Lake Andes Senior Living
740 East Lake St · Lake Andes, SD · 57356 · 6054877674
43 certified beds For profit - Individual Chain: Accura Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $102,440 in fines in the last 24 months.
- 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
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$102,440 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
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: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.07 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 2.96 | ≈ weekday level |
| Nursing turnover / year | 33% | median 45% |
| Fines (3-yr window) | 2 · $102,440 |
Inspection citations (21 in the current record)
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Potential for harm · D August 21, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 12, 2025 · Quality of Life and Care
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Potential for harm · E August 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 26, 2025 · Nutrition and Dietary
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Potential for harm · D August 21, 2025
Provide and implement an infection prevention and control program.
Corrected September 16, 2025 · Infection Control
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Actual harm · G October 16, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 12, 2024 · Quality of Life and Care
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Immediate jeopardy · K September 5, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 3, 2024 · Quality of Life and Care
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Immediate jeopardy · K September 5, 2024
Provide and implement an infection prevention and control program.
Corrected October 3, 2024 · Infection Control
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Potential for harm · E September 5, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 3, 2024 · Resident Rights
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Potential for harm · D September 5, 2024
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 3, 2024 · Resident Rights
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Potential for harm · E September 5, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected October 3, 2024 · Resident Rights
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Potential for harm · E September 5, 2024
Keep residents' personal and medical records private and confidential.
Corrected October 3, 2024 · Resident Rights
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Potential for harm · F September 5, 2024
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.
Corrected October 3, 2024 · Resident Rights
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Potential for harm · E September 5, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · E September 5, 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 October 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 5, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · F September 5, 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 October 3, 2024 · Nursing and Physician Services
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Potential for harm · D September 5, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected October 3, 2024 · Pharmacy Service
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Potential for harm · F September 5, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 3, 2024 · Nutrition and Dietary
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Potential for harm · F September 5, 2024
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected October 3, 2024 · Administration
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Potential for harm · E September 5, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · F September 5, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected October 3, 2024 · Administration
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Potential for harm · F September 5, 2024
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected October 3, 2024 · Administration
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 16, 2024 | Fine | $10,839 |
| September 5, 2024 | Fine | $91,601 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435097 · certified since March 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.