The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
FLANDREAU SANTEE SIOUX TRIBE CARE CENTER
FLANDREAU, SD · Medicare-certified · 42 beds
Needs attention
Non-profit
3 of 5 overall
3 out of 5 stars overall. Staffing is above the federal benchmark at 7.59 hours per resident per day versus 4.1, but the facility has a recent federal penalty, $32,872 in fines over the last 24 months, and 3-star health inspection results.
Facility ratings
Health inspections
Staffing
7.5886 hrs/resident/day
Quality measures
Last inspection: September 30, 2025Penalties, last 24 months: $32,872recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 7.5886.
Staffing detail
- Registered nurses
- 2.21
- Licensed practical nurses
- 0.37
- Nurse aides
- 5.01
- Weekend nursing
- 6.61
Hours per resident per day.
Total staff turnover: 67%
Registered nurse turnover: 62%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
36.9%Steady
Residents with a fall causing major injury
5.7%Worsening
Residents with pressure ulcers (bedsores)
9.8%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
2.4%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
12.9%Steady
Residents whose ability to walk got worse
4.8%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
15.5%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
16.6%Steady
Residents with depressive symptoms
15.7%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
98.9%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: D
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited April 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $14,015 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $10,839 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $8,018 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $32,872 in total fines.
- $14,015
Federal fine
Sep 30, 2025
- $10,839
Federal fine
Dec 31, 2024
- $8,018
Federal fine
Oct 22, 2024
Operator & ownership
- Ownership
- Non profit - Other
- Occupancy
- 21 residents on an average day (50% of 42 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 3 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.