Riverview Healthcare Center has received an F grade based on CMS data, with a score of 7/100 — placing it among the lowest-rated nursing facilities in South Dakota. Families considering this Flandreau facility should carefully review its inspection history and quality metrics.
Staffing at Riverview Healthcare Center is near the national average, with 3.66 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 33 deficiencies at Riverview Healthcare Center, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.66 | 3.8 | Average |
| Registered Nurses (RN) | 0.69 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.39 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.57 | 2.4 | Average |
| Weekend Total Nursing | 3.27 | 3.8 | Below Average |
| Weekend RN Hours | 0.54 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0609 Severity ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Jan 27, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0684 Severity EProvide appropriate treatment and care according to orders, resident’s preferences and goals.Jan 27, 2026 · Quality of Life and Care Deficiencies
- Tag 0610 Severity DRespond appropriately to all alleged violations.Jan 27, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0686 Severity GProvide appropriate pressure ulcer care and prevent new ulcers from developing.Nov 17, 2025 · Quality of Life and Care Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 17, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.9% | 4.5% | Worse |
| Falls with major injury | 4.0% | 3.0% | Worse |
| On antipsychotic medication | 15.3% | 14.5% | Average |
| Urinary tract infections | 1.6% | 2.5% | Better |
| ADL decline (daily activities) | 24.3% | 14.0% | Worse |
| Excessive weight loss | 7.2% | 7.5% | Average |
| New/worsened incontinence | 26.4% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $93,379
How This Grade Was Calculated
This facility's grade of F is based on a score of 7 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -9 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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