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
Joseph Robinson Long Term Care Facility
Registered name: FLANDREAU SANTEE SIOUX TRIBE CARE CENTER
FLANDREAU, SD · Medicare-certified · 42 beds
Needs attention
Non-profit
Data as of July 1, 2026
3 of 5 overall
3 out of 5 stars overall. Health inspections and quality measures are also 3 stars, staffing is not rated, and the facility has a recent federal penalty with $27,967 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: September 30, 2025Penalties, last 24 months: $27,967recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
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).
Long-stay residents on antipsychotic medication
—39.3%—
Residents with a fall causing major injury
0%13.6%Worsening
Residents with pressure ulcers (bedsores)
10.2%4.5%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—12.3%—
Residents whose ability to walk got worse
—5.5%—
Long-stay residents on antianxiety or sleep medication
14.3%15%Worsening
Residents with a long-term catheter
—0%—
Residents with new or worsening incontinence
—15%—
Residents with depressive symptoms
—14%—
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%95.5%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.
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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
- PENALTY
A federal fine of $9,110 was recorded.
- 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 · $27,967 in total fines.
- $9,110
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
- 19 residents on an average day (45% 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.