300 E Elm Ave, Flandreau, SD 57028
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Affordable senior housingIndependent livingAge 62+ community
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Medicare-certifiedSkilled Nursing
Riverview Healthcare Center
Flandreau, South DakotaMedicare inspection record
About Riverview Healthcare Center
Riverview Healthcare Center provides compassionate skilled nursing and rehabilitation services to Flandreau, South Dakota residents and their families. Our experienced team focuses on recovery, comfort, and helping patients regain independence through personalized care plans and therapeutic support.
Community at a glance
Capacity
63 residents
Location
Flandreau, SD
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
611 EAST 2ND AVE, Flandreau, South Dakota 57028
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
- Riverview Healthcare Center is a candidate for Medicare's Special Focus Facility list, kept for homes with a history of serious quality problems.
- Medicare flags Riverview Healthcare Center for a citation related to abuse of residents in its recent inspections.
At its most recent standard inspection, on February 27, 2025, state inspectors cited 21 health deficiencies (the South Dakota average is 6.7).
Nurses and nurse aides spend 3 hours 37 minutes with each resident a day, about the same as the South Dakota average.
Medicare fined Riverview Healthcare Center 6 times in the last three years, $177,100 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 37 minutes |
| Registered nurse time per resident, per day | 38 minutesBelow the South Dakota average |
| Nursing staff who left in the past year | 67%Above the South Dakota average |
2 administrators have left the home in the past year.
Inspections
29 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 2, 2026 · Complaint investigation · 1 citation
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jun 18, 2026
March 25, 2026 · Complaint investigation · 2 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Mar 26, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 15, 2026
January 28, 2026 · Complaint investigation · 3 citations+
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 14, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Feb 14, 2026Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 14, 2026
November 18, 2025 · Complaint investigation · 2 citations+
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Nov 25, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintAlready fixed by Oct 9, 2025
September 25, 2025 · Complaint investigation · 4 citations+
Ensure that residents are free from significant medication errors.
Residents were harmed, a few residents (level G)Pharmacy ServiceFrom a complaintCorrected Sep 30, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Sep 30, 2025Provide safe, appropriate pain management for a resident who requires such services.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Sep 30, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Sep 30, 2025
February 27, 2025 · Standard inspection · 9 citations+
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Mar 27, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Mar 27, 2025Provide safe, appropriate pain management for a resident who requires such services.
Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Mar 27, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Apr 14, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Apr 14, 2025Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Mar 27, 2025Have a plan that describes the process for conducting QAPI and QAA activities.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Mar 27, 2025Keep all essential equipment working safely.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Mar 27, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 27, 2025
January 8, 2025 · Complaint investigation · 5 citations+
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 25, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 25, 2025Respond appropriately to all alleged violations.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 25, 2025Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Jan 25, 2025Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 25, 2025
October 31, 2024 · Complaint investigation · 1 citation+
Respond appropriately to all alleged violations.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 26, 2024
February 15, 2024 · Standard inspection · 2 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Mar 15, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Mar 15, 2024
Fines and payment denials
6 fines totaling $177,100 in the last three years.
- March 25, 2026Fine: $31,500
- November 18, 2025Fine: $15,807
- September 25, 2025Fine: $36,414
- February 27, 2025Fine: $65,520
- January 8, 2025Fine: $15,330
- October 31, 2024Fine: $12,529
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Riverview SNF Operations, LLC
- Medicare-certified beds
- 63
- Average residents per day
- 54
- Accepts
- Medicare and Medicaid
- First certified
- April 1, 1995
- Part of a chain
- Evergreen Healthcare Group, 43 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 435086
Location
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611 EAST 2ND AVEFlandreau, SD 57028
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Questions about Riverview Healthcare Center
How did Riverview Healthcare Center do on its last inspection?+
State inspectors visited on February 27, 2025 and cited 21 health deficiencies, 12 of them from complaint investigations. The South Dakota average is 6.7.
How much nursing care does each resident get at Riverview Healthcare Center?+
Nurses and aides spend 3 hours 37 minutes with each resident per day, including 38 minutes from registered nurses. 67% of nursing staff left over the past year.
Has Riverview Healthcare Center been fined by Medicare?+
Yes. Medicare fined Riverview Healthcare Center 6 times in the last three years, totaling $177,100.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.