Lake Andes Senior Living in Lake Andes, SD has a 1-star overall rating, with a 1-star health inspection rating, 3-star staffing, and 4-star quality measures. Staffing was below the federal benchmark (3.07 vs. 4.1 hours/resident/day), and the facility had $102,440 in fines in the last 24 months plus a recent federal penalty.
Last inspection: August 21, 2025Penalties, last 24 months: $102,440recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0672.
Staffing detail
Registered nurses
0.51
Licensed practical nurses
0.36
Nurse aides
2.20
Weekend nursing
2.96
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 38%
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
25.9%20.7%Improving
Residents with a fall causing major injury
0%7%Worsening
Residents with pressure ulcers (bedsores)
8.2%2.5%Improving
Residents with a urinary tract infection
0%2.4%Worsening
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.6%6.2%Improving
Residents whose ability to walk got worse
18.2%24.9%Worsening
Long-stay residents on antianxiety or sleep medication
6.1%11.8%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
36%17.3%Improving
Residents with depressive symptoms
0%22%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
97.2%100%Improving
Short-stay residents given the pneumonia vaccine
—78%—
What the inspectors found
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 September 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: K
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2024 — limited pattern, immediate jeopardy to residents.
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F-Tag 684 — 42 CFR §483.25 — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
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 $91,601 was recorded.
INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $102,440 in total fines.
Federal fine
Oct 16, 2024
$10,839
Federal fine
Sep 5, 2024
$91,601
Operator & ownership
Ownership
For profit - Individual
Chain
Part of ACCURA HEALTHCARE · 41 homes · 2.4 stars avg
Occupancy
42.4 residents on an average day (99% of 43 beds)
Resident voice
Resident council
Medicare history
Certified for 30 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.