Home / South Dakota / Tyndall
2304 Laurel Street, Tyndall, SD 57066 · Bon Homme County · (605) 589-3350
68 certified beds, about 53 residents a day · Non profit - Corporation · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 435098 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 16, 2026, inspectors cited 4 health deficiencies (the South Dakota average is 6.7, the national average 9.2).
Of 14 health citations since September 2023, 4 were rated as actual harm or immediate jeopardy to residents.
CMS lists 3 fines totaling $44,951 in the last three years; the largest was $23,537, and the latest is dated July 17, 2025.
Nurses and nurse aides worked 3.58 hours per resident per day, against 3.79 across South Dakota and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.
58.5% of nursing staff left within the year CMS measured (South Dakota average 48.2%).
CMS links it to Good Samaritan Society, an affiliated group of 92 nursing homes.
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.
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 14 health citations on file.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to implement pressure ulcer (skin and/or underlying tissue injury from prolonged pressure) prevention interventions for one of one sampled resident (11) who was identified as having a mild risk for developing a pressure ulcer and developed a stage IV (4; open wound with full-thickness skin and tissue loss. Bone, tendon, or muscle may be visible) pressure ulcer to her right antecubital space (the shallow triangular depression directly in front of the elbow joint).
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure a homelike environment was maintained for two of fourteen sampled residents (18 and 32) who did not have a bathroom door and four of fourteen sampled residents (10, 24, 35, and 44) whose walls in their rooms had exposed drywall and peeling paint.
Inspectors wroteBased on interview, record review, and policy reviews, the provider failed to ensure staff members responded to call lights promptly for two of two sampled residents (2 and 4) who reported concerns regarding extended call light wait times.
Inspectors wroteBased on interview, observation, record review, policy review, and manufacturer user guide review, the provider failed to ensure respiratory care was provided one of one sampled resident (18) who had a physician's order for Continuous Positive Airway Pressure (CPAP) therapy (a treatment for obstructive sleep apnea by delivering a steady, gentle stream of pressurized air through a tube and mask) when she slept, and could not use it due to the mask unsnapping during the night.
Inspectors wroteBased on the South Dakota Department of Health (SD DOH) facility-reported incident (FRI), interview, record review, and policy review, the provider failed to assess for potential accident hazards and safety related to the usage of a lift chair for one of one sampled resident (1) and was transferred to the emergency department (ED) for evaluation and treatment of injuries acquired from the fall.
Inspectors wroteBased on South Dakota Department of Health (SD DOH) complaint report review, interview, document review, and policy review the provider failed to ensure full investigations had been completed to rule out potential misappropriation of controlled medications (high risk for addiction, dependence, abuse, and theft) found to be missing during the controlled medication count between nursing shifts for four of six sampled residents (5, 6, 7, and 8) with physician-ordered controlled medications.
Inspectors wroteBased on review of the South Dakota Department of Health (SD DOH) facility reported incident (FRI), interview, record review, and policy review, the provider failed to ensure suicide risks evaluation had been completed for one of one sampled resident (1) by two of two nurses (E and G) who had documented the resident's comments of not wanting to live anymore to address his observed and expressed changes in his mental health.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to identify and implement interventions to prevent falls for two of two sampled residents (22 and 55) who fell and sustained injuries.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to follow infection prevention practices by not having ensured: *Shared resident lift equipment (at least six different stand aids) was maintained in a clean and sanitary manner per the manufacturer's recommendations. *One of one registered nurse (RN) (G) used a clean utensil to open a packet of powdered nutrition supplement and performed appropriate hand hygiene during an observed medication administration.
Inspectors wroteBased on observation, record review, and interview, the provider failed to revise and update a care plan for one of fifteen sampled residents (22) to reflect her care needs for supervision while using the bathroom.
Inspectors wroteBased on observation, interview, record review, and policy review the provider failed to ensure one of one sampled diabetic resident (33) was free from a potential insulin medication error.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure two of two sampled residents (23 and 42) who were identified as at risk for developing pressure ulcers indicated by the Braden Scale for Prediction Pressure Ulcer scores had interventions in place to prevent those residents acquiring a pressure ulcer.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure two of seven residents (16 and 35) who were at nutritional risk received ongoing monitoring of nutrition and revisions in care as their nutritional intake, dining assistance, and revisions in care as their nutritional status changed.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure one of one sampled resident (14) had a diagnosis for the continued use of an indwelling urinary catheter after her wounds had healed.
