nursing home in Garretson, SD
Palisade Healthcare Center
920 4th St, Garretson, SD 57030 · (605) 594-3466
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★2
- Quality measures★★★★★4
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Palisade Healthcare Center at a glance
Palisade Healthcare Center is a 55-bed for-profit nursing home in Garretson, South Dakota (Minnehaha County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the South Dakota average of 2.9.
Residents receive about 3.2 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (August 7, 2025) found 11 health citations. The South Dakota average is 6.7.
Federal regulators fined it 5 times in the past three years, totaling $249,546.
Nursing staff turnover is 60% per year (state average 48.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 55
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Evergreen Healthcare Group
- Medicare-certified since
- October 1, 1998
- Resident/family council
- Resident
- County
- Minnehaha County
- CMS Certification Number
- 435115
Ratings
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 2.6 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.16 hrs | 3.79 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.54 hrs | 0.80 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.99 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.64 hrs | 3.26 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 60% | 48.2% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 40% | 34.7% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 11 | 7 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 180.3 | 72.2 | 80.6 | Worse |
Penalties
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 5 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $249,546 | $40,815 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 5 | 2 | 1 | Worse |
Size
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 55 | 61 | 107 | |
| Average residents per day | 49 | 52 | 86 | |
| Occupancy | 89.1% | 85.2% | 80.9% |
Long-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.2% | 5.5% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 7.8% | 4.6% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 11.9% | 24.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 2.9% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.8% | 2.1% | 0.8% | Average |
| Long-stay residents needing more help with daily activities (lower is better) | 5% | 21.3% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 6.8% | 19.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.4% | 5.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 9.1% | 5.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.6% | 17.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 26.8% | 25.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 96.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 94.9% | 93.6% | Better |
Short-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 79.1% | 78.2% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.6% | 83.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 29 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 16, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | H Actual harm, pattern | Corrected May 6, 2026 |
| April 16, 2026 Complaint | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | E Potential harm, pattern | Corrected May 6, 2026 |
| April 16, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 6, 2026 |
| November 19, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected November 20, 2025 |
| September 17, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected September 18, 2025 |
| August 7, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected August 22, 2025 |
| August 7, 2025 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected August 22, 2025 |
| August 7, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected August 22, 2025 |
| August 7, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected August 22, 2025 |
| August 7, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 22, 2025 |
| August 7, 2025 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected August 22, 2025 |
| August 7, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected April 25, 2025 |
| March 12, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 28, 2025 |
| March 12, 2025 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected March 28, 2025 |
| November 26, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected December 16, 2024 |
| November 26, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected December 16, 2024 |
| August 7, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected September 13, 2024 |
| March 18, 2024 Fire safety | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Tag K0131 | D Potential harm, isolated | Corrected August 15, 2024 |
| March 18, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected August 15, 2024 |
| March 18, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected April 11, 2024 |
| March 18, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected April 11, 2024 |
| March 18, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected April 11, 2024 |
| March 18, 2024 Fire safety | Have an externally vented heating system. Services Deficiencies · Tag K0522 | D Potential harm, isolated | Corrected April 11, 2024 |
| March 18, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 11, 2024 |
| March 18, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | F Potential harm, widespread | Corrected April 11, 2024 |
