| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D4 | E10 | F· |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 19, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 4, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Dec 4, 2025 | Health | Health Standard | 4 | Actual harm | — | Open → |
| Jun 18, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 30, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jul 10, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jul 10, 2024 | Health | Health Complaint, Health Standard | 5 | Actual harm | — | Open → |
| Mar 28, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 17, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 19, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jul 19, 2023 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Dec 4, 2025 | Civil money penalty (fine) | $5,541 | — | 435105|Fine|137269 |
| Oct 30, 2024 | Civil money penalty (fine) | $8,338 | — | 435105|Fine|100248 |
| Jul 10, 2024 | Civil money penalty (fine) | $15,643 | — | 435105|Fine|100183 |
| Jul 10, 2024 | Civil money penalty (fine) | $8,031 | — | 435105|Fine|100182 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D4 | E10 | F· |
| Minimal | A· | B· | C· |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.99 (case-mix index 1.08).
CMS legal business name of the certified provider. Operates this facility only.
43 facilities in 6 states. CMS chain ID 846.
Chain average overall rating (CMS): 2.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Pacific Northwest SNF Operations Holdings (Sd) LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Aug 31, 2023 |
| Yisroel Herzka | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Yitzchok Yenowitz | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Pacific Northwest SNF Operations Holdings (Sd) LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Aug 31, 2023 |
| Yisroel Herzka | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Yitzchok Yenowitz | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 31, 2023 |
| Leonor Lowe | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 31, 2023 |
| Couve Financial Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Couve Healthcare Consulting LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Pacific Northwest Opco Management LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| South Dakota SNF Consulting LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Wheatcrest Hills SNF Operations, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Autumn Holland | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Leonor Lowe | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Ada Mundt | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Scott Purintun | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Shimon Spielman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Yitzchok Yenowitz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Shimon Spielman | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 31, 2023 |
| Yitzchok Yenowitz | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 31, 2023 |
| Ch Pacific Northwest Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Couve Financial Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 19, 2025 |
| Couve Healthcare Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 19, 2025 |
| Pacific Northwest Opco Management LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 19, 2025 |
| South Dakota SNF Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 19, 2025 |
| Wheatcrest Hills SNF Operations, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 31, 2025 |
| Witzcorp Global LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Yisroel Herzka | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Autumn Holland | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Leonor Lowe | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Ada Mundt | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Scott Purintun | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Shimon Spielman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Yitzchok Yenowitz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Riverview Healthcare Center 611 East 2nd Ave, Flandreau, SD 57028 CCN 435086SFF CandidateAbuse icon | 63 | Aug 28, 2026 | 644 IJ11 harm15 open | $166k | |
| Firesteel Healthcare Center 1120 East 7th Avenue, Mitchell, SD 57301 CCN 435109SFF Candidate | 125 | Jul 30, 2026 | 499 harm1 open | $153k | |
| Fountain Springs Healthcare 2000 Wesleyan Blvd, Rapid City, SD 57702 CCN 435110 | 90 | Feb 12, 2026 | 191 IJ1 harm | $23k | |
| Palisade Healthcare Center 920 4th St, Garretson, SD 57030 CCN 435115SFF CandidateAbuse icon | 55 | Apr 16, 2026 | 371 IJ4 harm | $250k | |
| Prairie View Healthcare Center 401 South First Avenue, Woonsocket, SD 57385 CCN 435118 | 42 | Aug 27, 2026 | 161 harm6 open | $8,512 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 435105 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 435105 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction