Day
    0.62993
    Reported RN Staffing Hours per Resident per Day
    0.60060
    Adjusted LPN Staffing Hours per Resident per Day
    0.67395
    Case-Mix LPN Staffing Hours per Resident per Day
    0.78497
    Reported LPN Staffing Hours per Resident per Day
    0.61867
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    10
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    16
    Rating Cycle 1 Number of Standard Health Deficiencies
    6
    Rating Cycle 2 Number of Standard Health Deficiencies
    8
    Reported Licensed Staffing Hours per Resident per Day
    1.21927
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    4
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    2.48095
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.13793
    Number of administrators who have left the nursing home
    1
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.27747
    Adjusted Total Nurse Staffing Hours per Resident per Day
    3.80915
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.55283
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    8
    Reported Total Nurse Staffing Hours per Resident per Day
    3.49675
    Registered Nurse hours per resident per day on the weekend
    0.38855
    Date First Approved to Provide Medicare and Medicaid Services
    1998-10-01
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.10053
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    3.00672
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.12675
    Total number of nurse staff hours per resident per day on the weekend
    2.76013

    COMMUNITY EXPERIENCE

    Reviews of PALISADE HEALTHCARE CENTER

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

    Community reviews & discussions

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026