Tekakwitha Living Center
6 E Chestnut · Sisseton, SD · 57262 · 6056987693
40 certified beds Non profit - Corporation
Why this verdict
- Federal penalties on record: $30,729 in fines in the last 24 months.
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
Total nurse staffing below 3.0 hours per resident-day
2.78 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.78 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.69 | 0.55–0.75 |
| Weekend hours / resident-day | 2.29 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 3 · $37,079 |
Inspection citations (28 in the current record)
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Potential for harm · E January 22, 2026
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected March 8, 2026 · Resident Rights
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Potential for harm · D January 22, 2026
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 March 8, 2026 · Resident Rights
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Potential for harm · D January 22, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 8, 2026 · Quality of Life and Care
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Potential for harm · D January 22, 2026
Provide care or services that was trauma informed and/or culturally competent.
Corrected March 8, 2026 · Quality of Life and Care
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Potential for harm · E January 22, 2026
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 March 8, 2026 · Pharmacy Service
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Potential for harm · D January 22, 2026
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected March 8, 2026 · Nutrition and Dietary
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Potential for harm · F January 22, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 8, 2026 · Nutrition and Dietary
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Potential for harm · F January 22, 2026
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected March 8, 2026 · Administration
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Potential for harm · E January 22, 2026
Provide and implement an infection prevention and control program.
Corrected March 8, 2026 · Infection Control
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Potential for harm · E January 22, 2026
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected March 8, 2026 · Infection Control
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Potential for harm · E June 18, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 2, 2025 · Resident Rights
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Potential for harm · E June 18, 2025 · found via complaint
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 August 2, 2025 · Resident Rights
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Potential for harm · D June 18, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 2, 2025 · Nutrition and Dietary
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Actual harm · G July 18, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 14, 2024 · Quality of Life and Care
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Actual harm · G July 18, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 14, 2024 · Quality of Life and Care
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Potential for harm · D July 18, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected August 14, 2024 · Resident Rights
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Potential for harm · D July 18, 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 14, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 18, 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 August 14, 2024 · Pharmacy Service
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Potential for harm · E July 18, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 14, 2024 · Nutrition and Dietary
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Potential for harm · E July 18, 2024
Provide and implement an infection prevention and control program.
Corrected August 14, 2024 · Infection Control
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Potential for harm · F July 18, 2024
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected August 14, 2024 · Infection Control
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Potential for harm · D January 10, 2024 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected February 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F January 10, 2024 · found via complaint
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.
Corrected February 24, 2024 · Nutrition and Dietary
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Potential for harm · D June 1, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 16, 2023 · Quality of Life and Care
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Potential for harm · E June 1, 2023
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 July 16, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 18, 2024 | Fine | $30,729 |
| November 13, 2023 | Fine | $2,117 |
| October 23, 2023 | Fine | $4,233 |
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
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 435038 · certified since October 7, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.