South Dakota › Minnehaha County › Garretson
Palisade Healthcare Center
920 4th St, Garretson, SD 57030
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.
Palisade Healthcare Center, in Garretson, South Dakota, is certified for 55 beds under for-profit, corporation ownership and belongs to the Evergreen Healthcare Group chain.
CMS gives it 1 of 5 stars overall, below the South Dakota median of 3; the health inspection rating is 1, staffing 2 and quality measures 4.
Inspectors recorded 29 health deficiencies across the three most recent survey cycles (12, 13, 4 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 52.7 per 100 beds, more than the state median of 23.9.
CMS lists 4 penalties in the period covered: fines totalling $155K.
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 60.0%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Minnehaha Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 29 | 22 | 16 | 28.7 |
| Citations per 100 beds | 52.7 | 23.9 | 23.9 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.9 | 3.6 | 3.9 |
| RN hours per resident day | 0.5 | 0.8 | 0.8 | 0.7 |
| Nursing staff turnover | 60.0% | 44.2% | 46.6% | 45.8% |
| Fines listed | $154,946 | $72,812 | $20,183 | — |
County and state figures are medians across facilities (10 in the county, 96 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: South Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 Aug 2025, 18 Mar 2024.
Severity mix: J ×1 G ×3 H ×1 D ×13 E ×9 F ×2
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 16 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | H | Complaint investigation | 6 May 2026 |
| 16 Apr 2026 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint investigation | 6 May 2026 |
| 16 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 6 May 2026 |
| 19 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 20 Nov 2025 |
| 17 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 18 Sep 2025 |
| 7 Aug 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 22 Aug 2025 |
| 7 Aug 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 22 Aug 2025 |
| 7 Aug 2025 | F0761 | 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. | E | Standard survey | 22 Aug 2025 |
| 7 Aug 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 22 Aug 2025 |
| 7 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 22 Aug 2025 |
| 7 Aug 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 22 Aug 2025 |
| 7 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 25 Apr 2025 |
| 12 Mar 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 28 Mar 2025 |
| 12 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 Mar 2025 |
| 26 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 16 Dec 2024 |
| 26 Nov 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 16 Dec 2024 |
| 7 Aug 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 13 Sep 2024 |
| 18 Mar 2024 | F0584 | 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. | F | Standard survey | 11 Apr 2024 |
| 18 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 Apr 2024 |
| 18 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 11 Apr 2024 |
| 18 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 11 Apr 2024 |
| 18 Mar 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 11 Apr 2024 |
| 18 Mar 2024 | F0578 | 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. | D | Standard survey | 11 Apr 2024 |
| 18 Mar 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 11 Apr 2024 |
| 18 Mar 2024 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Standard survey | 11 Apr 2024 |
| 28 Dec 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 1 Feb 2024 |
| 8 Mar 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 14 Apr 2023 |
| 8 Mar 2023 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Standard survey | 14 Apr 2023 |
| 8 Mar 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 14 Apr 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 19 Nov 2025 | Fine | $122,476 | |
| 17 Sep 2025 | Fine | $8,608 | |
| 7 Aug 2025 | Fine | $11,713 | |
| 26 Nov 2024 | Fine | $12,149 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 60.0%, RNs 40.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | South Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.0% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.2% | 4.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.8% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.8% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.9% | 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, corporation. Legal business name: Palisade Snf Operations, Llc. Chain: Evergreen Healthcare Group (44 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pacific Northwest SNF Operations Holdings (Sd) LLC | 5% or greater direct ownership interest | 100% | 08/31/2023 |
| Couve Financial Services LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| Couve Healthcare Consulting LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| Pacific Northwest Opco Management LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| Palisade SNF Operations, LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| South Dakota SNF Consulting LLC | Operational/managerial control | NOT APPLICABLE | 08/31/2023 |
| Ch Pacific Northwest Holdings LLC | Adp of the snf | NOT APPLICABLE | 08/31/2023 |
| Couve Financial Services LLC | Adp of the snf | NOT APPLICABLE | 05/12/2025 |
| Couve Healthcare Consulting LLC | Adp of the snf | NOT APPLICABLE | 05/12/2025 |
| Pacific Northwest Opco Management LLC | Adp of the snf | NOT APPLICABLE | 05/12/2025 |
| Palisade SNF Operations, LLC | Adp of the snf | NOT APPLICABLE | 07/29/2025 |
| Palisade SNF Realty LLC | Adp of the snf | NOT APPLICABLE | 05/12/2025 |
| South Dakota SNF Consulting LLC | Adp of the snf | NOT APPLICABLE | 05/12/2025 |
| Witzcorp Global LLC | Adp of the snf | NOT APPLICABLE | 08/31/2023 |
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 Minnehaha County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avera Prince of Peace | Sioux Falls | 126 | 4 | 3 | 5 | 17 | 13.5 | $8K | 6 Nov 2025 |
| Dells Nursing and Rehab Center Inc | Dell Rapids | 50 | 4 | 4 | 3 | 16 | 32.0 | $173K | 11 Dec 2025 |
| Bethany Home Sioux Falls | Sioux Falls | 52 | 3 | 4 | 1 | 12 | 23.1 | — | 18 Dec 2025 |
| Dow Rummel Village | Sioux Falls | 50 | 3 | 2 | 5 | 10 | 20.0 | $71K | 10 Jun 2026 |
| Good Samaritan Society Luther Manor | Sioux Falls | 92 | 2 | 2 | 4 | 22 | 23.9 | $92K | 4 Jun 2026 |
| Good Samaritan Society Sioux Falls Centerabuse icon | Sioux Falls | 98 | 2 | 2 | 4 | 18 | 18.4 | $55K | 19 Mar 2026 |
| Good Samaritan Society Sioux Falls Village | Sioux Falls | 177 | 2 | 2 | 4 | 32 | 18.1 | $73K | 2 Jul 2026 |
| Bethany Home - Brandonabuse icon | Brandon | 60 | 1 | 1 | 4 | 27 | 45.0 | $51K | 28 May 2026 |
All 10 facilities in Minnehaha County
Questions and answers
How many deficiencies has Palisade Healthcare Center been cited for?
29 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Palisade Healthcare Center been fined?
Yes. CMS lists fines totalling $155K in the period covered.
How does staffing at Palisade Healthcare Center 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 Palisade Healthcare Center?
It is part of the Evergreen Healthcare Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Pacific Northwest SNF Operations Holdings (Sd) LLC, Couve Financial Services LLC and Couve Healthcare Consulting LLC. Individual owners and managers are not listed on this site.
When was Palisade Healthcare Center last inspected?
The most recent survey or investigation in the CMS record is dated 16 Apr 2026; the most recent standard health survey was 7 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.