Palisade Healthcare Center
920 4th St, Garretson, SD 57030 · (605) 594-3466
For profit - Corporation · 55 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.
Palisade Healthcare Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 6 citations, 1 for actual harm or immediate jeopardy (the South Dakota average is 6.7). It was fined 5 times in the last three years, $249,546 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. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on August 7, 2025 found 6 citations. What an inspection citation means
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.August 7, 2025 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.August 7, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.August 7, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.August 7, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.August 7, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.August 7, 2025 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 12 citations.
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 16, 2026 · F0600 · Level of harm: Actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.April 16, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that a working call system is available in each resident's bathroom and bathing area.April 16, 2026 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 19, 2025 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 17, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.August 7, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.March 12, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 12, 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.November 26, 2024 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.November 26, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.August 7, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.December 28, 2023 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $94,600April 16, 2026
- Fine of $122,476November 19, 2025
- Fine of $8,608September 17, 2025
- Fine of $11,713August 7, 2025
- Fine of $12,149November 26, 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 | 3.16 | 3.79 | 3.86 |
| Registered nurses (RN) | 0.54 | 0.80 | 0.69 |
| Licensed practical nurses (LPN) | 0.63 | 0.47 | 0.86 |
| Nurse aides | 1.99 | 2.52 | 2.32 |
| Total nursing staff turnover | 60% | 48.2% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 55 |
| Average residents per day | 49 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Bethany Home - Brandon Brandon · ★★★★★ 1 out of 5 stars
- Dells Nursing and Rehab Center Inc Dell Rapids · ★★★★★ 4 out of 5 stars
- Avera Prince of Peace Sioux Falls · ★★★★★ 4 out of 5 stars
- Bethany Home Sioux Falls Sioux Falls · ★★★★★ 3 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Palisade Healthcare Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.