Nursing HomeInspections

Lake Andes Senior Living

Nursing home in Lake Andes, SD

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
740 East Lake St, Lake Andes, SD 57356
Phone
(605) 487-7674
Listed under
For-profit
Medicare CCN
435097
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
43
Average residents per day
39
Ownership
For-profit, individual
Legal business name
Lake Andes Health Care Center, INC.
Chain
Accura Healthcare (41 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 1, 1996
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 435097. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 21, 2025. CMS lists 21 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 5, 2024 to Aug 21, 2025): 1 from complaint inspections, 3 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Aug 21, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Aug 21, 2025Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Aug 21, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Oct 16, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Sep 5, 2024Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance…
Resident Rights
D
Potential for more than minimal harm, isolated
Sep 5, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Sep 5, 2024Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Sep 5, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
E
Potential for more than minimal harm, pattern
Sep 5, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights
E
Potential for more than minimal harm, pattern
Sep 5, 2024Keep residents' personal and medical records private and confidential.
Resident Rights
E
Potential for more than minimal harm, pattern
Sep 5, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
E
Potential for more than minimal harm, pattern
Sep 5, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 21. 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 2 fines totalling $102,440 in the last three years.

Oct 16, 2024Fine: $10,839
Sep 5, 2024Fine: $91,601

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
3.15 hours
Registered nurse (RN) time per resident per day
0.55 hours
Nurse aide time per resident per day
2.20 hours
Total nurse staffing on weekends
2.99 hours
Nursing staff turnover (yearly)
38%
RN turnover (yearly)
38%

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.