Lake Andes Senior Living
Lake Andes, South Dakota · CCN 435097
14 surveys since 2011. The first finding at harm level was recorded in 2016.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 60
- Surveys
- 14
- Harm or worse
- 4
- Immediate jeopardy
- 2
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 43
- Ownership
- For profit - Individual
- Chain
- ACCURA HEALTHCARE
- County
- Charles Mix · rural
- Medicare-certified since
- 1996
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 3
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 18 for-profit facilities with fewer than 66 beds in South Dakota.
Last survey on record
Aug 21, 2025
445 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.15 | 3.20 |
| Registered-nurse hours per resident day | 0.55 | — |
| Annual nurse turnover | 38.2% | 43.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $102,440 across 2 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K29.5% | L— |
| Actual harm | G14.8% | H— | I— |
| No harm, potential for more than minimal | D523.8% | E733.3% | F628.6% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F8802×
Provide and implement an infection prevention and control program.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5781×
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.
In the surveyor’s words
From the most serious findings on record at Lake Andes Senior Living, in the surveyor’s own words.
- Immediate jeopardy, patternF684Sep 5, 2024
Based on interview and record review the provider failed to ensure care and services according to accepted standards of clinical practice regarding blood sugar monitoring, interventions, and notification to the resident's physician for four of seven diabetic residents (3, 20, 22, and 38) that experienced blood sugar levels outside of the normal range. Interventions and timely follow-up to those blood sugars was not consistently identified in their records. Finding include: Notice: Notice of immediate jeopardy was given verbally and in writing on 9/5/24 at 11:55 a.m. […]
- Immediate jeopardy, patternF880Sep 5, 2024
Based on observation, interview, record review, and policy review the provider failed to ensure the management COVID-19 cases with 12 of 12 sampled residents (5, 6, 8, 10, 19, 20, 29, 31, 32, 33, 38, and 89) implement appropriate precautions, and prevent further transmission of the disease, including ensuring staff demonstrated the proper use of personal protective equipment (PPE) (e.g. N95 face masks and gowns), and proper hand hygiene between residents to prevent the spread of COVID-19 infection. […]
- Actual harm, isolatedF689Oct 16, 2024
Based on review of the provider's South Dakota Department of Health (SD DOH) facility reported incident (FRI), interviews, observation, and record review, the provider failed to keep one of one resident (1) safe from elopement. Findings include: 1. Review of the provider's SD DOH FRI revealed: *On 10/1/24 at 7:02 p.m., Resident 1 walked to the front door of the facility, pushed on the door, and exited the facility without supervision. *He was wearing a Wanderguard (a wearable device that alarms when individual is within proximity of an alarmed door and/or crosses the threshold of alarmed door). […]
- No harm, potential for more than minimal, widespreadF584Sep 5, 2024
Based on observation, interview, and record review, the provider failed to ensure a clean and homelike environment was maintained for all 39 residents who resided at the facility. Findings include: 1. Observation on 8/27/24 at 12:10 p.m. revealed: *The heat register outside of resident room [ROOM NUMBER] was rusted and not cleanable. *The storage cove outside room [ROOM NUMBER] contained: -An oxygen concentrator. -An locked out Volaro lift. -A rolling desk chair. -A shelf contained: --Eight individual incontinent undergarments. --An open package of bathroom hygiene wipes. --An open package of incontinent undergarments. --A sheepskin blanket/bed pad. --A sign that indicated enhanced barrier precautions. Observation on 9/3/24 at 9:00 a.m. […]
- No harm, potential for more than minimal, widespreadF727Sep 5, 2024
Based on interview, staff schedule review, and payroll record review, the provider failed to ensure a registered nurse (RN) was scheduled for eight consecutive hours for two of four weekends in May 2023. Findings include: 1. Interview on 9/4/24 at 3:03 p.m. with executive director A regarding the required eight hours of RN coverage on a daily basis revealed he: *Was responsible for filing the payroll-based journal (PBJ) reports. -He began submitting the facility's payroll-based journal information starting with Quarter 3 of 2024. *Had been aware they did not have an RN working in the facility on 5/7/24, 5/27/24, and 5/28/24. *Stated they always had a nurse in the building, but not always an RN on weekends. 2. […]
Read 21 findings in full →The most serious and the most recent: 21 of 60 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 13, 2026Standard2 findings
- Aug 21, 2025Standard3 findings
- Oct 16, 2024Complaint1 finding · 1 harm
- Sep 5, 2024Standard17 findings · 2 harm
- Mar 8, 2022Standard1 finding
- Oct 3, 2019Standard3 findings
- Aug 1, 2018Standard3 findings
- Jun 7, 2017Standard2 findings
Show the 6 earlier surveys
- Mar 9, 2016Standard7 findings · 1 harm
- Apr 29, 2015Standard2 findings
- Mar 26, 2014Standard3 findings
- Jan 24, 2013—11 findings
- Dec 21, 2011—1 finding
- Jan 5, 2011—4 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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