Nursing home report
FLANDREAU, SD · Medicare-certified · 63 beds
Riverview Healthcare Center in Flandreau, SD has a 1-star overall rating, with a 1-star health inspection rating, 2-star quality measures, and 3-star staffing. It is a special focus facility candidate/flagged for special focus, reported nurse staffing is below the federal benchmark (3.36 vs 4.1 hours per resident per day), and it has had $173,360 in fines in the last 24 months.
Health inspections
Staffing
3.3613 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3613.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
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
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 keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited January 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited January 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 609 — 42 CFR §483.12 — S/S: J
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited January 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 610 — 42 CFR §483.12 — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited November 2025 — isolated incident, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Health inspection found 3 health deficiencies.
A federal fine of $23,960 was recorded.
Health inspection found 2 health deficiencies.
A federal fine of $56,021 was recorded.
A federal fine of $65,520 was recorded.
A federal fine of $15,330 was recorded.
A federal fine of $12,529 was recorded.
On record with Medicare: 5 fines · $173,360 in total fines.
Federal fine
Nov 18, 2025
Federal fine
Sep 25, 2025
Federal fine
Feb 27, 2025
Federal fine
Jan 8, 2025
Federal fine
Oct 31, 2024
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.
