The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Strand-Kjorsvig Community Rest Home
ROSLYN, SD · Medicare-certified · 35 beds
Needs attention
Non-profit
2 of 5 overall
Strand-Kjorsvig Community Rest Home in Roslyn, SD has an overall rating of 2 out of 5 stars. Its health inspection rating is 1 star, with recent federal penalties and $11,466 in fines in the last 24 months; staffing is rated 5 stars, but reported nurse staffing is 3.87 hours per resident per day, below the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.8702 hrs/resident/day
Quality measures
Last inspection: May 8, 2025Penalties, last 24 months: $11,466recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8702.
Staffing detail
- Registered nurses
- 1.02
- Licensed practical nurses
- 0.70
- Nurse aides
- 2.15
- Weekend nursing
- 2.92
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 33%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
20.6%Steady
Residents with a fall causing major injury
2.1%Improving
Residents with pressure ulcers (bedsores)
4.4%Worsening
Residents with a urinary tract infection
1.1%Improving
Residents who lost too much weight
2.4%Improving
Residents who were physically restrained
2.1%Improving
Residents needing more help with daily activities
12.9%Improving
Residents whose ability to walk got worse
15.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
23.9%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
22.8%Worsening
Residents with depressive symptoms
2.5%Improving
Long-stay residents given the seasonal flu vaccine
96.6%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
96.6%Steady
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The home failed to run its operations effectively and efficiently using its available resources. Cited May 2025 — widespread issue, potential for harm.
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F-Tag 835 — 42 CFR §483.70 — S/S: F
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 868 — 42 CFR §483.75 — 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 15 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $11,466 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 8 fines · $49,964 in total fines.
- $11,466
Federal fine
Sep 11, 2024
- $4,893
Federal fine
Feb 6, 2024
- $4,893
Federal fine
Jan 8, 2024
- $344
Federal fine
Jan 2, 2024
- $3,667
Federal fine
Dec 11, 2023
- $4,587
Federal fine
Oct 10, 2023
- $11,645
Federal fine
Sep 18, 2023
- $8,469
Federal fine
Jul 31, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 24.1 residents on an average day (69% of 35 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 17 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.