South Dakota › Moody County › Flandreau
Riverview Healthcare Center
611 East 2nd Ave, Flandreau, SD 57028
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.
Riverview Healthcare Center, in Flandreau, South Dakota, is certified for 63 beds under for-profit, limited liability company 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 3 and quality measures 2.
Inspectors recorded 36 health deficiencies across the three most recent survey cycles (21, 8, 7 by cycle, most recent first), 14 of them at the actual-harm or immediate-jeopardy level. That is 57.1 per 100 beds, more than the state median of 23.9.
CMS lists 6 penalties in the period covered: fines totalling $177K.
Reported nurse staffing is 3.6 hours per resident per day (0.6 RN), close to the South Dakota median of 3.6; nursing staff turnover is 66.7%.
CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Moody Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 36 | 36 | 16 | 28.7 |
| Citations per 100 beds | 57.1 | 57.1 | 23.9 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.8 | 0.7 |
| Nursing staff turnover | 66.7% | 66.7% | 46.6% | 45.8% |
| Fines listed | $176,867 | $176,867 | $20,183 | — |
County and state figures are medians across facilities (2 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: 27 Feb 2025, 15 Feb 2024.
Severity mix: J ×4 G ×10 D ×12 E ×7 F ×3
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 |
|---|---|---|---|---|---|
| 2 Jun 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 18 Jun 2026 |
| 25 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 26 Mar 2026 |
| 25 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 15 Apr 2026 |
| 28 Jan 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 14 Feb 2026 |
| 28 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 14 Feb 2026 |
| 28 Jan 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 14 Feb 2026 |
| 18 Nov 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 25 Nov 2025 |
| 18 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 9 Oct 2025 |
| 25 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 30 Sep 2025 |
| 25 Sep 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 30 Sep 2025 |
| 25 Sep 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 30 Sep 2025 |
| 25 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 30 Sep 2025 |
| 27 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 27 Mar 2025 |
| 27 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 27 Mar 2025 |
| 27 Feb 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 27 Mar 2025 |
| 27 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Apr 2025 |
| 27 Feb 2025 | 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. | E | Standard survey | 27 Mar 2025 |
| 27 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 14 Apr 2025 |
| 27 Feb 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 | Standard survey | 27 Mar 2025 |
| 27 Feb 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard survey | 27 Mar 2025 |
| 27 Feb 2025 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 27 Mar 2025 |
| 8 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 25 Jan 2025 |
| 8 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Complaint investigation | 25 Jan 2025 |
| 8 Jan 2025 | F0610 | Respond appropriately to all alleged violations. | J | Complaint investigation | 25 Jan 2025 |
| 8 Jan 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint investigation | 25 Jan 2025 |
| 8 Jan 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 25 Jan 2025 |
| 31 Oct 2024 | F0610 | Respond appropriately to all alleged violations. | G | Complaint investigation | 26 Nov 2024 |
| 15 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 15 Mar 2024 |
| 15 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 Mar 2024 |
| 6 Sep 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 15 Oct 2023 |
| 6 Sep 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. | D | Complaint investigation | 15 Oct 2023 |
| 6 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 15 Oct 2023 |
| 16 Feb 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 16 Mar 2023 |
| 16 Feb 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 16 Mar 2023 |
| 16 Feb 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 16 Mar 2023 |
| 16 Feb 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. | D | Standard survey | 16 Mar 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 25 Mar 2026 | Fine | $31,500 | |
| 18 Nov 2025 | Fine | $15,574 | |
| 25 Sep 2025 | Fine | $36,414 | |
| 27 Feb 2025 | Fine | $65,520 | |
| 8 Jan 2025 | Fine | $15,330 | |
| 31 Oct 2024 | Fine | $12,529 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 66.7%, RNs 61.5%; 2 administrators 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 | 20.0% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.1% | 4.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.0% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 28.5% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.9% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.7% | 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, limited liability company. Legal business name: Riverview 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 |
| Riverview SNF Operations, LLC | Direct ownership interest | NOT APPLICABLE | 08/31/2023 |
| Ch Pacific Northwest Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| Couve Financial Services LLC | Indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| Couve Healthcare Consulting LLC | Indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| Pacific Northwest Opco Management LLC | Indirect ownership interest | NOT APPLICABLE | 08/31/2023 |
| South Dakota SNF Consulting LLC | Indirect ownership interest | NOT APPLICABLE | 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 |
| Riverview 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 | 05/16/2025 |
| Couve Healthcare Consulting LLC | Adp of the snf | NOT APPLICABLE | 05/16/2025 |
| Pacific Northwest Opco Management LLC | Adp of the snf | NOT APPLICABLE | 05/16/2025 |
| Riverview SNF Operations, LLC | Adp of the snf | NOT APPLICABLE | 10/30/2025 |
| Riverview SNF Realty LLC | Adp of the snf | NOT APPLICABLE | 09/02/2025 |
| South Dakota SNF Consulting LLC | Adp of the snf | NOT APPLICABLE | 05/16/2025 |
| 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 Moody County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Flandreau Santee Sioux Tribe Care Center | Flandreau | 42 | 3 | 3 | — | 10 | 23.8 | $28K | 30 Sep 2025 |
All 2 facilities in Moody County
Questions and answers
How many deficiencies has Riverview Healthcare Center been cited for?
36 health deficiencies across the three most recent survey cycles, 14 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Riverview Healthcare Center been fined?
Yes. CMS lists fines totalling $177K in the period covered.
How does staffing at Riverview Healthcare Center compare?
Reported total nurse staffing is 3.6 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Riverview Healthcare Center?
It is part of the Evergreen Healthcare Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Pacific Northwest SNF Operations Holdings (Sd) LLC, Riverview SNF Operations, LLC and Ch Pacific Northwest Holdings LLC. Individual owners and managers are not listed on this site.
When was Riverview Healthcare Center last inspected?
The most recent survey or investigation in the CMS record is dated 2 Jun 2026; the most recent standard health survey was 27 Feb 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.