The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
OAKVIEW TERRACE
FREEMAN, SD · Medicare-certified · 45 beds
In good standing
Non-profit
5 of 5 overall
OAKVIEW TERRACE (FREEMAN, SD) has an overall 5-star rating, with 5 stars for staffing and quality measures and 3 stars for health inspections. It reports 4.57 nurse staffing hours per resident per day versus the 4.1 federal benchmark, with $0 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
4.5737 hrs/resident/day
Quality measures
Last inspection: June 26, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5737.
Staffing detail
- Registered nurses
- 0.96
- Licensed practical nurses
- 0.00
- Nurse aides
- 3.62
- Weekend nursing
- 4.18
Hours per resident per day.
Total staff turnover: 25%
Registered nurse turnover: 29%
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
22.2%11.1%Improving
Residents with a fall causing major injury
2.6%6.2%Worsening
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%0%No change
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
3.8%4%No change
Residents whose ability to walk got worse
10.4%6.7%Improving
Long-stay residents on antianxiety or sleep medication
33.3%17.9%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
18.2%17.5%Improving
Residents with depressive symptoms
2.7%0%Improving
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%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2023 — 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 post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 732 — 42 CFR §483.35(i) — S/S: F
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: E
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 June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $10,839 in total fines.
- $10,839
Federal fine
Jan 18, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 35.4 residents on an average day (79% of 45 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 28 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.