The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
TEKAKWITHA LIVING CENTER
SISSETON, SD · Medicare-certified · 40 beds
Needs attention
Non-profit
1 of 5 overall
TEKAKWITHA LIVING CENTER in Sisseton, SD has a 1-star overall rating, with a 1-star health inspection rating and 2-star staffing rating. Reported nurse staffing is 2.78 hours per resident per day versus the 4.1-hour federal benchmark, and the facility had $30,729 in fines in the last 24 months, including a recent federal penalty.
Facility ratings
Health inspections
Staffing
2.7801 hrs/resident/day
Quality measures
Last inspection: January 22, 2026Penalties, last 24 months: $30,729recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7801.
Staffing detail
- Registered nurses
- 0.69
- Licensed practical nurses
- 0.43
- Nurse aides
- 1.66
- Weekend nursing
- 2.29
Hours per resident per day.
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
19%20.8%Worsening
Residents with a fall causing major injury
2.7%6.1%Worsening
Residents with pressure ulcers (bedsores)
2.9%0%Improving
Residents with a urinary tract infection
5.6%6.2%Worsening
Residents who lost too much weight
23.5%3.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20.6%16.1%Improving
Residents whose ability to walk got worse
—21.2%—
Long-stay residents on antianxiety or sleep medication
45.7%56.2%Worsening
Short-stay residents newly given an antipsychotic
—12.2%—
Residents with a long-term catheter
13.3%7.1%Improving
Residents with new or worsening incontinence
30.9%12.2%Improving
Residents with depressive symptoms
2.9%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 seasonal flu vaccine
—68.2%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to submit complete and accurate staffing information based on verifiable records. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — 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 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $30,729 was recorded.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $37,079 in total fines.
- $30,729
Federal fine
Jul 18, 2024
- $2,117
Federal fine
Nov 13, 2023
- $4,233
Federal fine
Oct 23, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 37.5 residents on an average day (94% of 40 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 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.