Riverview Healthcare Center

Nursing Home · Flandreau, SD

CMS overall rating 1/5 SFF candidate Abuse citation For profit - Limited Liability company

CMS certification number435086
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

611 East 2ND Ave
Flandreau, SD 57028
Moody County
Phone
(605) 997-2481
ZIP code
57028 – all care providers

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Facility details

Certified beds
63
Residents per day
54.2 (86% occupied)
Ownership
For profit - Limited Liability company
Legal name
Riverview SNF Operations, LLC
Chain
Evergreen Healthcare Group (44 facilities, avg 2.5★)
Medicare certified since
April 1, 1995
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.9
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.5
Quality measures★★★★★ 2/5
State avg 2.8
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.62 (state 3.79 · U.S. 3.86)
Registered nurses (RN)
0.63 (state 0.80 · U.S. 0.69)
Licensed practical nurses
0.73 (state 0.47 · U.S. 0.86)
Nurse aides
2.26 (state 2.52 · U.S. 2.32)
Weekend total
3.20 (state 3.26 · U.S. 3.42)
Nursing staff turnover
66.7 (state 48.2 · U.S. 45.8)%
RN turnover
61.5 (state 34.7 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
February 27, 2025
Health deficiencies (last cycle)
21.0 (state 6.9 · U.S. 9.3)
From complaints
12
Citations on record (3 years)
36 health · 23 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-02 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-18
2026-03-25 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2026-03-26
2026-03-25 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
G
Actual harm
Corrected 2026-04-15
2026-01-28 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-14
2026-01-28 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-14
2026-01-28 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-14
2025-11-18 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-11-25
2025-11-18 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-09
2025-09-25 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-09-30
2025-09-25 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-09-30
2025-09-25 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-09-30
2025-09-25 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-30
2025-02-27 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2025-03-27
2025-02-27 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2025-03-27
2025-02-27 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2025-03-27
2025-02-27 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-04-14
2025-02-27 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.
F0584 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-27
2025-02-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-14
2025-02-27 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-27
2025-02-27 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-27
2025-02-27 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-27
2025-01-08 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2025-01-25
2025-01-08 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2025-01-25
2025-01-08 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2025-01-25
2025-01-08 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-01-25
2025-01-08 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-25
2024-10-31 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-11-26
2024-02-15 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2024-03-15
2024-02-15 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-15
2023-09-06 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-15
2023-09-06 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-15
2023-09-06 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-15
2023-02-16 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2023-03-16
2023-02-16 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2023-03-16
2023-02-16 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-16
2023-02-16 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-16

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

6 penalties in the last three years, including $176,867 in fines.

DateTypeAmount
2026-03-25Fine$31,500
2025-11-18Fine$15,574
2025-09-25Fine$36,414
2025-02-27Fine$65,520
2025-01-08Fine$15,330
2024-10-31Fine$12,529

Ownership & management

NameRoleSince
Pacific Northwest SNF Operations Holdings (SD) LLC (organization)5%+ Direct Ownership Interest · 100%
CH Pacific Northwest Holdings LLC (organization)Administrator · NOT APPLICABLE
Couve Financial Services LLC (organization)Administrator · NOT APPLICABLE
Couve Healthcare Consulting LLC (organization)Administrator · NOT APPLICABLE
Herzka, Yisroel (individual)Administrator · NOT APPLICABLE
Johnson, Charles (individual)Administrator · NOT APPLICABLE
Lowe, Leonor (individual)Administrator · NOT APPLICABLE
Olson, Brenna (individual)Administrator · NOT APPLICABLE
Pacific Northwest Opco Management LLC (organization)Administrator · NOT APPLICABLE
Peterson, Scott (individual)Administrator · NOT APPLICABLE
Riverview SNF Operations, LLC (organization)Administrator · NOT APPLICABLE
Riverview SNF Realty LLC (organization)Administrator · NOT APPLICABLE
South Dakota SNF Consulting LLC (organization)Administrator · NOT APPLICABLE
Spielman, Shimon (individual)Administrator · NOT APPLICABLE
Witzcorp Global LLC (organization)Administrator · NOT APPLICABLE
Yenowitz, Yitzchok (individual)Administrator · NOT APPLICABLE
Spielman, Shimon (individual)Corporate Officer · NOT APPLICABLE
Yenowitz, Yitzchok (individual)Corporate Officer · NOT APPLICABLE
Riverview SNF Operations, LLC (organization)Direct Ownership Interest · NOT APPLICABLE
CH Pacific Northwest Holdings LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Couve Financial Services LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Couve Healthcare Consulting LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Herzka, Yisroel (individual)Indirect Ownership Interest · NOT APPLICABLE
Johnson, Charles (individual)Indirect Ownership Interest · NOT APPLICABLE
Olson, Brenna (individual)Indirect Ownership Interest · NOT APPLICABLE
Pacific Northwest Opco Management LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
South Dakota SNF Consulting LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Yenowitz, Yitzchok (individual)Indirect Ownership Interest · NOT APPLICABLE
Lowe, Leonor (individual)Managing Control - Governing Body · NOT APPLICABLE
Couve Financial Services LLC (organization)Operational/managerial Control · NOT APPLICABLE
Couve Healthcare Consulting LLC (organization)Operational/managerial Control · NOT APPLICABLE
Johnson, Charles (individual)Operational/managerial Control · NOT APPLICABLE
Lowe, Leonor (individual)Operational/managerial Control · NOT APPLICABLE
Olson, Brenna (individual)Operational/managerial Control · NOT APPLICABLE
Pacific Northwest Opco Management LLC (organization)Operational/managerial Control · NOT APPLICABLE
Peterson, Scott (individual)Operational/managerial Control · NOT APPLICABLE
Riverview SNF Operations, LLC (organization)Operational/managerial Control · NOT APPLICABLE
South Dakota SNF Consulting LLC (organization)Operational/managerial Control · NOT APPLICABLE
Spielman, Shimon (individual)Operational/managerial Control · NOT APPLICABLE
Yenowitz, Yitzchok (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Riverview Healthcare Center?

Riverview Healthcare Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in South Dakota.

How many beds does Riverview Healthcare Center have?

It has 63 certified beds and cares for about 54 residents per day.

Has Riverview Healthcare Center been fined?

Yes. CMS lists 6 penalties totaling $176,867 in the last three years.

Who owns Riverview Healthcare Center?

It is part of Evergreen Healthcare Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Riverview Healthcare Center?

(605) 997-2481. The facility is located at 611 East 2ND Ave, Flandreau, SD 57028.

Other nursing homes in Flandreau

Compare all nursing homes in Flandreau, SD →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.