Nursing home report
GARRETSON, SD · Medicare-certified · 55 beds
Palisade Healthcare Center in Garretson, SD has an overall 1 out of 5 stars, with a 1-star health inspection rating and 2-star staffing. Reported nurse staffing is 3.16 hours per resident per day, below the federal benchmark of 4.1, and the facility has had $249,546 in fines in the last 24 months plus a recent abuse citation.
Health inspections
Staffing
3.164 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.164.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited April 2026 — limited pattern, actual harm.
F-Tag 600 — 42 CFR §483.12 — S/S: H
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.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2025 — isolated incident, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited March 2024 — widespread issue, potential for harm.
F-Tag 584 — 42 CFR §483.10 — S/S: F
A federal fine of $94,600 was recorded.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $122,476 was recorded.
Health inspection found 1 health deficiency.
A federal fine of $8,608 was recorded.
Health inspection found 1 health deficiency.
A federal fine of $11,713 was recorded.
Health inspection found 7 health deficiencies.
A federal fine of $12,149 was recorded.
On record with Medicare: 5 fines · $249,546 in total fines.
Federal fine
Apr 16, 2026
Federal fine
Nov 19, 2025
Federal fine
Sep 17, 2025
Federal fine
Aug 7, 2025
Federal fine
Nov 26, 2024
Now operated by Palisade Healthcare, previously Palisade Healthcare Center.
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.
