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Tekakwitha Living Center

6 E Chestnut, Sisseton, SD 57262 · Roberts County · (605) 698-7693

40 certified beds, about 41 residents a day · Non profit - Corporation · Medicare and Medicaid since 1988

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 435038 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 22, 2026, inspectors cited 10 health deficiencies (the South Dakota average is 6.7, the national average 9.2).

Of 31 health citations since June 2023, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 3 fines totaling $37,079 in the last three years; the largest was $30,729, and the latest is dated July 18, 2024.

Nurses and nurse aides worked 2.67 hours per resident per day, against 3.79 across South Dakota and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.

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.

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 31 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
11D
11E
7F
Potential for minimal harm
0A
0B
0C
July 29, 2026Complaint inspection · 3 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · deficient, provider has September 12, 2026
    Inspectors wroteBased on observation, interview, documentation review, and policy review, the provider failed to ensure the staff followed standard food safety practices by one of one dietary manager (DM) D who did not sanitize the food thermometer probe before placing it in food items during food temperature checks of food served to the residents and did not perform hand hygiene (washing hands with soap and water or using alcohol-based hand sanitizer) before putting on, or after removing her gloves and regarding food items that were not safely stored in the walk-in refrigerator and freezer in one of one main kitchen.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · deficient, provider has September 12, 2026
    Inspectors wroteBased on South Dakota Department of Health (SD DOH) complaint report review, observation, interview, record review, and policy review, the provider failed to report an allegation of potential staff-to-resident abuse within the required time frame to the SD DOH when the staff reported to one of one administrator (A) that one of one dietary manager (DM) D kissed one of one sampled resident (1) multiple times.
  3. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · deficient, provider has September 12, 2026
    Inspectors wroteBased on South Dakota Department of Health (SD DOH) complaint report review, observation, interview, record review, and policy review, the provider failed to investigate a staff-reported allegation of potential resident abuse when the staff reported to one of one administrator (A) that one of one dietary manager (DM) (D) kissed one of one resident (1) multiple times to determine if abuse occurred and to mitigate the risk of future abuse to the residents who resided at the facility.
January 22, 2026Standard inspection · 10 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 8, 2026
    Inspectors wroteBased on interview, observation, document review, and policy review, the provider failed to ensure the staff followed proper sanitation and food handling practices regarding:*Handwashing and glove use standards were followed by dietary aide/cook I, dietary aide J, cook O, restorative supervisor N, and certified nursing assistant (CNA) H during one of one evening meal service and one of one lunch time service.*The steam tables in the north kitchenette were clean.*Dishwasher temperatures and sanitization levels were monitored and documented after each meal.
  2. F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 8, 2026
    Inspectors wroteBased on Certification and Survey Provider Enhanced Reports (CASPER) data review, staff schedule review, timecard review, and interview, the provider failed to ensure Payroll Based Journal (PBJ) (information of the provider's daily staffing hours for the care of the residents) data was accurately completed before submission to the Center for Medicare and Medicaid Services (CMS) for four of four federal fiscal quarters (Quarter 1, 2025; Quarter 2, 2025; Quarter 3, 2025; and Quarter 4, 2025).
  3. E
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    F576 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 8, 2026
    Inspectors wroteBased on interview and policy review, the provider failed to deliver mail daily to ten of ten residents (10, 14, 15, 18, 24, 30, 31, 35, 37, and 38) within twenty-four hours after it was delivered to the nursing home by the local post office.
  4. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 8, 2026
    Inspectors wroteBased on observations, interviews, and policy review, the facility failed to ensure proper storage and disposal of expired medications in one of one medication room and one of one medication cart that had expired medications and treatments.*One of one medication room and One of One medication cart (north) had expired medications and treatments. Findings Include:1. Observations on 1/22/26 at 11:00 a.m. with Licensed Practical Nurse (LPN) G in the Medication Room revealed expired medications and treatments.* Tuberculin Purified Protein Derivative (PPD) solution vial was ordered from the pharmacy on 10/27/25. The vial cap was removed and open with no open date. With no open date marked on box or vial, the opened vial should be discarded.2. Observation on 1/22/26 at 11:25 a.m. [...]
