Home / South Dakota / Flandreau
Flandreau Santee Sioux Tribe Care Center
909 Jones Dr, Flandreau, SD 57028 · Moody County · (605) 573-2100
42 certified beds, about 19 residents a day · Non profit - Other · Medicaid since 2023
Certified for Medicaid
Overall
3 of 5
Health inspections
3 of 5
Staffing
Not rated
CMS note: Not enough data available to calculate a star rating.
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 43A139 · 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 2 health deficiencies (the South Dakota average is 6.7, the national average 9.2).
Of 10 health citations since April 2023, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 3 fines totaling $27,967 in the last three years; the largest was $10,839, and the latest is dated September 30, 2025.
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.
104/23
204/24
108/24
110/24
112/24
308/25
109/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
4D
3E
0F
Potential for minimal harm
0A
0B
0C
September 30, 2025Complaint 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 review of the South Dakota Department of Health (SD DOH) complaint intake report review, interview, security video review, record review, and policy review, the provider failed to ensure one of one certified nursing assistant (D) safely transported one of one sampled resident (1) in her wheelchair who fell out of her wheelchair and fractured her hip.
August 7, 2025Standard inspection, Complaint inspection · 3 citations
- E 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 follow food safety standards by not having monitored and documented food temperatures for 40 of 192 meals served to residents from 5/1/25 through 8/3/25.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation and interview, the provider failed to ensure two of two medication carts had not contained expired medications that were available for administration to residents.
- D 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), interview, record review, and policy review, the provider failed to ensure the safety of one of one sampled resident (14) identified at risk for elopement, who had eloped (left the facility without staff knowledge). Failure of staff to ensure adequate supervision put him at risk for physical injury or serious harm. This citation is considered past non-compliance based on the corrective actions the provider implemented immediately following the incident.
December 31, 2024Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteA. Based on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), interview, observation, record review, and policy review the provider failed to effectively implement and follow their policy for 5 of 8 sampled residents (1, 2, 4, 5, and 6) who smoked and accurately assess 1 of 1 sampled resident (3) who vaped.
October 22, 2024Complaint 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 observation, the provider failed to prevent an injury to one of one sampled resident (1) who developed a skin burn wound on her abdomen from hot food that was prepared for her by staff in a microwave. This citation is considered past non-compliance based on review of the corrective actions the provider implemented immediately following the incident.
August 6, 2024Complaint inspection · 1 citation
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure care plans reflected the current individualized activities of daily living (ADL) and pressure ulcer prevention and treatment needs of two of two sampled residents (1 and 2).
April 4, 2024Standard inspection · 2 citations
- E 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, and policy review, the provider failed to ensure three of three kitchen staff (H, K, and L) had: *Practiced appropriate hand hygiene and glove use during two of two meal preparations. *Performed proper sanitation of the food thermometer while temping the food items before serving the residents.
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, electronic medical record review, interview, and policy review, the provider failed to ensure one of one sampled resident (11) with a diagnosis of quadriplegia had an accurate assessment that included a physician acknowledgment order for the use of a seatbelt and wrist splints.
April 5, 2023Standard inspection · 1 citation
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, record review, closed record review, and policy review, the provider failed to: *Ensure, when made aware a resident (103) was going to a dental appointment that had not previously been disclosed to the facility, appropriate communication paperwork was sent to the dentist as well as subsequent notification to the physician about the resident's condition on return and the nurse's determination to hold a blood thinning medication, and accurate oral/dental assessment was documented for the admission assessment. *Ensure, when made aware a resident (104) planned not to return from a therapeutic leave, the resident had received any necessary discharge instructions and had appropriate disposition of medications documented.
Fire safety inspections
5 fire safety citations on file: 2 on August 7, 2025, 2 on April 4, 2024, 1 on April 5, 2023.
Every fire safety citation5 citations
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have generator or other power source capable of supplying service within 10 seconds.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have simulated fire drills held at unexpected times.
- E Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| September 30, 2025 | Fine | $9,110 |
| December 31, 2024 | Fine | $10,839 |
| October 22, 2024 | Fine | $8,018 |
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) | not reported | 3.79 | 3.86 |
| Registered nurses | not reported | 0.80 | 0.69 |
| All nursing staff on weekends | not reported | 3.26 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | not reported | 48.2% | 45.8% |
| Registered nurse turnover | not reported | 34.7% | 42.9% |
| Administrators who left | not reported |
CMS note on this home's staffing data: This facility submitted data that did not meet the criteria required to calculate a staffing measure.
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 October to December 2025, nursing staff hours per resident were 7.97 on weekdays and 6.61 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 21.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 7.17 in April to June 2025 to 7.59 in October to December 2025.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Oct to Dec 2025 | 7.59 | 2.21 | 7.97 | 6.61 | 21.3% | 1 of 92 | 21 |
| Jul to Sep 2025 | 7.16 | 1.78 | 7.44 | 6.43 | 37.3% | 0 of 92 | 22 |
| Apr to Jun 2025 | 7.17 | 2.32 | 7.52 | 6.28 | 34.1% | 0 of 91 | 20 |
| United States, Oct to Dec 2025 | 3.76 | 0.62 | 3.93 | 3.34 | 5.3% | 0.5% of days | |
| South Dakota, Oct to Dec 2025 | 3.80 | 0.81 | 4.01 | 3.26 | 9.7% | 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 | 12.3 | 21.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 9.5 | 5.5 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.5 | 19.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.7 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 39.3 | 24.6 | 15.4 |
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 4 problems in this area, most recently on September 30, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 7, 2025: "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 2 problems in this area, most recently on August 6, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on August 7, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
Other nursing homes nearby
- Riverview Healthcare Center Flandreau, 1 mi · 1 of 5 stars · 36 citations
- Good Samaritan Society - Pipestone Pipestone, 14.2 mi · 3 of 5 stars · 16 citations
- Dells Nursing and Rehab Center Inc Dell Rapids, 15.3 mi · 4 of 5 stars · 16 citations
- The Neighborhoods at Brookview Brookings, 20 mi · 5 of 5 stars · 8 citations
- United Living Community Brookings, 21.1 mi · 2 of 5 stars · 22 citations
- Palisade Healthcare Center Garretson, 22.9 mi · 1 of 5 stars · 29 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 Flandreau Santee Sioux Tribe Care Center's Medicare star rating?
- CMS rates Flandreau Santee Sioux Tribe Care Center 3 out of 5 stars overall, with 3 for health inspections, no for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Flandreau Santee Sioux Tribe Care Center get at its last inspection?
- 2 health deficiencies at the standard inspection on August 7, 2025. The South Dakota average is 6.7.
- Has Flandreau Santee Sioux Tribe Care Center been fined?
- Yes. CMS lists 3 fines totaling $27,967 in the last three years.
- Does Flandreau Santee Sioux Tribe Care Center 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 Flandreau Santee Sioux Tribe Care Center?
- 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.