Diamond Care Center
901 N Main Ave · Bridgewater, SD · 57319 · 6057292525
36 certified beds For profit - Corporation Chain: Lifespark
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.61 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.61 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 2.45 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | 2 · $69,512 |
Inspection citations (25 in the current record)
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Potential for harm · D September 11, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected October 26, 2025 · Resident Rights
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Potential for harm · D September 11, 2025
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.
Corrected October 26, 2025 · Resident Rights
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Potential for harm · D September 11, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 11, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 11, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 26, 2025 · Quality of Life and Care
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Potential for harm · F September 11, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 26, 2025 · Nursing and Physician Services
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Potential for harm · F September 11, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected October 26, 2025 · Nursing and Physician Services
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Potential for harm · D September 11, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 26, 2025 · Pharmacy Service
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Potential for harm · E September 11, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected October 26, 2025 · Nutrition and Dietary
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Potential for harm · F September 11, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected October 26, 2025 · Administration
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Potential for harm · D September 11, 2025
Provide and implement an infection prevention and control program.
Corrected October 26, 2025 · Infection Control
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Actual harm · G June 21, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G June 21, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 23, 2024 · Quality of Life and Care
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Potential for harm · D June 21, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected July 23, 2024 · Resident Rights
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Potential for harm · D June 21, 2024
Ensure each resident receives an accurate assessment.
Corrected July 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · E June 21, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · E June 21, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 21, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected July 23, 2024 · Quality of Life and Care
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Potential for harm · D June 21, 2024
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected August 12, 2024 · Quality of Life and Care
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Potential for harm · F June 21, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected July 23, 2024 · Nursing and Physician Services
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Potential for harm · E June 21, 2024
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.
Corrected July 23, 2024 · Pharmacy Service
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Potential for harm · F June 21, 2024
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected July 23, 2024 · Administration
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Potential for harm · F June 21, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected July 23, 2024 · Administration
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Potential for harm · E June 21, 2024
Provide and implement an infection prevention and control program.
Corrected July 23, 2024 · Infection Control
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Potential for harm · E May 18, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected July 2, 2023 · Resident Rights
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 21, 2024 | Fine | $63,814 |
| February 6, 2024 | Fine | $5,698 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435114 · certified since July 1, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.