South Dakota ›Flandreau

Riverview Healthcare Center

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611 East 2nd Ave, Flandreau, SD 57028 (opens Google Maps) · Moody County · (605) 997-2481· 63 certified beds · avg 54 residents/day · certified since Apr 1, 1995 · 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 →

Abuse citation flag (CMS)SFF Candidate

What the abuse flag means → · What Special Focus status means →

Part of chain: EVERGREEN HEALTHCARE GROUP (44 facilities, chain avg rating 2.5★)

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

1/5
Health inspection rating (on-site)
inspected Feb 27, 2025
14
Serious findings on record
most recent Mar 25, 2026
$176,867
Fines, last 3 years
4.45
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · 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.

Most serious findings (actual harm or immediate jeopardy) — showing 10 of 14

▲ Immediate jeopardy, isolated · Mar 25, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

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: Mar 26, 2026 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Jan 8, 2025 · F-0600 · triggered by a complaint

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: Jan 25, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Jan 8, 2025 · F-0609 · triggered by a complaint

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: Jan 25, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Jan 8, 2025 · F-0610 · triggered by a complaint

The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.

Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.

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: Jan 25, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Mar 25, 2026 · F-0600 · triggered by a complaint

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 (G): Actual harm was cited, below immediate jeopardy. 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: Apr 15, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Nov 18, 2025 · F-0686 · triggered by a complaint

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): Actual harm was cited, below immediate jeopardy. 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 25, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Sep 25, 2025 · F-0600 · triggered by a complaint

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 (G): Actual harm was cited, below immediate jeopardy. 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: Sep 30, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Sep 25, 2025 · F-0697 · triggered by a complaint

The facility did not provide safe and appropriate pain management for a resident who needed it.

Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.

Severity (G): Actual harm was cited, below immediate jeopardy. 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: Sep 30, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Sep 25, 2025 · F-0760 · triggered by a complaint

The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Why it matters: A serious medication error can cause real harm, hospitalization, or worse.

Severity (G): Actual harm was cited, below immediate jeopardy. 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: Sep 30, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Feb 27, 2025 · F-0684

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): Actual harm was cited, below immediate jeopardy. 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: Mar 27, 2025 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 36 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint F-0755

  2. J · Immediate jeopardy, isolated

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689

  3. G · Actual harm, 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. · from a complaint F-0600

View all 36 inspection findingsShow only the latest 3 findings

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.

DateSeverityWhat the facility was cited for
Jun 2, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Mar 25, 2026▲ J · Immediate jeopardy, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Mar 25, 2026▲ G · Actual harm, isolatedThe 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. · from a complaint · F-0600
Jan 28, 2026E · Potential for more than minimal harm, patternThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Jan 28, 2026E · Potential for more than minimal harm, patternThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Jan 28, 2026D · Potential for more than minimal harm, isolatedThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
Nov 18, 2025▲ G · Actual harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Nov 18, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Sep 25, 2025▲ G · Actual harm, isolatedThe 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. · from a complaint · F-0600
Sep 25, 2025▲ G · Actual harm, isolatedThe facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697
Sep 25, 2025▲ G · Actual harm, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760
Sep 25, 2025E · Potential for more than minimal harm, patternThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Feb 27, 2025▲ G · Actual harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Feb 27, 2025▲ G · Actual harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Feb 27, 2025▲ G · Actual harm, isolatedThe facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697
Feb 27, 2025F · Potential for more than minimal harm, widespreadThe 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
Feb 27, 2025E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Feb 27, 2025E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Feb 27, 2025D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Feb 27, 2025D · Potential for more than minimal harm, isolatedThe facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · F-0865
Feb 27, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908
Jan 8, 2025▲ J · Immediate jeopardy, isolatedThe 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. · from a complaint · F-0600
Jan 8, 2025▲ J · Immediate jeopardy, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Jan 8, 2025▲ J · Immediate jeopardy, isolatedThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
Jan 8, 2025E · Potential for more than minimal harm, patternThe facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint · F-0835
Jan 8, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · from a complaint · F-0583
Oct 31, 2024▲ G · Actual harm, isolatedThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
Feb 15, 2024F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812
Feb 15, 2024E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Sep 6, 2023D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Sep 6, 2023D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint · F-0657
Sep 6, 2023D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658
Feb 16, 2023▲ G · Actual harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Feb 16, 2023F · Potential for more than minimal harm, widespreadThe 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
Feb 16, 2023D · Potential for more than minimal harm, isolatedThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · F-0610
Feb 16, 2023D · Potential for more than minimal harm, isolatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 9).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 7
Serious citations (G–L): 1
2024
All citations: 3
Serious citations (G–L): 1
2025
All citations: 20
Serious citations (G–L): 10
2026
All citations: 6
Serious citations (G–L): 2

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202371G ▲
202431G ▲
20252010J ▲
202662J ▲

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.

