The nursing home failed to protect residents from abuse and neglect by others. Cited January 2025 — isolated incident, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
SANFORD CHAMBERLAIN CARE CENTER
CHAMBERLAIN, SD · Medicare-certified · 44 beds
Needs attention
Abuse citationNon-profit
1 of 5 overall
Sanford Chamberlain Care Center in Chamberlain, SD has a 1-star overall rating, with 1-star health inspection and 2-star quality measures, while staffing is 4 stars but reported nurse staffing is below the federal benchmark (3.63 vs 4.1 hours per resident per day). It also has $148,166 in fines over the last 24 months and a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.6299 hrs/resident/day
Quality measures
Last inspection: August 14, 2025Penalties, last 24 months: $148,166recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6299.
Staffing detail
- Registered nurses
- 0.83
- Licensed practical nurses
- 0.24
- Nurse aides
- 2.56
- Weekend nursing
- 3.48
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 20%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
27.3%Improving
Residents with a fall causing major injury
3.2%Steady
Residents with pressure ulcers (bedsores)
11.9%Worsening
Residents with a urinary tract infection
1.3%Steady
Residents who lost too much weight
6.2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
28%Improving
Residents whose ability to walk got worse
30.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
23.6%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.8%Worsening
Residents with new or worsening incontinence
30.9%Improving
Residents with depressive symptoms
6.1%Improving
Long-stay residents given the seasonal flu vaccine
97.5%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
71.9%Steady
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited December 2024 — isolated incident, actual harm.
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F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to provide care or services that were trauma-informed and culturally competent. Cited October 2024 — isolated incident, actual harm.
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F-Tag 699 — 42 CFR §483.25 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $66,300 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $49,982 was recorded.
- PENALTY
A federal fine of $22,465 was recorded.
- PENALTY
A federal fine of $9,419 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $148,166 in total fines.
- $66,300
Federal fine
Jun 12, 2025
- $49,982
Federal fine
Dec 27, 2024
- $22,465
Federal fine
Oct 31, 2024
- $9,419
Federal fine
Jul 11, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 42.8 residents on an average day (97% of 44 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 43 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.