315 North Washington St, Viborg, SD 57070 (opens Google Maps) · Turner County · (605) 326-5161· 46 certified beds · avg 42 residents/day · certified since Apr 1, 2004 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
▲ Immediate jeopardy, isolated · Oct 31, 2023 · F-0600
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 22, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Oct 31, 2023 · F-0609
The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 22, 2023 (Deficient, Provider has date of correction)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 21, 2025 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Oct 31, 2023 | ▲ J · Immediate jeopardy, isolated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · F-0600 |
| Oct 31, 2023 | ▲ J · Immediate jeopardy, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609 |
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 2 | J ▲ |
| 2025 | 1 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
1 fine totaling $32,536.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Oct 31, 2023 | Fine | $32,536 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | South Dakota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.05 | 4.32 | 3.95 | top 21% in South Dakota; top 13% in the U.S. |
| Registered Nurse hours | 0.64 | 0.91 | 0.69 | bottom 22% in South Dakota; top 43% in the U.S. |
| Weekend total nurse staffing | 4.72 | 3.71 | 3.50 | top 12% in South Dakota; top 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.51 | 0.48 | bottom 7% in South Dakota; bottom 21% in the U.S. |
| Total nursing staff turnover (%) | 52.0 | 48.2 | 45.8 | bottom 43% in South Dakota; bottom 32% in the U.S. |
| RN turnover (%) | 28.6 | 34.7 | 42.9 | top 43% in South Dakota; top 26% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.91, RN 0.50, weekend 3.66.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.91 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Pioneer Memorial Nursing Home. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Pioneer Memorial Hospital & Health Services | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2004 |
| Christensen, Paul | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/10/2004 |
| Christensen, Paul | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/05/2024 |
| Christiansen, Anne | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/10/1992 |
| Christiansen, Anne | Individual | Corporate Officer | NOT APPLICABLE | 08/10/1992 |
| Christiansen, Anne | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/05/2024 |
| Christiansen, Anne | Individual | ADP of the SNF | NOT APPLICABLE | 12/17/2024 |
| Gerdes, Issac | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/30/2024 |
| Gerdes, Issac | Individual | Corporate Director | NOT APPLICABLE | 06/30/2024 |
| Gerdes, Issac | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/05/2024 |
| Gerdes, Issac | Individual | ADP of the SNF | NOT APPLICABLE | 12/17/2024 |
| Johnson, Gabriel | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/17/2024 |
| Johnson, Gabriel | Individual | ADP of the SNF | NOT APPLICABLE | 12/17/2024 |
| Larsen, Kimberly | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/26/2018 |
| Larsen, Kimberly | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/05/2024 |
| Lee, Troy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/28/2016 |
| Lee, Troy | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/05/2024 |
| Nyhaug, Connie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2024 |
| Nyhaug, Connie | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/05/2024 |
| Parsons, Melanie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2002 |
Showing 20 of 35 parties CMS has on file for this facility; 15 are not displayed. The full list is in the CMS Ownership dataset.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Sunset Manor Avera Health | 7.3 mi | Irene, SD | ★★☆☆☆ | 2/5 | abuse |
| Centerville Care and Rehab Center INC | 7.5 mi | Centerville, SD | ★☆☆☆☆ | 1/5 | abuse |
| Wakonda Heritage Manor | 11.7 mi | Wakonda, SD | ★★★★★ | 4/5 | |
| Bethesda of Beresford | 16.4 mi | Beresford, SD | ★★☆☆☆ | 2/5 | |
| Tieszen Memorial Home | 19.5 mi | Marion, SD | ★★★★☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 435120.
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