Nursing HomeInspections

Michael J Fitzmaurice South Dakota Veterans Home

Nursing home in Hot Springs, SD

Medicaid-certified2★ overall (CMS)

Call (605) 745-5127Send a messageMap ↗

Public-record details

Address
2500 Minnekahta Avenue, Hot Springs, SD 57747
Phone
(605) 745-5127
Listed under
Government-owned
Medicare CCN
43A136
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Quality measures rating
4 of 5
Certified beds
78
Average residents per day
52
Ownership
Government, state
Legal business name
Legal Business Name Not Available
Certified for
Medicaid
First approved by Medicare/Medicaid
Feb 11, 2011
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 43A136. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 1, 2025. CMS lists 15 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 16, 2023 to May 1, 2025): 1 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
May 1, 2025Develop 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
D
Potential for more than minimal harm, isolated
May 1, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
May 1, 2025Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Environmental
E
Potential for more than minimal harm, pattern
May 1, 2025Provide and implement an infection prevention and control program.
Infection Control
F
Potential for more than minimal harm, widespread
May 1, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care
G
Actual harm, isolated
May 1, 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
Feb 15, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Feb 15, 2024Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Feb 15, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Feb 15, 2024Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Feb 15, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
Feb 15, 2024Provide and implement an infection prevention and control program.
Infection Control
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 15. 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 1 fine totalling $39,293 in the last three years.

May 1, 2025Fine: $39,293

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

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.

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