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
Nursing home report
Michael J. Fitzmaurice State Veterans Home
Registered name: Michael J Fitzmaurice South Dakota Veterans Home
HOT SPRINGS, SD · Medicare-certified · 78 beds
Needs attention
Government-run
Data as of July 1, 2026
2 of 5 overall
2 of 5 stars overall. Michael J. Fitzmaurice State Veterans Home has a 2-star health inspection rating, a 4-star quality measures rating, staffing is not rated, and it had $39,293 in fines in the last 24 months plus a recent federal penalty; recent inspection problems included pressure ulcer care, abuse prevention, and infection control.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: May 1, 2025Penalties, last 24 months: $39,293recent 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
24%42.3%Worsening
Residents with a fall causing major injury
5.3%11.3%Worsening
Residents with pressure ulcers (bedsores)
2.3%2.7%No change
Residents with a urinary tract infection
10.5%5.7%Improving
Residents who lost too much weight
7%15.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.4%25.5%Worsening
Residents whose ability to walk got worse
15.6%22.5%Worsening
Long-stay residents on antianxiety or sleep medication
19.3%25%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
19%15.9%Improving
Residents with depressive symptoms
0%0%No change
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
—98.4%—
Long-stay residents given the pneumonia vaccine
89.5%90.6%Improving
Short-stay residents given the pneumonia vaccine
—91.7%—
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — 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.
View the original federal record
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.
View the original federal record
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
- 51.9 residents on an average day (67% 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.