Home / South Dakota / Redfield
Eastern Star Home of South Dakota, Inc
126 W 12th Avenue, Redfield, SD 57469 · Spink County · (605) 472-0658
30 certified beds, about 30 residents a day · Non profit - Corporation · Medicaid since 2002
CMS Care Compare ratings, data as of September 1, 2026 · CCN 43A135 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 7, 2025, inspectors cited 1 health deficiency (the South Dakota average is 6.7, the national average 9.2).
Of 6 health citations since April 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $31,476 in the last three years; the largest was $17,096, and the latest is dated May 5, 2026.
Nurses and nurse aides worked 4.61 hours per resident per day, against 3.79 across South Dakota and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.
30.4% of nursing staff left within the year CMS measured (South Dakota average 48.2%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.
May 5, 2026Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), record review, interview, and policy review, the provider failed to ensure an environment free from accident hazards by one of one certified nursing assistant (CNA)/bath aide (E) who did not use the required whirlpool chair safety belt while providing a whirlpool bath for one of one sampled resident (1) who subsequently fell out of the whirlpool chair onto the floor, which caused laceration to the resident's forehead that required sutures. This citation is considered past non-compliance based on a review of the corrective actions the provider implemented following the incident.
August 7, 2025Standard inspection · 1 citation
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on observation, record review, interview, and policy review, the provider failed to ensure two of five sampled residents (25 and 28) who received psychotropic medications (any drug that affects brain activities associated with mental processes and behavior) had an attempted gradual dose reduction (systemic dose reduction over time to determine if the condition could be managed with a lower dose or discontinuation of the medication) (GDR) or documented rationale to support that a GDR was clinically contraindicated (not appropriate based on the resident's condition, potential risks, or adverse effects) for those medications.
July 18, 2024Standard inspection · 3 citations
- J Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to maintain the dishwasher wash cycle temperature at a minimum of 120 degrees Fahrenheit per the manufacturer's manual for one of one dishwasher. Failure to ensure that increased the potential risk of foodborne illnesses for the entire resident population who received meals prepared in the kitchen.
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure resident care plans were revised to reflect the current enhanced barrier precautions (EBP) of eight of twenty sampled residents (1, 3, 6, 19, 21, 23, 27, and 28).
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and policy review the provider failed to ensure: *One of one sampled resident (10) who was on precautions for Clostridium Difficile (C-Diff) had their room cleaned with bleach by one of one housekeeping staff (K). *Eight of eight sampled residents (1,3,6,19,21,23,27, and 28) had been placed on enhanced barrier precautions (EBP). 1. Observation of resident 10's door to her room revealed there was a red P and a drawered storage container that contained personal protective equipment (PPE). Interview on 7/16/24 at 9:00 a.m. with medication aide/certified nursing assistant (CNA) M regarding precautions for resident 10 revealed she had C-Diff. Interview on 7/16/24 at 9:30 a.m. with housekeeper K regarding the cleaning of resident 10's room revealed she: *Had used Lysol to clean the top of surfaces and sprayed into sinks. [...]
April 13, 2023Standard inspection · 1 citation
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview, record review and policy review the provider failed to ensure residents and/or their representative received a written notice with information regarding the transfer to the hospital and to provide a copy of the transfer notice to the Office of the State Long-Term Care Ombudsman for one of one sampled residents (17) reviewed for facility-initiated hospital transfer to the hospital.
Fire safety inspections
1 fire safety citation on file: 1 on July 18, 2024.
Every fire safety citation1 citation
- C Conduct testing and exercise requirements.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| May 5, 2026 | Fine | $14,380 |
| July 18, 2024 | Fine | $17,096 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | South Dakota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.61 | 3.79 | 3.86 |
| Registered nurses | 0.63 | 0.80 | 0.69 |
| All nursing staff on weekends | 4.29 | 3.26 | 3.42 |
| Nurse aides | 3.41 | ||
| Licensed practical nurses | 0.57 | ||
| Nursing staff turnover (share who left in a year) | 30.4% | 48.2% | 45.8% |
| Registered nurse turnover | 40.0% | 34.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.55 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.74 on weekdays and 4.29 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.63 in April to June 2025 to 4.61 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.61 | 0.63 | 4.74 | 4.29 | 0.0% | 0 of 90 | 30 |
| Oct to Dec 2025 | 4.73 | 0.71 | 4.90 | 4.27 | 0.0% | 0 of 92 | 30 |
| Jul to Sep 2025 | 4.69 | 0.69 | 4.93 | 4.11 | 0.0% | 0 of 92 | 30 |
| Apr to Jun 2025 | 4.63 | 0.67 | 4.89 | 3.99 | 0.0% | 0 of 91 | 31 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| South Dakota, Jan to Mar 2026 | 3.76 | 0.79 | 3.97 | 3.25 | 9.1% | 1.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | South Dakota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 30.5 | 21.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 13.2 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.7 | 5.5 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 28.0 | 19.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.8 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.1 | 24.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.4 | 1.8 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on May 5, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on August 7, 2025: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on July 18, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on July 18, 2024: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
Other nursing homes nearby
- Avantara Redfield Redfield, 0.4 mi · 2 of 5 stars · 17 citations
South Dakota contacts for a concern about a nursing home
These are the official offices in South Dakota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: South Dakota Department of Health, Office of Health Facilities Licensure and Certification, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: South Dakota Long-Term Care Ombudsman Program, Department of Human Services. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: South Dakota Department of Health Nursing Facility Reports, where South Dakota publishes its own records on licensed homes.
Common questions
- What is Eastern Star Home of South Dakota, Inc's Medicare star rating?
- CMS rates Eastern Star Home of South Dakota, Inc 4 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Eastern Star Home of South Dakota, Inc get at its last inspection?
- 1 health deficiency at the standard inspection on August 7, 2025. The South Dakota average is 6.7.
- Has Eastern Star Home of South Dakota, Inc been fined?
- Yes. CMS lists 2 fines totaling $31,476 in the last three years.
- Does Eastern Star Home of South Dakota, Inc accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Eastern Star Home of South Dakota, Inc?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.