Riverview Healthcare Center
611 East 2nd Ave, Flandreau, SD 57028 · (605) 997-2481
For profit - Limited Liability company · 63 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Special Focus Facility candidate Medicare's data lists this home as a candidate for its Special Focus Facility program, which is for homes with a persistent record of serious problems.
Riverview Healthcare Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2025, found 9 citations, 3 for actual harm or immediate jeopardy (the South Dakota average is 6.7). It was fined 6 times in the last three years, $177,100 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on February 27, 2025 found 9 citations. What an inspection citation means
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 27, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 27, 2025 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.February 27, 2025 · F0697 · Level of harm: Actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 27, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.February 27, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.February 27, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.February 27, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have a plan that describes the process for conducting QAPI and QAA activities.February 27, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Keep all essential equipment working safely.February 27, 2025 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 19 citations.
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.June 2, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 25, 2026 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 25, 2026 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.January 28, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.January 28, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 28, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.November 18, 2025 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 18, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.September 25, 2025 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 25, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide safe, appropriate pain management for a resident who requires such services.September 25, 2025 · F0697 · Level of harm: Actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.September 25, 2025 · F0760 · Level of harm: Actual harm · Residents affected: Few
- Keep residents' personal and medical records private and confidential.January 8, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.January 8, 2025 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.January 8, 2025 · F0609 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Respond appropriately to all alleged violations.January 8, 2025 · F0610 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Administer the facility in a manner that enables it to use its resources effectively and efficiently.January 8, 2025 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.October 31, 2024 · F0610 · Level of harm: Actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 15, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Fines and payment denials
- Fine of $31,500March 25, 2026
- Fine of $15,807November 18, 2025
- Fine of $36,414September 25, 2025
- Fine of $65,520February 27, 2025
- Fine of $15,330January 8, 2025
- Fine of $12,529October 31, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | South Dakota average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.62 | 3.79 | 3.86 |
| Registered nurses (RN) | 0.63 | 0.80 | 0.69 |
| Licensed practical nurses (LPN) | 0.73 | 0.47 | 0.86 |
| Nurse aides | 2.26 | 2.52 | 2.32 |
| Total nursing staff turnover | 66.7% | 48.2% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 63 |
| Average residents per day | 54.2 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Flandreau Santee Sioux Tribe Care Center Flandreau · ★★★★★ 3 out of 5 stars
- Alcester Care And Rehab Center, Inc Alcester · ★★★★★ 5 out of 5 stars
- Bethesda Of Beresford Beresford · ★★★★★ 2 out of 5 stars
- Bethany Home - Brandon Brandon · ★★★★★ 1 out of 5 stars
- The Neighborhoods at Brookview Brookings · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Riverview Healthcare Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.