Tieszen Memorial Home

Name: Tieszen Memorial Home
Address: 312 EAST STATE ST, Marion, SD, 57043, US
Telephone: 6056483611

312 East State St, Marion, SD 57043 · Turner County · 64 certified beds · avg 58 residents/day · certified since Jun 15, 1993

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.58

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

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 self-reported quality measures.

All citations in the current public record (12)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 28, 2026	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
May 28, 2026	E · Potential for harm, repeated	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.
May 28, 2026	E · Potential for harm, repeated	The 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.
May 28, 2026	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
May 28, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
May 28, 2026	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
May 28, 2026	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Dec 19, 2024	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Dec 19, 2024	E · Potential for harm, repeated	The 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.
Dec 19, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Dec 19, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Aug 23, 2023	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 7).

Year	Citations	Worst severity that year
2023	1	D
2024	4	E
2026	7	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.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

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

Measure	This facility	South Dakota avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.58	4.32	3.95	top 32% in South Dakota; top 21% in the U.S.
Registered Nurse hours	1.00	0.91	0.69	top 33% in South Dakota; top 15% in the U.S.
Weekend total nurse staffing	3.97	3.71	3.50	top 31% in South Dakota; top 24% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.30	0.51	0.48	bottom 17% in South Dakota; bottom 32% in the U.S.
Total nursing staff turnover (%)	50.0	48.2	45.8	bottom 47% in South Dakota; bottom 38% in the U.S.
RN turnover (%)	33.3	34.7	42.9	bottom 48% in South Dakota; top 33% in the U.S.

Hours are per resident per day, 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 3.47, RN 0.76, weekend 3.01. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 1/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Avel Ecare Medical Group, PC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/15/2021
Avel Ecare Medical Group, PC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2026
Berens, Ravila	Individual	Corporate Director	NOT APPLICABLE	10/27/2009
Berens, Ravila	Individual	Corporate Officer	NOT APPLICABLE	01/20/2020
Gall, Deanna	Individual	Corporate Director	NOT APPLICABLE	02/01/2021
Johnson, Paul	Individual	Corporate Director	NOT APPLICABLE	11/01/2009
Johnson, Paul	Individual	Corporate Officer	NOT APPLICABLE	01/20/2020
Jones, James	Individual	Corporate Director	NOT APPLICABLE	10/27/2009
Luke, Richard	Individual	Corporate Director	NOT APPLICABLE	10/27/2009
Luke, Richard	Individual	Corporate Officer	NOT APPLICABLE	01/20/2020
Patten, Erin	Individual	Corporate Director	NOT APPLICABLE	06/18/2025
Rees, Joseph	Individual	Operational/Managerial Control	NOT APPLICABLE	11/15/2021
Rees, Joseph	Individual	ADP of the SNF	NOT APPLICABLE	11/15/2021
Tieszen, Eric	Individual	Corporate Director	NOT APPLICABLE	02/17/2020
Wilson, Laura	Individual	Operational/Managerial Control	NOT APPLICABLE	10/27/2009
Wilson, Laura	Individual	ADP of the SNF	NOT APPLICABLE	05/29/2020

Questions to ask on your visit

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

"Could I join residents for a meal to see the food quality and temperature for myself?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"Where do you post your daily staffing numbers, and can I see today's?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Oakview Terrace	10.4 mi	Freeman, SD	★★★★★	3/5
Good Samaritan Society Canistota	12.0 mi	Canistota, SD	★★★☆☆	3/5
Diamond Care Center	15.3 mi	Bridgewater, SD	★☆☆☆☆	1/5
Pioneer Memorial Nursing Home	19.5 mi	Viborg, SD	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Marion →

Facility data as of CMS processing date 2026-08-01. CCN 435069.

The Care File

Visit checklist — Tieszen Memorial Home

312 East State St, Marion, SD 57043 · 6056483611

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

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 435069 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)