8 fire safety citations on file: 5 on July 16, 2026, 2 on January 24, 2025, 1 on September 28, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| July 17, 2025 | Fine | $9,246 |
| January 24, 2025 | Fine | $23,537 |
| September 28, 2023 | Fine | $12,168 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.58 | 3.79 | 3.86 |
| Registered nurses | 0.61 | 0.80 | 0.69 |
| All nursing staff on weekends | 3.03 | 3.26 | 3.42 |
| Nurse aides | 2.39 | ||
| Licensed practical nurses | 0.58 | ||
| Nursing staff turnover (share who left in a year) | 58.5% | 48.2% | 45.8% |
| Registered nurse turnover | 33.3% | 34.7% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.50 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.80 on weekdays and 3.03 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.49 in April to June 2025 to 3.58 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 | 3.58 | 0.61 | 3.80 | 3.03 | 0.8% | 0 of 90 | 53 |
| Oct to Dec 2025 | 3.60 | 0.62 | 3.78 | 3.15 | 0.0% | 0 of 92 | 55 |
| Jul to Sep 2025 | 3.62 | 0.68 | 3.81 | 3.14 | 0.0% | 0 of 92 | 55 |
| Apr to Jun 2025 | 3.49 | 0.67 | 3.69 | 2.98 | 0.0% | 0 of 91 | 56 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| South Dakota, all employers | |||
| CNAs (nursing assistants) | $18.65 | $17.71 to $21.12 | 6,860 |
| LPNs and LVNs | $25.36 | $23.88 to $29.47 | 2,050 |
| Registered nurses | $37.53 | $31.29 to $40.52 | 14,710 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 20.0 | 21.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.6 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.6 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.0 | 5.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.1 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 25.5 | 19.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.3 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 29.7 | 24.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Good Samaritan Society Tyndall's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · South Dakota: 7 better, 10 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 13 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 10.7% · South Dakota: 0 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 17 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · South Dakota: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 9 eligible stays.
34.8% this home
Median of homes: South Dakota52.7% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 23 residents counted.
0.0% this home
Median of homes: South Dakota1.1% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 26 residents counted.
0.0% this home
Median of homes: South Dakota2.5% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 26 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: South Dakota100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 3 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. CMS links this home to Good Samaritan Society, a group of 92 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sanford | 5% or greater direct ownership interest | Organization | 100% | 01/01/2019 |
| Morrison, Tony | W-2 managing employee | Individual | 01/01/2019 | |
| Schenkel, Julie | W-2 managing employee | Individual | 06/10/1991 | |
| Cain, James | Corporate director | Individual | 05/30/2020 | |
| Dykhouse, Dana | Corporate director | Individual | 05/30/2024 | |
| Engbrecht, Wesley | Corporate director | Individual | 05/30/2024 | |
| Gassen, William | Corporate director | Individual | 05/30/2024 | |
| Gulsvig, Neil | Corporate director | Individual | 05/30/2024 | |
| Herseth Sandlin, Stephanie | Corporate director | Individual | 05/30/2024 | |
| Lundeen, Mark | Corporate director | Individual | 05/30/2024 | |
| Molbert, Lauris | Corporate director | Individual | 05/30/2024 | |
| North, Andrew | Corporate director | Individual | 05/30/2024 | |
| Shulkin, David | Corporate director | Individual | 05/30/2024 | |
| Teiken, Brent | Corporate director | Individual | 05/30/2024 | |
| Ventling-Herrmann, Marnie | Corporate director | Individual | 05/30/2024 | |
| Fluit, Joel | Corporate officer | Individual | 10/01/2022 | |
| Gassen, William | Corporate officer | Individual | 05/30/2024 | |
| Middleton, Aimee | Corporate officer | Individual | 01/27/2022 | |
| Olson, Nicholas | Corporate officer | Individual | 04/08/2024 | |
| Rogers, Michael | Corporate officer | Individual | 06/13/2022 | |
| Schema, Nathan | Corporate officer | Individual | 01/01/2022 | |
| The Evangelical Lutheran Good Samaritan Society | Operational/managerial control | Organization | 01/01/2019 |
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.
Chosen from this home's own inspection record.
These are the official offices in South Dakota. NursingHomeClear cannot take or act on complaints.