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
In good standing
Non-profit
Data as of September 1, 2026
2 of 5 overall
TEKAKWITHA LIVING CENTER in Sisseton, SD has an overall rating of 2 out of 5 stars, with 2-star health inspection and staffing ratings and 3-star quality measures. Reported nurse staffing is 2.67 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.6656 hrs/resident/day
Quality measures
Last inspection: July 29, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.6656.
Staffing detail
- Registered nurses
- 0.63
- Licensed practical nurses
- 0.48
- Nurse aides
- 1.55
- Weekend nursing
- 2.21
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
13%24%Worsening
Residents with a fall causing major injury
3.1%11.1%Worsening
Residents with pressure ulcers (bedsores)
0%3.1%Worsening
Residents with a urinary tract infection
6.2%5.6%Improving
Residents who lost too much weight
9.7%9.4%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.1%22.6%Worsening
Residents whose ability to walk got worse
—22.5%—
Long-stay residents on antianxiety or sleep medication
38.7%59.4%Worsening
Short-stay residents newly given an antipsychotic
—12.8%—
Residents with a long-term catheter
7.7%6%Improving
Residents with new or worsening incontinence
23.9%25.5%Worsening
Residents with depressive symptoms
3.1%5.7%Worsening
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 3 health deficiencies.
See what inspectors found
- 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
- 40.9 residents on an average day (102% of 40 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 38 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.