  5. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 8, 2026
    Inspectors wroteBased on observation, interview, and policy review, the provider failed to ensure proper infection control practices were followed for:*Cleaning one of one ice maker located outside of the kitchen.*Cleaning the refrigerator in one of one family room.
  6. E
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    F882 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 8, 2026
    Inspectors wroteBased on interview and record review, the provider failed to have a qualified infection preventionist for the facility.
  7. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2026
    Inspectors wroteBased on observation, interview, document review, record review, and policy review, the provider failed to protect the resident's rights and ensure a resident's advance directive code status (an individual's desire to be resuscitated with cardiopulmonary resuscitation (CPR), specific limited interventions, or not resuscitated (DNR) if their heart stopped) wishes were identified accurately in the medical record for two of seventeen sampled residents (3 and 16).
  8. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2026
    Inspectors wroteBased on interview, document review, and record review, the provider failed to provide adequate supervision to a dental appointment for one of one sampled resident (4) who had severe cognitive impairment and was at high risk for falling.
  9. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2026
    Inspectors wroteBased on observations, interviews, and policy review, the facility failed to complete a Trauma Informed Care assessment for one of one sampled resident (5) after they have experienced a loss of a loved one. Findings Include: 1. Interview on [DATE] at 3:55 p.m. with resident 5 noted that after each question asked during the interview, she would have discussed her husband passing away. The following statements were said:* I should have died before him* This is his shirt that he used to wear* I have to keep busy to not think about him.2. Observation on [DATE] at 11:10 a.m. of resident 5's wound care revealed she continued to reiterate sentiments for her husband passing away and how sad she was he was not here with her.3. Interview and chart review for resident 5 on [DATE] at 11:25 a.m. [...]
  10. D
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2026
    Inspectors wroteBased on interview, the provider failed to employ a full-time, qualified registered dietitian or dietary manager who met the requirements to serve as the director of food and nutritional services.
June 18, 2025Complaint inspection · 3 citations
  1. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 2, 2025
    Inspectors wroteA. Based on South Dakota Department of Health (SD DOH) complaint report review, observation, interview, record review and policy review, the provider failed to promote the residents' right to self-determination for four of four sampled residents (1, 2, 3, and 4) who ate in the east dining room and expressed they were unaware of what foods were planned to be served or what food choices were available until the meal service had started.
  2. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 2, 2025
    Inspectors wroteBased on South Dakota Department of Health (SD DOH) complaint report review, observation, interview, and policy review, the provider failed to maintain a homelike environment that was clean and free of wall and floor damage, chipped paint, and ceiling leaks in several identified areas throughout the facility.
  3. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 2, 2025
    Inspectors wroteBased on South Dakota Department of Health (SD DOH) complaint report review, observation, interview, and policy review, the provider failed to follow food safety standards for appropriate storage and labeling of food (where and how many items), monitoring of the low-temperature dishwasher in one of one kitchen, and the one of one leaking dishwasher in the kitchen area.
July 18, 2024Standard inspection · 8 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) August 14, 2024
    Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to prevent one of one sampled resident (23) from developing facility-acquired pressure ulcers.
  2. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) August 14, 2024
    Inspectors wroteBased on interview, observation, record review, and policy review, the provider failed to implement effective precautions and interventions to ensure the safety for one of one sampled resident (10) that contributed to multiple accidents involving woodworking equipment resulting in bodily injury. Specifically, the provider failed to either complete follow-up assessments, incident analysis, or review/revise/monitor interventions.
  3. F
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    F882 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 14, 2024
    Inspectors wroteBased on interview and record review, the provider failed to have a qualified infection preventionist for the facility.
  4. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 14, 2024
    Inspectors wroteBased on observation, interview, and policy review, the provider failed to ensure expired medications were removed from one of one medication room, one of two medication carts, and one of two treatment carts.
