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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D7 | E4 | F1 |
| 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 20, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Aug 20, 2026 | Health | Health Complaint, Health Standard | 3 | Potential harm | 3 | Open → |
| Jun 26, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jun 26, 2025 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Jan 18, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jan 18, 2024 | Health | Health Complaint, Health Standard | 3 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jan 18, 2024 | Civil money penalty (fine) | $10,839 | — | 435112|Fine|100172 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D7 | E4 | F1 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 20, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Plan of correction, not yet verified Sep 30, 2026 | Complaint |
| Aug 20, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern |
“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.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Freeman Regional Health Services | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 1, 1971 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Freeman Regional Health Services | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 1, 1971 |
| Freeman Regional Health Services | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 1971 |
| Shakil Hafiz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Courtney Unruh | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 14, 2015 |
| Jason Aanenson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Tieszen Memorial Home 312 East State St, Marion, SD 57043 CCN 435069 | 16.7 km | 64 | May 28, 2026 | 152 open | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 435112 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 435112 | 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
| Plan of correction, not yet verified Sep 30, 2026 |
| Complaint |
| Aug 20, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Plan of correction, not yet verified Sep 30, 2026 |
| Jun 26, 2025 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 13, 2025 |
| Jun 26, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 13, 2025 |
| Jun 26, 2025 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 13, 2025 |
| Jun 26, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 13, 2025 | Complaint |
| Jun 26, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Aug 13, 2025 |
| Jun 26, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Aug 13, 2025 |
| Jun 26, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 13, 2025 |
| Jan 18, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 15, 2024 | Complaint |
| Jan 18, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 15, 2024 |
| Jan 18, 2024 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 15, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.85 (case-mix index 1.11).
| Feb 1, 2004 |
| Cameron Becker | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2014 |
| Steve Fuhrman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 1, 2008 |
| James Julson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 1, 2005 |
| Cynthia Mutchelknaus | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2014 |
| Steve Schmeichel | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 1, 2023 |
| Lori Uecker | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 1, 2007 |
| Shane Vetch | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 1, 2023 |
| Phillip Husher | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 30, 2017 |
| Courtney Unruh | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 14, 2015 |
| Freeman Regional Health Services | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 1971 |
| Shakil Hafiz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Courtney Unruh | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 14, 2015 |