Riverview Healthcare Center
Flandreau, South Dakota · CCN 435086
23 surveys since 2011, 26 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 149
- Surveys
- 23
- Harm or worse
- 26
- Immediate jeopardy
- 7
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
- 63
- Ownership
- For profit - Limited Liability company
- Chain
- EVERGREEN HEALTHCARE GROUP
- County
- Moody · rural
- Medicare-certified since
- 1995
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 3
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 18 for-profit facilities with fewer than 66 beds in South Dakota.
Last survey on record
Jun 2, 2026
160 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 | 3.62 | 3.20 |
| Registered-nurse hours per resident day | 0.63 | — |
| Annual nurse turnover | 66.7% | 43.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $177,100 across 6 penalties
- Special focus
- SFF Candidate
- Abuse icon
- Flagged by CMS on Care Compare
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 | J411.1% | K— | L— |
| Actual harm | G1027.8% | H— | I— |
| No harm, potential for more than minimal | D1233.3% | E719.4% | F38.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6104×
Respond appropriately to all alleged violations.
- F6003×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6093×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6573×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F6863×
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
In the surveyor’s words
From the most serious findings on record at Riverview Healthcare Center, in the surveyor’s own words.
- Immediate jeopardy, widespreadF880Nov 22, 2021
A. Based on observation, interview, policy review, and reference source review, the provider failed to implement proper infection control practices for the coronavirus (COVID-19) pandemic with the potential for exposing residents and staff to serious harm including death, by failing to ensure: *Infection control practices were followed to prevent exposure and potential spread of COVID-19. *All staff had been properly fitted for N95 masks to prevent the potential for COVID-19 exposure. *All staff had been medically cleared to wear N95 masks. *The health and safety of all staff and residents. These failures had the potential to expose all residents, staff, and visiting essential personnel to COVID-19, a [CONDITION(S)] infection that could lead to serious harm or death. […]
- Immediate jeopardy, widespreadF886Nov 22, 2021
Based on observation, interview, record review, and reference source review, the provider failed to follow outbreak testing procedures for all staff and residents. Findings include: These failures had the potential to expose all residents, staff, and visiting essential personnel to COVID-19, a [CONDITION(S)] infection that could lead to serious harm or death. NOTICE: On 11/9/21 at 2:40 p.m. an Immediate Jeopardy was identified when the facility failed to ensure: *Residents had been tested based off potential symptoms of COVID-19, regardless of COVID-19 vaccination status. *All staff working in the building had been tested for COVID-19 prior to working with residents. *Staff who were self-testing were testing accurately and the testing process is being monitored. […]
- Immediate jeopardy, isolatedF689Mar 25, 2026
Based on South Dakota Department of Health (SD DOH) facility-reported incident (FRI) review, interview, observation, record review, and policy review, the provider failed to ensure residents were protected from risk of injury or harm by certified nursing assistants (CNAs) who failed to safely use total body lift devices (a mechanical lift and sling used to lift a person's full body) for two of two sampled residents (1 and 3), who needed the assistance of two staff members to transfer between surfaces. Contracted travel CNAs I and H failed to safely transfer resident 1 from her wheelchair to her bed using the total body lift. CNAs K and L failed to use a compatible sling type to transfer resident 3 using the total body lift. […]
- Immediate jeopardy, isolatedF600Jan 8, 2025
Based on South Dakota Department of Health (SD DOH) complaint intake review, interview, document review, and policy review, the provider failed to protect two of seven sampled residents' (7 and 9) right to be free from physical, mental, and verbal abuse by certified nursing assistant (CNA) J. Findings include: 1. IMMEDIATE JEOPARDY NOTICE Notice of immediate jeopardy was given verbally and in writing via email on 1/6/25 at 8:32 p.m. to executive director (ED) A, director of nursing (DON) B, and over the phone to division director of clinical operations (DDCO) C for F600 related to allegations of physical, mental, and verbal abuse that several staff had reported with no actions taken to protect the residents from further potential abuse. […]
- Immediate jeopardy, isolatedF609Jan 8, 2025
Based on South Dakota Department of Health (SD DOH) complaint intake review, interview, document review, and policy review, the provider failed to notify the required entities of allegations of physical, mental, and verbal abuse by certified nursing assistant (CNA) J towards two of seven sampled residents (7 and 9). Findings include: 1. IMMEDIATE JEOPARDY NOTICE Notice of immediate jeopardy at F609 was given verbally and in writing via email on 1/8/25 at 3:57 p.m. to director of nursing (DON) B and division director of clinical operations (DDCO) C relating to failure to report allegations of abuse. A plan for removal of the immediacy was requested. On 1/8/25 at 4:30 p.m., DDCO C emailed a written plan for the removal of the immediate jeopardy. […]
Read 42 findings in full →The most serious and the most recent: 42 of 149 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 28, 2026Standard and complaint15 findings · 2 harm
- Jun 2, 2026Complaint1 finding
- Mar 25, 2026Complaint2 findings · 2 harm
- Jan 28, 2026Complaint3 findings
- Nov 18, 2025Complaint2 findings · 1 harm
- Sep 25, 2025Complaint4 findings · 3 harm
- Feb 27, 2025Standard9 findings · 3 harm
- Jan 8, 2025Complaint5 findings · 3 harm
Show the 15 earlier surveys
- Oct 31, 2024Complaint1 finding · 1 harm
- Feb 15, 2024Standard2 findings
- Sep 6, 2023Complaint3 findings
- Feb 16, 2023Standard4 findings · 1 harm
- Nov 22, 2021Standard34 findings · 7 harm
- Jun 20, 2019Standard9 findings
- Aug 8, 2018Complaint6 findings · 1 harm
- Mar 1, 2018Standard3 findings
- Jan 19, 2017Standard7 findings
- Jan 27, 2016Standard15 findings
- Feb 26, 2015Standard7 findings
- Mar 19, 2014Standard1 finding
- Feb 13, 2013—12 findings · 2 harm
- Jan 5, 2012—3 findings
- Jan 5, 2011—1 finding
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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