Fines and enforcement (last 3 years)

How to file a complaint about care →

6 fines totaling $176,867.

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.

DateTypeAmount / length
Mar 25, 2026Fine$31,500
Nov 18, 2025Fine$15,574
Sep 25, 2025Fine$36,414
Feb 27, 2025Fine$65,520
Jan 8, 2025Fine$15,330
Oct 31, 2024Fine$12,529

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilitySouth Dakota averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.45
South Dakota average: 4.32
U.S. average: 3.95
Registered Nurse hours
This facility: 0.77
South Dakota average: 0.91
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.93
South Dakota average: 3.71
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilitySouth Dakota avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.454.323.95top 37% in South Dakota; top 24% in the U.S.
Registered Nurse hours0.770.910.69bottom 40% in South Dakota; top 29% in the U.S.
Weekend total nurse staffing3.933.713.50top 33% in South Dakota; top 25% in the U.S.
Weekend RN hours (not acuity-adjusted)0.460.510.48bottom 50% in South Dakota; top 38% in the U.S.
Total nursing staff turnover (%)66.748.245.8bottom 9% in South Dakota; bottom 8% in the U.S.
RN turnover (%)61.534.742.9bottom 13% in South Dakota; bottom 20% 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 3.62, RN 0.63, weekend 3.20.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.62 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

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: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Riverview Healthcare Center. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

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 →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
CH Pacific Northwest Holdings LLCOrganizationIndirect Ownership InterestNOT APPLICABLE08/31/2023
Couve Financial Services LLCOrganizationIndirect Ownership InterestNOT APPLICABLE08/31/2023
Couve Healthcare Consulting LLCOrganizationIndirect Ownership InterestNOT APPLICABLE08/31/2023
Herzka, YisroelIndividualIndirect Ownership InterestNOT APPLICABLE08/31/2023
Johnson, CharlesIndividualIndirect Ownership InterestNOT APPLICABLE08/31/2023
Olson, BrennaIndividualIndirect Ownership InterestNOT APPLICABLE08/31/2023
Pacific Northwest Opco Management LLCOrganizationIndirect Ownership InterestNOT APPLICABLE08/31/2023
Pacific Northwest SNF Operations Holdings (SD) LLCOrganization5% or Greater Direct Ownership Interest100%08/31/2023
Riverview SNF Operations, LLCOrganizationDirect Ownership InterestNOT APPLICABLE08/31/2023
South Dakota SNF Consulting LLCOrganizationIndirect Ownership InterestNOT APPLICABLE08/31/2023
Yenowitz, YitzchokIndividualIndirect Ownership InterestNOT APPLICABLE08/31/2023
CH Pacific Northwest Holdings LLCOrganizationADP of the SNFNOT APPLICABLE08/31/2023
Couve Financial Services LLCOrganizationOperational/Managerial ControlNOT APPLICABLE08/31/2023
Couve Financial Services LLCOrganizationADP of the SNFNOT APPLICABLE05/16/2025
Couve Healthcare Consulting LLCOrganizationOperational/Managerial ControlNOT APPLICABLE08/31/2023
Couve Healthcare Consulting LLCOrganizationADP of the SNFNOT APPLICABLE05/16/2025
Herzka, YisroelIndividualADP of the SNFNOT APPLICABLE08/31/2023
Johnson, CharlesIndividualOperational/Managerial ControlNOT APPLICABLE08/31/2023
Johnson, CharlesIndividualADP of the SNFNOT APPLICABLE08/31/2023
Lowe, LeonorIndividualManaging Control - Governing BodyNOT APPLICABLE08/31/2023

Showing 20 of 40 parties CMS has on file for this facility; 20 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Evergreen Healthcare Group — 44 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 43 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
  • "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
  • "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
  • "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
  • "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
  • "What systems do you use to prevent medication errors, and what happens when one occurs?"
  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 67% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 40 owning or managing parties — who makes the decisions about staffing levels?"
  • "CMS lists this facility under its Special Focus program — what is being done differently, and by when?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Flandreau Santee Sioux Tribe Care Center1.0 miFlandreau, SD★★★☆☆3/5
Good Samaritan Society - Pipestone13.5 miPipestone, MN★★★☆☆3/5
Dells Nursing and Rehab Center INC16.2 miDell Rapids, SD★★★★☆4/5
The Neighborhoods at Brookview19.8 miBrookings, SD★★★★★5/5

Compare this facility with the 3 closest →

All facilities in Flandreau →

Facility data as of CMS processing date 2026-08-01. CCN 435086.

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