Home / South Dakota / Marion
312 East State St., Marion, SD 57043 · Turner County · (605) 648-3611
64 certified beds, about 58 residents a day · Non profit - Corporation · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 435069 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 28, 2026, inspectors cited 7 health deficiencies (the South Dakota average is 6.7, the national average 9.2).
None of its 12 health citations since August 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.47 hours per resident per day, against 3.79 across South Dakota and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.
50.0% of nursing staff left within the year CMS measured (South Dakota average 48.2%).
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 12 health citations on file.
Inspectors wroteBased on interview, record review, observation, document review, and policy review, the provider failed to ensure that food was kept and served at a safe temperature for one of one Memory Care Unit dining room, and that food was palatable, appetizing, and warm in one of one main dining room.
Inspectors wroteBased on observation, interview, and policy review the provider failed to ensure food items did not spoil in one of one walk-in refrigerators in the main kitchen, and one of one refrigerator on the Memory Care Unit was clean.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure standard infection control prevention practices were followed by one of two observed certified nursing assistants (H) who used soiled gloves to obtain Aquaphor (a skin ointment) from a jar, and did not wear gloves for high-contact care provided to one of one sampled resident (5) who required Enhanced Barrier Precautions (EBP, glove and gown use when providing contact care), and by two of two observed housekeepers (J and K) who did not change their gloves before going from a dirty to a clean task while cleaning three of three observed residents rooms (39, 57, 58, and 66).
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure that one of one sampled resident (66), who was left unsupervised to take her medication by a licensed practical nurse (LPN) (U), was assessed for the ability to safely self-administer medications.
Inspectors wroteBased on record review, interview, and policy review the provider failed to ensure the Office of State Long-Term Ombudsman (an advocate of residents' overall quality of care and rights) was notified when a resident discharged from the facility, for one of two sampled residents (6).
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to complete a side rail assessment for one of seven sampled residents (1).
Inspectors wroteBased on observation, interview, and policy review the provider failed to ensure the daily posted nurse staffing information included the resident census.
Inspectors wroteBased on interview, record review, and policy review, the provider failed to effectively implement and follow their policy related to grievances for three of three sampled residents (18, 19, and 24) with unresolved reported concerns. They failed to ensure: *Residents were informed and information was available on how to file a grievance. *All grievances were documented and included the date received, summary statement of resident's grievance, steps taken to investigate and keep resident informed of progress, summary of pertinent findings or conclusion, any necessary corrective action, and date the grievance was resolved. *Documentation of grievances and their resolution was maintained. *Resident council notification of group-reported grievance progress and resolution.
Inspectors wroteA. Based on observation, interview, and policy review the provider failed to ensure proper infection control practices for the cleaning of shared safety slings for two of two sampled residents (4 and 19) who required the use of a sit-to-stand lift (mechanical lift used to assist to a standing position for transfers).
Inspectors wroteBased on observation, record review, interview, and policy review, the provider failed to: *Adequately assess, reassess, and monitor for resident changes in cognition and safety awareness for self and others for one of eight sampled resident (19) who used a power wheelchair for mobility. *Obtain a physician's order for use with cognitive ability acknowledged for that resident.
Inspectors wroteBased on observation, interview, record review, and policy review the provider failed to ensure the oxygen concentrator filter was clean and the nasal cannula tubing was changed weekly, for one of three sampled residents (4) who received oxygen from four oxygen concentrators that were separately located throughout the facility.
Inspectors wroteBased on record review, interview, and policy review the provider failed to ensure two of two resident-to-resident altercations had been reported to the South Dakota Department of Health (SD DOH) in the designated time frame for one of one sampled resident (6).
3 fire safety citations on file: 1 on May 28, 2026, 1 on December 19, 2024, 1 on August 23, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.47 | 3.79 | 3.86 |
| Registered nurses | 0.76 | 0.80 | 0.69 |
| All nursing staff on weekends | 3.01 | 3.26 | 3.42 |
| Nurse aides | 2.39 | ||
| Licensed practical nurses | 0.32 | ||
| Nursing staff turnover (share who left in a year) | 50.0% | 48.2% | 45.8% |
| Registered nurse turnover | 33.3% | 34.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.91 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 3.66 on weekdays and 3.01 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.58 in April to June 2025 to 3.47 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 | 3.47 | 0.76 | 3.66 | 3.01 | 10.2% | 0 of 90 | 58 |
| Oct to Dec 2025 | 3.36 | 0.71 | 3.51 | 2.96 | 8.9% | 0 of 92 | 59 |
| Jul to Sep 2025 | 3.47 | 0.77 | 3.65 | 3.02 | 12.8% | 0 of 92 | 58 |
| Apr to Jun 2025 | 3.58 | 0.72 | 3.75 | 3.16 | 16.0% | 0 of 91 | 55 |
| 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 | 15.4 | 21.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.9 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.0 | 5.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.7 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.7 | 19.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.3 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.9 | 24.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Tieszen Memorial Home'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. 21 eligible stays.
9.5% this home
No different from the national rate
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. 25 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. 14 eligible stays.
57.1% 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. 21 residents counted.
4.0% 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. 25 residents counted.
18.5% 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. 25 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. 7 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: TIESZEN MEMORIAL HOME INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Berens, Ravila | Corporate director | Individual | 10/27/2009 | |
| Gall, Deanna | Corporate director | Individual | 02/01/2021 | |
| Johnson, Paul | Corporate director | Individual | 11/01/2009 | |
| Jones, James | Corporate director | Individual | 10/27/2009 | |
| Luke, Richard | Corporate director | Individual | 10/27/2009 | |
| Patten, Erin | Corporate director | Individual | 06/18/2025 | |
| Tieszen, Eric | Corporate director | Individual | 02/17/2020 | |
| Berens, Ravila | Corporate officer | Individual | 01/20/2020 | |
| Johnson, Paul | Corporate officer | Individual | 01/20/2020 | |
| Luke, Richard | Corporate officer | Individual | 01/20/2020 | |
| Avel Ecare Medical Group, PC | Operational/managerial control | Organization | 11/15/2021 | |
| Rees, Joseph | Operational/managerial control | Individual | 11/15/2021 | |
| Wilson, Laura | Operational/managerial control | Individual | 10/27/2009 | |
| Avel Ecare Medical Group, PC | Adp of the SNF | Organization | 04/01/2026 | |
| Rees, Joseph | Adp of the SNF | Individual | 11/15/2021 | |
| Wilson, Laura | Adp of the SNF | Individual | 05/29/2020 |
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.