Nursing HomeInspections

Riverview Healthcare Center

Nursing home in Flandreau, SD

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)CMS abuse icon

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Public-record details

Address
611 East 2nd Ave, Flandreau, SD 57028
Phone
(605) 997-2481
Listed under
For-profit
Medicare CCN
435086
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
2 of 5
Certified beds
63
Average residents per day
54
Ownership
For-profit, limited Liability company
Legal business name
Riverview SNF Operations, LLC
Chain
Evergreen Healthcare Group (44 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 1, 1995
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 435086. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 27, 2025. CMS lists 36 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 16, 2023 to Jun 2, 2026): 22 from complaint inspections, 14 at the “actual harm” level or higher, including 4 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Jun 2, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 25, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		G
Actual harm, isolated
Mar 25, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Jan 28, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 28, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
Jan 28, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Nov 18, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 18, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Sep 25, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Sep 25, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		G
Actual harm, isolated
Sep 25, 2025Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Sep 25, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		G
Actual harm, isolated

Showing the 12 most recent of 36. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 6 fines totalling $176,867 in the last three years.

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

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.62 hours
Registered nurse (RN) time per resident per day
0.63 hours
Nurse aide time per resident per day
2.26 hours
Total nurse staffing on weekends
3.20 hours
Nursing staff turnover (yearly)
67%
RN turnover (yearly)
62%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Flandreau

Flandreau Santee Sioux Tribe Care Center909 Jones Dr · Flandreau, SD 57028 · (605) 573-2100 · Nonprofit10 health citations in 3 inspection cycles · last standard inspection Aug 7, 2025 · $27,967 in CMS fines (3 yrs)Medicaid-certified3★ overall (CMS)

All 2 in Flandreau →