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Riverview Healthcare Center

611 East 2Nd Ave, Flandreau, SD 570286059972481Ownership: For profit - Limited Liability companyCertified beds: 63Avg. daily residents: 54Chain: Evergreen Healthcare Group (44 facilities)County: Moody
Special Focus Facility candidate — CMS has identified this facility as one of the most poorly performing in the state and it is eligible for the Special Focus program, which brings inspections twice as often as normal.
Abuse icon — CMS displays this icon when a facility was cited for abuse that led to resident harm in the past year, or for abuse that could have led to harm in each of the last two years.

The complete public record on Riverview Healthcare Center, a Medicare & Medicaid–certified nursing home in Flandreau, South Dakota, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. South Dakota average: 2.9 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Riverview Healthcare Center holds a 1-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 67% is well above the South Dakota average of 48%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $176,867 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.62 total nurse staff hours per resident per day
about the state average (3.79)
0.63 RN hours per resident per day
below the state average (0.80)
3.20 weekend nurse staff hours per resident per day
66.7% total nursing staff turnover
above the state average (48.2)
61.5% RN turnover
2 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

February 27, 2025 most recent standard health inspection
21 health deficiencies cited in the most recent inspection cycle
above the state average (7.0)
11 health deficiencies in the two prior cycles combined
$176,867 in federal fines across 6 penalties (last 3 years)
above the state average ($33,944)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

36 citations on record across recent inspections, 14 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
June 2, 20260755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. ComplaintD · Potential for more than minimal harm
March 25, 20260689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintJ · Immediate jeopardy
March 25, 20260600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. ComplaintG · Actual harm
January 28, 20260609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. ComplaintE · Potential for more than minimal harm
January 28, 20260684Provide appropriate treatment and care according to orders, resident’s preferences and goals. ComplaintE · Potential for more than minimal harm
January 28, 20260610Respond appropriately to all alleged violations. ComplaintD · Potential for more than minimal harm
November 18, 20250686Provide appropriate pressure ulcer care and prevent new ulcers from developing. ComplaintG · Actual harm
November 18, 20250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintD · Potential for more than minimal harm
September 25, 20250600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. ComplaintG · Actual harm
September 25, 20250697Provide safe, appropriate pain management for a resident who requires such services. ComplaintG · Actual harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.