| March 18, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected April 11, 2024 |
| March 18, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected April 11, 2024 |
| March 18, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected April 11, 2024 |
| March 18, 2024 Standard | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Environmental Deficiencies · Tag F0909 | D Potential harm, isolated | Corrected April 11, 2024 |
| March 18, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected April 11, 2024 |
| March 18, 2024 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected April 11, 2024 |
| December 28, 2023 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected February 1, 2024 |
| March 8, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected March 28, 2023 |
| March 8, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected March 27, 2023 |
| March 8, 2023 Standard | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | E Potential harm, pattern | Corrected April 14, 2023 |
| March 8, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected April 14, 2023 |
| March 8, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected April 14, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 5 federal penalties in the past three years, including $249,546 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 16, 2026 | Fine | $94,600 |
| November 19, 2025 | Fine | $122,476 |
| September 17, 2025 | Fine | $8,608 |
| August 7, 2025 | Fine | $11,713 |
| November 26, 2024 | Fine | $12,149 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC Organization | 5% or greater direct ownership interest | 100% | 08/31/2023 |
| CHEEKS, DONALD Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| CH PACIFIC NORTHWEST HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 05/12/2025 |
| COUVE HEALTHCARE CONSULTING LLC Organization | adp of the snf | NOT APPLICABLE | 05/12/2025 |
| EVANS, KAYLA Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| HERZKA, YISROEL Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC Organization | adp of the snf | NOT APPLICABLE | 05/12/2025 |
| PALISADE SNF OPERATIONS, LLC Organization | adp of the snf | NOT APPLICABLE | 07/29/2025 |
| PALISADE SNF REALTY LLC Organization | adp of the snf | NOT APPLICABLE | 05/12/2025 |
| PARKER, LOURDES Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| REES, JOSEPH Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| ROBY, BRITTNEY Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| SOUTH DAKOTA SNF CONSULTING LLC Organization | adp of the snf | NOT APPLICABLE | 05/12/2025 |
| SPIELMAN, SHIMON Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| WITZCORP GLOBAL LLC Organization | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| YENOWITZ, YITZCHOK Individual | adp of the snf | NOT APPLICABLE | 08/31/2023 |
| SPIELMAN, SHIMON Individual | corporate officer | NOT APPLICABLE | 08/31/2023 |
| YENOWITZ, YITZCHOK Individual | corporate officer | NOT APPLICABLE | 08/31/2023 |
| YENOWITZ, YITZCHOK Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 06/02/2025 |
| CHEEKS, DONALD Individual | managing control - governing body | NOT APPLICABLE | 08/31/2023 |
| EVANS, KAYLA Individual | managing control - governing body | NOT APPLICABLE | 08/31/2023 |
| CHEEKS, DONALD Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| COUVE HEALTHCARE CONSULTING LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| EVANS, KAYLA Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| PALISADE SNF OPERATIONS, LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| PARKER, LOURDES Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| REES, JOSEPH Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| ROBY, BRITTNEY Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| SOUTH DAKOTA SNF CONSULTING LLC Organization | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| SPIELMAN, SHIMON Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| YENOWITZ, YITZCHOK Individual | operational/managerial control | NOT APPLICABLE | 08/31/2023 |
Other nursing homes near Palisade Healthcare Center
Bethany Home - Brandon
3012 E Aspen Blvd, Brandon, SD 57005 · 9.3 mi
Non-profit · 58 beds
- Abuse citation
★★★★★1Much below averageDells Nursing and Rehab Center INC
1400 Thresher Dr, Dell Rapids, SD 57022 · 13.4 mi
For-profit · 50 beds
★★★★★4Above averageGood Samaritan Society - Mary Jane Brown
110 South Walnut Avenue, Luverne, MN 56156 · 14.3 mi
Non-profit · 51 beds · Part of Good Samaritan Society
★★★★★1Much below average- ★★★★★5Much above average
- ★★★★★4Above average
Good Samaritan Society Sioux Falls Center
401 West Second Street, Sioux Falls, SD 57104 · 16.2 mi
Non-profit · 98 beds · Part of Good Samaritan Society
- Abuse citation
★★★★★2Below average
Frequently asked questions
What is Palisade Healthcare Center's rating?
Palisade Healthcare Center has 1 out of 5 stars on the CMS overall star rating. The average for South Dakota nursing homes is 2.9 stars.
How many inspection citations did Palisade Healthcare Center receive?
Its most recent standard health inspection found 11 citations, compared with a South Dakota average of 6.7. Every citation is listed on this page with its severity.
Does Palisade Healthcare Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Palisade Healthcare Center?
It is for profit - corporation and part of Evergreen Healthcare Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Palisade Healthcare Center and how do I contact it?
Palisade Healthcare Center is at 920 4th St, Garretson, SD 57030. Phone: (605) 594-3466.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.