  5. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 14, 2024
    Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure: *Necessary food safety guidelines were followed for appropriate storage and labeling of food items in one of one main kitchen. *Proper temperature documentation was completed for three of three refrigerators and three of three freezers in the main kitchen.
  6. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 14, 2024
    Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure appropriate infection control measures were followed by two of two nurses licensed practical nurse (LPN) G and registered nurse (RN) F for pressure ulcer dressing changes.
  7. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 14, 2024
    Inspectors wroteBased on record review, interview, and policy review the provider failed to provide bed-hold notices to the resident and/or their representative regarding a transfer to the hospital for one of two sampled residents (33).
  8. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 14, 2024
    Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure resident care plans were revised to reflect the current needs of two of fifteen sampled residents as follows: *One of one sampled resident (23) who had a pressure ulcer. *One of one sampled resident (10) who had leisure interests including woodworking and driving a golf cart.
January 10, 2024Complaint inspection · 2 citations
  1. F
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) February 24, 2024
    Inspectors wroteBased on menu review, interview, and policy review, the provider failed to ensure therapeutic diet extensions were developed and approved by one of one registered dietitian (RD) D for the second meal options served to residents on a therapeutic diet.
  2. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 24, 2024
    Inspectors wroteBased on South Dakota Department of Health (SD DOH) Complaint report review, observation, interview, medical record review, and policy review, the provider failed to ensure one of one sampled resident (6) who had been dressed in a Onesie (one-piece close-fitting garment with an opening in the back) restraint to prevent him from removing his clothing had the following: *Approval of the use of a the Onesie restraint from resident 6's guardian. *An assessment to ensure the Onesie restraint was not used for staff convenience. *A physician's order for the use of the restraint. *Used the least restrictive restraint for the least amount of time. *Documented the restraint in the care plan. *A routine re-evaluation to ensure the Onesie was appropriate and necessary.
June 1, 2023Standard inspection · 5 citations
  1. F
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    F802 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 16, 2023
    Inspectors wroteBased on observation and interview, the provider failed to ensure: *The kitchen had been maintained in a clean and sanitary manner. *Two of two dietary staff (dietary manager (DM) C and dietary aide (DA) D had the appropriate training and knowledge on the correct testing of the sanitizer solution concentration in the mechanical dishwasher. *One of one DM (C) how to read and follow the menu to provide the physician ordered therapeutic diets to the residents.
  2. F
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 16, 2023
    Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to provide physician ordered therapeutic diets for seven of seven sampled residents (2, 14, 18, 20, 27, 28, and 37) on a diabetic diet and two of two sampled residents (5 and 241) on a renal diet. One of seven residents (28) on a diabetic diet had increased blood sugar levels and insulin requirements since admission.
  3. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 16, 2023
    Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure the following: *Three of three hand washing sinks had been maintained as dedicated handwashing sinks. *All of the three tier serving/transport carts were free from dried food and liquid build-up. *One of one oscillating pedestal fan placed through an empty spot meant for a garbage disposal to the right of the three compartment sink. *Food items were properly labeled and expired foods were discarded in: -Two of two commercial refrigerators in the kitchen. -Two of two food service kitchenette freezer/refrigerator units used for both the provider and resident food items. *One of one walk-in refrigerator and one of one walk-in freezer had been maintained in a sanitary manner. [...]
  4. E
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 16, 2023
    Inspectors wroteBased on observation, interview, and record review, the provider failed to ensure non-pharmacological interventions had been attempted prior to the initiation of a psychoactive medication (a type of medication that affects the mind, emotions, and behavior). That failure affected two of six sampled residents (4 and 8) who were reviewed for psychoactive medication use.
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 16, 2023
    Inspectors wroteBased on observation, record review, interview, and policy review, the provider failed to ensure: *One of nine residents (28) had received a physician ordered therapeutic diet. *The failure to provide the diabetic diet resulted in an increase of her blood glucose levels and diabetic medications requirements.

