Nursing homes › South Dakota › Palisade Healthcare Center
920 4th St, Garretson, SD 57030 · (605) 594-3466 · 55 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 93 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Evergreen Healthcare Group, a group operating 44 facilities in 6 states. Group record: average rating 2.5/5, 10 abuse citation icons, 3 facilities on the Special Focus list, $2,160,618 in federal fines. This facility rates below its group average (2.5/5).
Total nurse staffing: 3.16 (South Dakota median: 3.62). RN hours: 0.54. Weekend total: 2.64. Nursing staff turnover: 60%.
In the downloaded CMS dataset: 29 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-16 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | H | complaint | corrected 2026-05-06 |
| 2026-04-16 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | complaint | corrected 2026-05-06 |
| 2026-04-16 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-05-06 |
| 2025-11-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2025-11-20 |
| 2025-09-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-09-18 |
| 2025-08-07 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2025-08-22 |
| 2025-08-07 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Health | corrected 2025-08-22 |
| 2025-08-07 | 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. | E | Health | corrected 2025-08-22 |
| 2025-08-07 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2025-08-22 |
| 2025-08-07 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-08-22 |
| 2025-08-07 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2025-08-22 |
| 2025-08-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-04-25 |
| 2025-03-12 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2025-03-28 |
| 2025-03-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-03-28 |
| 2024-11-26 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2024-12-16 |
| 2024-11-26 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2024-12-16 |
| 2024-08-07 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2024-09-13 |
| 2024-03-18 | 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. | F | Health | corrected 2024-04-11 |
| 2024-03-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-04-11 |
| 2024-03-18 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2024-04-11 |
| 2024-03-18 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-04-11 |
| 2024-03-18 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2024-04-11 |
| 2024-03-18 | Honor 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 directive. | D | Health | corrected 2024-04-11 |
| 2024-03-18 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2024-04-11 |
| 2024-03-18 | Regularly 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. | D | Health | corrected 2024-04-11 |
| 2023-12-28 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-02-01 |
| 2023-03-08 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2023-04-14 |
| 2023-03-08 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Health | corrected 2023-04-14 |
| 2023-03-08 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2023-04-14 |
| Date | Type | Amount |
|---|---|---|
| 2025-11-19 | Fine | $122,476 |
| 2025-09-17 | Fine | $8,608 |
| 2025-08-07 | Fine | $11,713 |
| 2024-11-26 | Fine | $12,149 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 08/31/2023 |
| CHEEKS, DONALD | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/31/2023 |
| EVANS, KAYLA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/31/2023 |
| SPIELMAN, SHIMON | Corporate Officer | Individual | NOT APPLICABLE | since 08/31/2023 |
| YENOWITZ, YITZCHOK | Corporate Officer | Individual | NOT APPLICABLE | since 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/31/2023 |
| COUVE HEALTHCARE CONSULTING LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/31/2023 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/31/2023 |
| PALISADE SNF OPERATIONS, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/31/2023 |
| SOUTH DAKOTA SNF CONSULTING LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 08/31/2023 |
| CHEEKS, DONALD | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| EVANS, KAYLA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| PARKER, LOURDES | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| REES, JOSEPH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| ROBY, BRITTNEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| SPIELMAN, SHIMON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
| YENOWITZ, YITZCHOK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/31/2023 |
How to cite this page: CareRecords, “Palisade Healthcare Center — compliance, penalty and ownership record” (CCN 435115), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/palisade-healthcare-center-garretson-sd/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 435115. Corrections: data@carerecords.org.