Palisade Healthcare Center
Nursing Home · Garretson, SD
CMS certification number435115
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
920 4TH STGarretson, SD 57030
Minnehaha County
- Phone
- (605) 594-3466
- ZIP code
- 57030 – all care providers
Facility details
- Certified beds
- 55
- Residents per day
- 49.0 (89% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Palisade SNF Operations, LLC
- Chain
- Evergreen Healthcare Group (44 facilities, avg 2.5★)
- Medicare certified since
- October 1, 1998
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.16 (state 3.79 · U.S. 3.86)
- Registered nurses (RN)
- 0.54 (state 0.80 · U.S. 0.69)
- Licensed practical nurses
- 0.63 (state 0.47 · U.S. 0.86)
- Nurse aides
- 1.99 (state 2.52 · U.S. 2.32)
- Weekend total
- 2.64 (state 3.26 · U.S. 3.42)
- Nursing staff turnover
- 60.0 (state 48.2 · U.S. 45.8)%
- RN turnover
- 40.0 (state 34.7 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- August 7, 2025
- Health deficiencies (last cycle)
- 12.0 (state 6.9 · U.S. 9.3)
- From complaints
- 6
- Citations on record (3 years)
- 29 health · 8 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-04-16 | 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 |
H Actual harm |
Corrected 2026-05-06 |
| 2026-04-16 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-06 |
| 2026-04-16 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-06 |
| 2025-11-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-11-20 |
| 2025-09-17 | 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 |
G Actual harm |
Corrected 2025-09-18 |
| 2025-08-07 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2025-08-22 |
| 2025-08-07 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-22 |
| 2025-08-07 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-22 |
| 2025-08-07 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-22 |
| 2025-08-07 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-22 |
| 2025-08-07 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-22 |
| 2025-08-07 | 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 2025-04-25 |
| 2025-03-12 | 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 2025-03-28 |
| 2025-03-12 | 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 2025-03-28 |
| 2024-11-26 | 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 2024-12-16 |
| 2024-11-26 | 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 2024-12-16 |
| 2024-08-07 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-13 |
| 2024-03-18 | 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 |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-11 |
| 2024-03-18 | 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 2024-04-11 |
| 2024-03-18 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-11 |
| 2024-03-18 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-11 |
| 2024-03-18 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-11 |
| 2024-03-18 | 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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-11 |
| 2024-03-18 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-11 |
| 2024-03-18 | 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. F0909 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-11 |
| 2023-12-28 | 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 2024-02-01 |
| 2023-03-08 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2023-04-14 |
| 2023-03-08 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-04-14 |
| 2023-03-08 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-04-14 |
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
4 penalties in the last three years, including $154,946 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-11-19 | Fine | $122,476 |
| 2025-09-17 | Fine | $8,608 |
| 2025-08-07 | Fine | $11,713 |
| 2024-11-26 | Fine | $12,149 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Pacific Northwest SNF Operations Holdings (SD) LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| CH Pacific Northwest Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Cheeks, Donald (individual) | Administrator · NOT APPLICABLE | |
| Couve Financial Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Couve Healthcare Consulting LLC (organization) | Administrator · NOT APPLICABLE | |
| Evans, Kayla (individual) | Administrator · NOT APPLICABLE | |
| Herzka, Yisroel (individual) | Administrator · NOT APPLICABLE | |
| Pacific Northwest Opco Management LLC (organization) | Administrator · NOT APPLICABLE | |
| Palisade SNF Operations, LLC (organization) | Administrator · NOT APPLICABLE | |
| Palisade SNF Realty LLC (organization) | Administrator · NOT APPLICABLE | |
| Parker, Lourdes (individual) | Administrator · NOT APPLICABLE | |
| Rees, Joseph (individual) | Administrator · NOT APPLICABLE | |
| Roby, Brittney (individual) | 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 | |
| Yenowitz, Yitzchok (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Cheeks, Donald (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Evans, Kayla (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Cheeks, Donald (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Couve Financial Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Couve Healthcare Consulting LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Evans, Kayla (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Pacific Northwest Opco Management LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Palisade SNF Operations, LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Parker, Lourdes (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Rees, Joseph (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Roby, Brittney (individual) | 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 Palisade Healthcare Center?
Palisade 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 Palisade Healthcare Center have?
It has 55 certified beds and cares for about 49 residents per day.
Has Palisade Healthcare Center been fined?
Yes. CMS lists 4 penalties totaling $154,946 in the last three years.
Who owns Palisade Healthcare Center?
It is part of Evergreen Healthcare Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Palisade Healthcare Center?
(605) 594-3466. The facility is located at 920 4TH ST, Garretson, SD 57030.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.