The nursing home failed to protect residents from abuse and neglect by others. Cited May 2025 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
Michael J Fitzmaurice South Dakota Veterans Home
HOT SPRINGS, SD · Medicare-certified · 78 beds
Needs attention
Abuse citationGovernment-run
2 of 5 overall
2 of 5 stars overall. Health inspection is 2 stars, staffing is 4 stars with reported nurse staffing above the federal benchmark (7.07 vs 4.1 hours/resident/day), quality measures are 4 stars, and there were $39,293 in fines in the last 24 months plus a recent abuse citation.
Facility ratings
Health inspections
Staffing
7.0661 hrs/resident/day
Quality measures
Last inspection: May 1, 2025Penalties, last 24 months: $39,293recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 7.0661.
Staffing detail
- Registered nurses
- 1.35
- Licensed practical nurses
- 0.66
- Nurse aides
- 5.05
- Weekend nursing
- 5.84
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
27.3%Worsening
Residents with a fall causing major injury
6.1%Worsening
Residents with pressure ulcers (bedsores)
2.6%Improving
Residents with a urinary tract infection
5.2%Steady
Residents who lost too much weight
11.4%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
22.1%Improving
Residents whose ability to walk got worse
11.7%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
20.5%Worsening
Residents with a long-term catheter
0.6%Improving
Residents with new or worsening incontinence
17.7%Improving
Residents with depressive symptoms
0.5%Worsening
Long-stay residents given the seasonal flu vaccine
98.4%Steady
Long-stay residents given the pneumonia vaccine
90.9%Steady
Short-stay residents given the pneumonia vaccine
85.7%Steady
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
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 May 2025 — widespread issue, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — limited pattern, potential for harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: E
The nursing home failed to regularly check beds, mattresses, and bed rails to make sure they were safely attached and safe to use. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 909 — 42 CFR §483.90 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $39,293 was recorded.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $39,293 in total fines.
- $39,293
Federal fine
May 1, 2025
Operator & ownership
- Ownership
- Government - State
- Occupancy
- 57.3 residents on an average day (73% of 78 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 15 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.