Fire safety inspections

13 fire safety citations on file: 5 on January 22, 2026, 4 on July 18, 2024, 4 on June 1, 2023.

Every fire safety citation13 citations
  1. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · January 22, 2026 · Corrected (the home has a date of correction)
  2. D
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · January 22, 2026 · Corrected (the home has a date of correction)
  3. D
    Have simulated fire drills held at unexpected times.
    K 712 · January 22, 2026 · Corrected (the home has a date of correction)
  4. C
    Install resident room doors of proper design and width.
    K 233 · January 22, 2026 · no revisit needed
  5. C
    Conform to length requirements for dead end corridors.
    K 251 · January 22, 2026 · no revisit needed
  6. E
    Have simulated fire drills held at unexpected times.
    K 712 · July 18, 2024 · Corrected (the home has a date of correction)
  7. D
    Install corridor and hallway doors that block smoke.
    K 363 · July 18, 2024 · Corrected (the home has a date of correction)
  8. C
    Install resident room doors of proper design and width.
    K 233 · July 18, 2024 · fire safety evaluation s
  9. C
    Conform to length requirements for dead end corridors.
    K 251 · July 18, 2024 · Corrected (the home has a date of correction)
  10. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 1, 2023 · Corrected (the home has a date of correction)
  11. D
    Have proper medical gas storage and administration areas.
    K 923 · June 1, 2023 · Corrected (the home has a date of correction)
  12. C
    Install resident room doors of proper design and width.
    K 233 · June 1, 2023 · fire safety evaluation s
  13. C
    Conform to length requirements for dead end corridors.
    K 251 · June 1, 2023 · fire safety evaluation s

Fines and payment denials

DatePenaltyAmount or length
July 18, 2024Fine $30,729
November 13, 2023Fine $2,117
October 23, 2023Fine $4,233

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.

MeasureThis homeSouth DakotaUnited States
All nursing staff (RN, LPN and aides)2.673.793.86
Registered nurses0.630.800.69
All nursing staff on weekends2.213.263.42
Nurse aides1.55
Licensed practical nurses0.48
Nursing staff turnover (share who left in a year)not reported48.2%45.8%
Registered nurse turnovernot reported34.7%42.9%
Administrators who leftnot reported

CMS expects 2.92 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 2.85 on weekdays and 2.21 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 43.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.78 in October to December 2025 to 2.67 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.670.632.852.21 43.2%0 of 9041
Oct to Dec 20252.780.692.972.29 37.0%0 of 9238
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
South Dakota, Jan to Mar 20263.760.793.973.259.1%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.

MeasureThis homeSouth DakotaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
18.921.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
7.22.10.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
5.42.91.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.15.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
12.82.01.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
22.519.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.94.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
20.224.615.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.11.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.81.8

Owners and operators

Legal business name: TEKAKWITHA NURSING CENTER INC.

NameRoleTypeShareSince
Coteau Des Prairies Hospital5% or greater direct ownership interestOrganization100%01/01/2016
Cameron, ErinCorporate directorIndividual01/01/2016
Gleason, DavidCorporate directorIndividual01/01/2016
Glynn, MatthewCorporate directorIndividual01/01/2016
Hippen, YvonneCorporate directorIndividual01/01/2016
Jaspers, TerryCorporate directorIndividual01/01/2016
Johnston, FayeCorporate directorIndividual01/01/2016
McCleerey, StevenCorporate directorIndividual01/01/2016
Opsal, GeraldineCorporate directorIndividual01/01/2016
Stroschein, ChadCorporate officerIndividual05/16/2018
Coteau Des Prairies HospitalOperational/managerial controlOrganization01/01/2016
Hendrickson, LeslieOperational/managerial controlIndividual01/01/2016
Stroschein, ChadOperational/managerial controlIndividual05/16/2018
Weaver, GregoryOperational/managerial controlIndividual01/01/2016

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.

  1. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 9 problems in this area, most recently on July 29, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on January 22, 2026: "Ensure residents have reasonable access to and privacy in their use of communication methods."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on January 22, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on January 22, 2026: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.21 hours per resident per day, below the South Dakota average of 3.26.

Other nursing homes nearby

South Dakota contacts for a concern about a nursing home

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Common questions

What is Tekakwitha Living Center's Medicare star rating?
CMS rates Tekakwitha Living Center 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Tekakwitha Living Center get at its last inspection?
10 health deficiencies at the standard inspection on January 22, 2026. The South Dakota average is 6.7.
Has Tekakwitha Living Center been fined?
Yes. CMS lists 3 fines totaling $37,079 in the last three years.
Does Tekakwitha Living Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Tekakwitha Living Center?
CMS lists 14 owners and managers. Legal business name: TEKAKWITHA NURSING CENTER INC.

Sources

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