Palisade Healthcare Center has received an F grade based on CMS data, with a score of 9/100 — placing it among the lowest-rated nursing facilities in South Dakota. Families considering this Garretson facility should carefully review its inspection history and quality metrics.
Staffing at Palisade Healthcare Center is near the national average, with 3.46 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 26 deficiencies at Palisade Healthcare Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate treatment and care according to orders, resident’s preferences and goals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.46 | 3.8 | Average |
| Registered Nurses (RN) | 0.44 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.81 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.21 | 2.4 | Average |
| Weekend Total Nursing | 2.98 | 3.8 | Below Average |
| Weekend RN Hours | 0.23 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0684 Severity JProvide appropriate treatment and care according to orders, resident’s preferences and goals.Nov 18, 2025 · Quality of Life and Care Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Sep 16, 2025 · Quality of Life and Care Deficiencies
- Tag 0686 Severity GProvide appropriate pressure ulcer care and prevent new ulcers from developing.Aug 6, 2025 · Quality of Life and Care Deficiencies
- Tag 0725 Severity EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Aug 6, 2025 · Nursing and Physician Services Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiAug 6, 2025 · Pharmacy Service 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 | 4.1% | 4.5% | Average |
| Falls with major injury | 5.6% | 3.0% | Worse |
| On antipsychotic medication | 15.4% | 14.5% | Average |
| Urinary tract infections | 2.3% | 2.5% | Average |
| ADL decline (daily activities) | 3.6% | 14.0% | Better |
| Excessive weight loss | 2.2% | 7.5% | Better |
| New/worsened incontinence | 25.0% | 45.0% | Better |
⚠️ Penalties & Fines
4 penalties recorded by CMS
Total fines: $235,809
How This Grade Was Calculated
This facility's grade of F is based on a score of 9 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: 3★ → 9 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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