Elder Care Record

South Dakota › Charles Mix County › Lake Andes

Lake Andes Senior Living

740 East Lake St, Lake Andes, SD 57356

CCN 435097 · For-profit, individual · 43 certified beds · chain Accura Healthcare

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 43 beds, Lake Andes Senior Living serves Lake Andes in Charles Mix County, South Dakota and has taken Medicare and Medicaid residents since 1996.

CMS gives it 1 of 5 stars overall, below the South Dakota median of 3; the health inspection rating is 1, staffing 3 and quality measures 4.

Inspectors recorded 21 health deficiencies across the three most recent survey cycles (3, 18, 0 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 48.8 per 100 beds, more than the state median of 23.9.

CMS lists 2 penalties in the period covered: fines totalling $102K.

Reported nurse staffing is 3.2 hours per resident per day (0.5 RN), close to the South Dakota median of 3.6; nursing staff turnover is 38.2%.

21health deficiencies, 3 survey cycles3 at actual harm or worse
$102Kfines listed by CMS2 penalties in period
3.2nurse hours per resident per daystate median 3.6
91%occupancy (residents ÷ beds)39 residents a day

Compared with county, state and nation

MeasureThis facilityCharles Mix Co. medianSouth Dakota medianUS average
Overall star rating1533.0
Health citations, 3 cycles2181628.7
Citations per 100 beds48.816.723.926.8
Total nurse hours per resident day3.24.23.63.9
RN hours per resident day0.50.90.80.7
Nursing staff turnover38.2%41.9%46.6%45.8%
Fines listed$102,440$20,183$20,183—

County and state figures are medians across facilities (3 in the county, 96 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)3
Cycle 218
Cycle 30

Dark bar: this facility. Grey bar: South Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 Aug 2025, 5 Sep 2024.

Severity mix: K ×2 G ×1 D ×5 E ×7 F ×6

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
21 Aug 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey26 Sep 2025
21 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey12 Sep 2025
21 Aug 2025F0880Provide and implement an infection prevention and control program.DStandard survey16 Sep 2025
16 Oct 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation12 Nov 2024
5 Sep 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.KStandard survey3 Oct 2024
5 Sep 2024F0880Provide and implement an infection prevention and control program.KStandard survey3 Oct 2024
5 Sep 2024F0584Honor 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.FStandard survey3 Oct 2024
5 Sep 2024F0727Have 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.FStandard survey3 Oct 2024
5 Sep 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey3 Oct 2024
5 Sep 2024F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard survey3 Oct 2024
5 Sep 2024F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard survey3 Oct 2024
5 Sep 2024F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.FStandard survey3 Oct 2024
5 Sep 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey3 Oct 2024
5 Sep 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.EStandard survey3 Oct 2024
5 Sep 2024F0583Keep residents' personal and medical records private and confidential.EStandard survey3 Oct 2024
5 Sep 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey3 Oct 2024
5 Sep 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey3 Oct 2024
5 Sep 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey3 Oct 2024
5 Sep 2024F0578Honor 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.DStandard survey3 Oct 2024
5 Sep 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey3 Oct 2024
5 Sep 2024F0758Implement 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.DStandard survey3 Oct 2024

Penalties

DateTypeAmountDetail
16 Oct 2024Fine$10,839
5 Sep 2024Fine$91,601

Staffing

Total nursing3.15 h
Nurse aides2.2 h
LPN0.4 h
RN0.55 h
Weekend total2.99 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 38.2%, RNs 37.5%; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilitySouth Dakota medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay15.7%20.7%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.4%1.7%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.9%2.2%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.2%4.8%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay12.6%19.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.7%3.9%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay20.0%22.4%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, individual. Chain: Accura Healthcare (41 facilities).

OrganisationRole in the CMS recordInterestSince
Tealwood Enterprise Inc5% or greater direct ownership interestNO PERCENTAGE PROVIDED01/01/2012
American Healthcare Management Services LLCOperational/managerial controlNOT APPLICABLE10/01/2019

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Charles Mix County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Platte Care CenterPlatte48545816.7$20K4 Feb 2026
Good Samaritan Society - WagnerWagner50———00.0——

All 3 facilities in Charles Mix County

Questions and answers

How many deficiencies has Lake Andes Senior Living been cited for?

21 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.

Has Lake Andes Senior Living been fined?

Yes. CMS lists fines totalling $102K in the period covered.

How does staffing at Lake Andes Senior Living compare?

Reported total nurse staffing is 3.2 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.

Who operates Lake Andes Senior Living?

It is part of the Accura Healthcare chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Tealwood Enterprise Inc and American Healthcare Management Services LLC. Individual owners and managers are not listed on this site.

When was Lake Andes Senior Living last inspected?

The most recent survey or investigation in the CMS record is dated 21 Aug 2025; the most recent standard health survey was 21 Aug 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.