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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G3 | H1 | I· |
| Potential harm | D19 | E11 | F2 |
| 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 | |
|---|---|---|---|---|---|---|
| Apr 16, 2026 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Nov 19, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Sep 17, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Aug 7, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Aug 7, 2025 | Health | Health Complaint, Health Standard | 7 | Actual harm | — | Open → |
| Mar 12, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 26, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Aug 7, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 18, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Mar 18, 2024 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Dec 28, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 8, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Mar 8, 2023 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 16, 2026 | Civil money penalty (fine) | $94,600 | — | 435115|Fine|143591 |
| Nov 19, 2025 | Civil money penalty (fine) | $122,476 | — | 435115|Fine|136874 |
| Sep 17, 2025 | Civil money penalty (fine) | $8,608 | — | 435115|Fine|136878 |
| Aug 7, 2025 | Civil money penalty (fine) | $11,713 | — | 435115|Fine|136884 |
| Nov 26, 2024 | Civil money penalty (fine) | $12,149 | — | 435115|Fine|100259 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G3 | H1 | I· |
| Potential harm | D19 | E11 | F2 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 16, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | H · Actual harm Pattern | Corrected May 6, 2026 | Complaint |
| Apr 16, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 6, 2026 | Complaint |
“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.
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 |
| 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 |
| Yitzchok Yenowitz | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jun 2, 2025 |
| Donald Cheeks | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 31, 2023 |
| Kayla Evans | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | 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 harm |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Dells Nursing and Rehab Center Inc 1400 Thresher Dr, Dell Rapids, SD 57022 CCN 435129 | 21.5 km | 50 | Dec 11, 2025 | 211 harm | $173k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 435115 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 435115 | 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
| Apr 16, 2026 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 6, 2026 | Complaint |
| Nov 19, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Nov 20, 2025 | Complaint |
| Sep 17, 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 | G · Actual harm Isolated | Corrected Sep 18, 2025 | Complaint |
| Aug 7, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 22, 2025 |
| Aug 7, 2025 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 22, 2025 |
| Aug 7, 2025 | 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 | Past non-compliance Apr 25, 2025 | Complaint |
| Aug 7, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Aug 22, 2025 |
| Aug 7, 2025 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 22, 2025 |
| Aug 7, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 22, 2025 |
| Aug 7, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 22, 2025 |
| Mar 12, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 28, 2025 | Complaint |
| Mar 12, 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 | D · Potential harm Isolated | Corrected Mar 28, 2025 | Complaint |
| Nov 26, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Dec 16, 2024 | Complaint |
| Nov 26, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 16, 2024 | Complaint |
| Aug 7, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 13, 2024 | Complaint |
| Mar 18, 2024 | K-0131 | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Waiver granted Aug 15, 2024 |
| Mar 18, 2024 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Waiver granted Aug 15, 2024 |
| Mar 18, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 11, 2024 |
| Mar 18, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 11, 2024 |
| Mar 18, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 11, 2024 |
| Mar 18, 2024 | K-0522 | Have an externally vented heating system. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 11, 2024 |
| Mar 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 Apr 11, 2024 |
| Mar 18, 2024 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 11, 2024 |
| Mar 18, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Apr 11, 2024 |
| Mar 18, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 11, 2024 |
| Mar 18, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 11, 2024 |
| Mar 18, 2024 | 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 | F · Potential harm Widespread | Corrected Apr 11, 2024 |
| Mar 18, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 11, 2024 |
| Mar 18, 2024 | F-0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 11, 2024 |
| Dec 28, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 1, 2024 | Complaint |
| Mar 8, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 28, 2023 |
| Mar 8, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 27, 2023 |
| Mar 8, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 14, 2023 |
| Mar 8, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 14, 2023 |
| Mar 8, 2023 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 14, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.81 (case-mix index 1.28).
| 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 |
| Palisade SNF Operations, 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 |
| Donald Cheeks | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Kayla Evans | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Lourdes Parker | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Joseph Rees | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 31, 2023 |
| Brittney Roby | 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 | May 12, 2025 |
| Couve Healthcare Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 12, 2025 |
| Pacific Northwest Opco Management LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 12, 2025 |
| Palisade SNF Operations, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 29, 2025 |
| Palisade SNF Realty LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 12, 2025 |
| South Dakota SNF Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 12, 2025 |
| Witzcorp Global LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Donald Cheeks | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Kayla Evans | Individual | 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 |
| Lourdes Parker | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Joseph Rees | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 31, 2023 |
| Brittney Roby | 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 |
| $166k |
| Wheatcrest Hills Healthcare Center 1311 Vander Horck St, Britton, SD 57430 CCN 435105 | 60 | Aug 19, 2026 | 173 harm | $38k |
| 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 |
| Prairie View Healthcare Center 401 South First Avenue, Woonsocket, SD 57385 CCN 435118 | 42 | Aug 27, 2026 | 161 harm6 open | $8,512 |