Deficiency Index

Tekakwitha Living Center

Sisseton, South Dakota · CCN 435038

19 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
101
Surveys
19
Harm or worse
5
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse5

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file13/19

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
40
Ownership
Non profit - Corporation
Chain
Independent
County
Roberts · rural
Medicare-certified since
1988

CMS ratings

Overall
2
Health inspection
2
Staffing
2
Quality measures
3

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 48 not-for-profit facilities with fewer than 66 beds in South Dakota.

Last survey on record

Jul 29, 2026

103 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day2.673.73
Registered-nurse hours per resident day0.63—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$37,079 across 3 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG26.5%H—I—
No harm, potential for more than minimalD1135.5%E1135.5%F722.6%
No harm, potential for minimalA—B—C—
CMS’s current file: 31 of the 101 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8125×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F7612×

    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.

  • F8032×

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

  • F8802×

    Provide and implement an infection prevention and control program.

In the surveyor’s words

From the most serious findings on record at Tekakwitha Living Center, in the surveyor’s own words.

  • Actual harm, isolatedF686Jul 18, 2024

    Based on observation, interview, record review, and policy review, the provider failed to prevent one of one sampled resident (23) from developing facility-acquired pressure ulcers. Findings include: 1. Interview on 7/17/24 at 8:00 a.m. with director of nursing (DON) B revealed resident 23 had on heel protectors but wasn't sure the thread in them had not caused his pressure ulcer. Observation on 7/17/24 at 10:15 a.m. of resident 23 revealed resident 23 was in bed lying on his back when licensed practical nurse (LPN) G went in to provide wound care. Interview on 7/17/24 at 10:41 a.m. […]

  • Actual harm, isolatedF689Jul 18, 2024

    Based on interview, observation, record review, and policy review, the provider failed to implement effective precautions and interventions to ensure the safety for one of one sampled resident (10) that contributed to multiple accidents involving woodworking equipment resulting in bodily injury. Specifically, the provider failed to either complete follow-up assessments, incident analysis, or review/revise/monitor interventions. Findings include: 1. Interview on 7/16/24 at 4:25 p.m. with resident 10 revealed he enjoyed woodworking and had a workshop in the facility's basement. Interview on 7/17/24 at 9:41 a.m. […]

  • No harm, potential for more than minimal, widespreadF812Jan 22, 2026

    Based on interview, observation, document review, and policy review, the provider failed to ensure the staff followed proper sanitation and food handling practices regarding:*Handwashing and glove use standards were followed by dietary aide/cook I, dietary aide J, cook O, restorative supervisor N, and certified nursing assistant (CNA) H during one of one evening meal service and one of one lunch time service.*The steam tables in the north kitchenette were clean.*Dishwasher temperatures and sanitization levels were monitored and documented after each meal. Findings include:1. Interview on 1/20/26 at 2:40 p.m. […]

  • No harm, potential for more than minimal, widespreadF851Jan 22, 2026

    Based on Certification and Survey Provider Enhanced Reports (CASPER) data review, staff schedule review, timecard review, and interview, the provider failed to ensure Payroll Based Journal (PBJ) (information of the provider's daily staffing hours for the care of the residents) data was accurately completed before submission to the Center for Medicare and Medicaid Services (CMS) for four of four federal fiscal quarters (Quarter 1, 2025; Quarter 2, 2025; Quarter 3, 2025; and Quarter 4, 2025). Findings include:1. […]

  • No harm, potential for more than minimal, widespreadF882Jul 18, 2024

    Based on interview and record review, the provider failed to have a qualified infection preventionist for the facility. Findings include. 1. Interview on 7/15/24 at 6:05 p.m. with administrator A revealed: *Director of nursing (DON) B was the infection preventionist (IP). *DON B had not been trained as an IP but had been completing some of the tasks. *The provider had not had an IP for at least two years. Interview on 7/18/24 at 3:30 p.m. with DON B revealed she: *Had been acting as the facility's IP the last two years. *She had not signed off as an IP because she had no training or certification as an IP. *They had tried to get one of their registered nurses to take the program but it had not worked out for them. […]

Read 23 findings in full →The most serious and the most recent: 23 of 101 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 29, 2026Complaint3 findings
  • Jan 22, 2026Standard10 findings
  • Jun 18, 2025Complaint3 findings
  • Jul 18, 2024Standard8 findings · 2 harm
  • Jan 10, 2024Complaint2 findings
  • Jun 1, 2023Standard5 findings
  • Jan 27, 2022Standard4 findings
  • Feb 4, 2021Infection control1 finding
Show the 11 earlier surveys
  • Nov 12, 2020Infection control1 finding
  • Dec 11, 2019Standard8 findings · 2 harm
  • Oct 31, 2018Standard6 findings
  • Jan 31, 2018Complaint2 findings
  • Nov 28, 2017Complaint3 findings
  • Aug 24, 2017Standard5 findings
  • Jul 20, 2016Standard9 findings · 1 harm
  • Jul 15, 2015Standard9 findings
  • Apr 30, 2014Standard7 findings
  • Apr 17, 2013—12 findings
  • Apr 6, 2011—3 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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