4-star facility overall: Eastern Star Home of South Dakota has strong staffing (5 stars) and above-benchmark nurse staffing at 4.61 hours/resident/day versus the 4.1 federal benchmark, but its quality measures are low at 1 star and it has had $17,096 in fines plus a recent federal penalty.
Last inspection: May 5, 2026Penalties, last 24 months: $17,096recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6079.
Staffing detail
Registered nurses
0.63
Licensed practical nurses
0.57
Nurse aides
3.41
Weekend nursing
4.29
Hours per resident per day.
Total staff turnover: 30%
Registered nurse turnover: 40%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
25%20.8%Improving
Residents with a fall causing major injury
0%3.4%Worsening
Residents with pressure ulcers (bedsores)
12%3.2%Improving
Residents with a urinary tract infection
3.2%0%Improving
Residents who lost too much weight
3.2%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.2%39.1%Worsening
Residents whose ability to walk got worse
—28%—
Long-stay residents on antianxiety or sleep medication
22.6%13.8%Improving
Residents with a long-term catheter
17.9%6.3%Improving
Residents with new or worsening incontinence
44.8%24.5%Improving
Residents with depressive symptoms
0%3.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2026 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2024 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $17,096 was recorded.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $17,096 in total fines.
Federal fine
Jul 18, 2024
$17,096
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
30.2 residents on an average day (101% of 30 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 23 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.