Flandreau Santee Sioux Tribe Care Center
909 Jones Dr · Flandreau, SD · 57028 · 6055732100
42 certified beds Non profit - Other
Why this verdict
- Federal penalties on record: $27,967 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
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
67% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 7.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 2.21 | 0.55–0.75 |
| Weekend hours / resident-day | 6.61 | ≈ weekday level |
| Nursing turnover / year | 67% | median 45% |
| Fines (3-yr window) | 3 · $27,967 |
Inspection citations (10 in the current record)
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Actual harm · G September 30, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 25, 2025 · Quality of Life and Care
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Potential for harm · D August 7, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 9, 2025 · Quality of Life and Care
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Potential for harm · D August 7, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 12, 2025 · Pharmacy Service
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Potential for harm · E August 7, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 12, 2025 · Nutrition and Dietary
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Actual harm · G December 31, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 29, 2025 · Quality of Life and Care
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Actual harm · G October 22, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 18, 2024 · Quality of Life and Care
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Potential for harm · E August 6, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected April 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 4, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 28, 2024 · Nutrition and Dietary
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Potential for harm · D April 5, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 5, 2023 · Resident Assessment and Care Planning
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 30, 2025 | Fine | $9,110 |
| December 31, 2024 | Fine | $10,839 |
| October 22, 2024 | Fine | $8,018 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 43A139 · certified since May 5, 2023. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.