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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeSouth DakotaPalisade Healthcare Center

Palisade Healthcare Center

920 4th St, Garretson, SD 570306055943466
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
3/5
Quality
3/5
Beds
55
certified
1 fine(s) totaling $12,149

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 55 certified beds with an average of 46.9 residents per day (85% occupancy)

• Last health inspection found 11 deficiencies (inspected Aug 7, 2025)

• Has been fined a total of $12,149 across 1 fine(s)

• Total nursing staff: 3.46 hours per resident per day

• Staff turnover rate: 59.3% (high)

• Part of the Empres Operated by Evergreen chain (42 facilities)

Palisade Healthcare Center is a 1-star Medicare and Medicaid certified nursing home in Garretson, South Dakota with 55 certified beds. It has been operating since 1998. The facility scored below average compared to South Dakota facilities.

Beds
55
Avg Residents/Day
46.9
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Oct 1, 1998
Sprinklers
Yes
Council
Resident
County
Minnehaha
Last Inspection
Aug 7, 2025
Deficiencies (Cycle 1)
11
Weighted Score
147.3
Infection Citations
0

Deficiency Citations (26)

F0684Immediate Jeopardy

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Nov 19, 2025Corrected: NoCycle: 1
F0689Actual Harm

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

Survey: Sep 17, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Mar 12, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Mar 12, 2025Corrected: NoCycle: 1
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 7, 2025Corrected: NoCycle: 1
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Nov 26, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Nov 26, 2024Corrected: NoCycle: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Aug 7, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Mar 18, 2024Corrected: NoCycle: 2
F0578Potential for Harm

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.

Survey: Mar 18, 2024Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Mar 18, 2024Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Mar 18, 2024Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Mar 18, 2024Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Mar 18, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 18, 2024Corrected: NoCycle: 2
F0909Potential for Harm

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.

Survey: Mar 18, 2024Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Dec 28, 2023Corrected: NoCycle: 3
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Mar 8, 2023Corrected: NoCycle: 3
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Mar 8, 2023Corrected: NoCycle: 3
F0678Potential for Harm

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Survey: Mar 8, 2023Corrected: NoCycle: 3
Total Fines
$12,149
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineNov 26, 2024
$12,149

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.21 hrs
National avg: 2.35 hrs
LPN0.81 hrs
National avg: 0.86 hrs
RN0.44 hrs
National avg: 0.68 hrs
Total Nursing3.46 hrs
National avg: 3.89 hrs
Weekend Total2.98 hrs
National avg: 0.00 hrs
Physical Therapist0.12 hrs
National avg: 0.07 hrs
Total Turnover
59.3%
RN Turnover
16.7%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (21)

NameRoleTypeOwnership %Since
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Aug 31, 2023
CH PACIFIC NORTHWEST HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AAug 31, 2023
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AAug 31, 2023
WITZCORP GLOBAL LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/AAug 31, 2023
HERZKA, YISROEL5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AAug 31, 2023
YENOWITZ, YITZCHOK5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AAug 31, 2023
COUVE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 31, 2023
COUVE HEALTHCARE CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 31, 2023
PACIFIC NORTHWEST OPCO MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 31, 2023
PALISADE SNF OPERATIONS, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 31, 2023
SOUTH DAKOTA SNF CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AAug 31, 2023
CHEEKS, DONALDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 31, 2023
EVANS, KAYLAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 31, 2023
PARKER, LOURDESOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 31, 2023
PERLMAN, HAROLDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 3, 2025
REES, JOSEPHOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 31, 2023
ROBY, BRITTNEYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 31, 2023
SPIELMAN, SHIMONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 31, 2023
YENOWITZ, YITZCHOKOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 31, 2023
SPIELMAN, SHIMONCORPORATE OFFICERIndividualN/AAug 31, 2023
YENOWITZ, YITZCHOKCORPORATE OFFICERIndividualN/AAug 31, 2023

Frequently Asked Questions

What is the CMS rating for Palisade Healthcare Center?▾
Palisade Healthcare Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 3/5, and quality measures rating of 3/5. This facility is rated below average.
Has Palisade Healthcare Center had any health inspection violations?▾
Palisade Healthcare Center had 11 deficiency citations in its most recent health inspection (Aug 7, 2025). The facility has been fined a total of $12,149 across 1 fine(s).
What are the staffing levels at Palisade Healthcare Center?▾
Palisade Healthcare Center provides 3.46 total nursing staff hours per resident per day, including 0.44 RN hours, 0.81 LPN hours, and 2.21 nurse aide hours. The total staff turnover rate is 59.3%.
How many beds does Palisade Healthcare Center have?▾
Palisade Healthcare Center has 55 certified beds with an average of 46.9 residents per day, resulting in approximately 85% occupancy. The facility is For profit - Corporation owned and is part of the Empres Operated by Evergreen chain.

Part of Empres Operated by Evergreen

This chain operates 42 facilities. View all →