Certified for Medicaid only. It cannot bill Medicare, so a short post-hospital rehabilitation stay would not be covered the usual way here. Who pays for nursing home care →
2/5
Health inspection rating (on-site)
inspected Aug 14, 2025
8
Serious findings on record
most recent Jun 12, 2025
$124,961
Fines, last 3 years
4.28
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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)
▲ Immediate jeopardy, isolated · Jan 9, 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: Feb 8, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Oct 31, 2024 · 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: Nov 29, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Jun 12, 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: Jul 11, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Jun 12, 2025 · 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 (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: Jul 11, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Dec 27, 2024 · 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 (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: Jan 25, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Dec 27, 2024 · F-0692 · triggered by a complaint
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
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: Jan 25, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Oct 31, 2024 · F-0699 · triggered by a complaint
The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Why it matters: Care that ignores a resident's trauma or culture can cause distress and damage their trust in caregivers.
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 29, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Jul 11, 2024 · 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 (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: Jul 31, 2024 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.
D · Potential for more than minimal harm, isolated
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. F-0658
D · Potential for more than minimal harm, isolated
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
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 complaintF-0600
View all 16 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.
Date
Severity
What the facility was cited for
Aug 14, 2025
D · Potential for more than minimal harm, isolated
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Aug 14, 2025
D · Potential for more than minimal harm, isolated
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
Jun 12, 2025
▲ 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
Jun 12, 2025
▲ G · Actual harm, 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
Jun 12, 2025
E · Potential for more than minimal harm, pattern
The 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
Jan 9, 2025
▲ 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. · from a complaint · F-0600
Dec 27, 2024
▲ G · Actual harm, 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
Dec 27, 2024
▲ G · Actual harm, isolated
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint · F-0692
Dec 27, 2024
E · Potential for more than minimal harm, pattern
The 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
Oct 31, 2024
▲ 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. · from a complaint · F-0600
Oct 31, 2024
▲ G · Actual harm, isolated
The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. · from a complaint · F-0699
Oct 31, 2024
E · Potential for more than minimal harm, pattern
The 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
Jul 11, 2024
▲ G · Actual harm, 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
Jul 11, 2024
F · Potential for more than minimal harm, widespread
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
Jul 11, 2024
D · Potential for more than minimal harm, 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. · from a complaint · F-0609
Jul 11, 2024
D · Potential for more than minimal harm, isolated
The 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
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 2).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations:
10
Serious citations (G–L):
5
2025
All citations:
6
Serious citations (G–L):
3
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2024
10
5
J ▲
2025
6
3
J ▲
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.
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
Jun 12, 2025
Fine
$43,095
Dec 27, 2024
Fine
$49,982
Oct 31, 2024
Fine
$22,465
Jul 11, 2024
Fine
$9,419
Nurse staffing (from payroll records, adjusted for how much care residents need)
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:
4.28
South Dakota average:
4.32
U.S. average:
3.95
Registered Nurse hours
This facility:
0.79
South Dakota average:
0.91
U.S. average:
0.69
Weekend total nurse staffing
This facility:
4.01
South Dakota average:
3.71
U.S. average:
3.50
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)
4.28
4.32
3.95
top 41% in South Dakota; top 30% in the U.S.
Registered Nurse hours
0.79
0.91
0.69
bottom 43% in South Dakota; top 28% in the U.S.
Weekend total nurse staffing
4.01
3.71
3.50
top 29% in South Dakota; top 23% in the U.S.
Weekend RN hours (not acuity-adjusted)
0.37
0.51
0.48
bottom 25% in South Dakota; bottom 45% in the U.S.
Total nursing staff turnover (%)
56.9
48.2
45.8
bottom 24% in South Dakota; bottom 21% in the U.S.
RN turnover (%)
30.0
34.7
42.9
top 50% in South Dakota; top 29% 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 3.69, RN 0.68, weekend 3.46.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.69 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
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.
No verified facility-specific private-pay price is available in our data for Sanford Chamberlain Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
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.
Before you compare prices
Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Facility data as of CMS processing date 2026-08-01. CCN 43A073.
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The Care File
Visit checklist — Sanford Chamberlain Care Center
300 S Byron Blvd, Chamberlain, SD 57325 · (605) 234-6518
Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $124,961
Most serious findings on record:
▲ Jan 9, 2025 (F-0600, 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.
▲ Oct 31, 2024 (F-0600, 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.
▲ Jun 12, 2025 (F-0600, 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.
Questions for the administrator:
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "How do you learn about each resident's background and history, and how does that shape their care?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "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 57% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"
While you're there, notice:
☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)
Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 43A073 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)