Federal inspection record · CMS data as of October 1, 2026
Lake Andes Senior Living
740 East Lake St, Lake Andes, SD · (605) 487-7674
- Certified beds
- 43
- Residents per day
- 39
- Ownership
- For-Profit
- Chain
- Accura Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1996
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in South Dakota.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among South Dakota homes
Lake Andes Senior Living carries 15 inspection points. That is fewer than 87% of South Dakota's 94 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in South Dakota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–31.5 pts
- 3★ 31.5–55 pts
- 2★ 55–95.25 pts
- 1★ over 95.25 pts
Bars show every rated home in South Dakota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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K
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
K
Provide and implement an infection prevention and control program.
Everything else, by area of care
Resident Assessment and Care Planning5E
- D
Ensure each resident receives an accurate assessment.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights5F
- F
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
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Keep residents' personal and medical records private and confidential.
- D
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.
Administration3F
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Quality of Life and Care2D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary2F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Pharmacy Service1D
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspection history
2026-08-13
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2025-08-21
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-09-05
17 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 26 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
3 h 26 min
South Dakota average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 42% of nursing staff and 50% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$102,440 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-16 | Fine | $10,839 |
| 2024-09-05 | Fine | $91,601 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 1.7 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.5 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.9 pts better | 98.8% | 94.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.8 pts better | 100.0% | 97.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts better | 4.3% | 5.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.4 pts worse | 15.3% | 5.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.1 pts better | 1.6% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.1 pts better | 14.6% | 17.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.2 pts better | 20.6% | 24.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.2 pts better | 14.1% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.7 pts better | 13.8% | 21.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.2 pts better | 0.7% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.6 pts better | 1.3% | 2.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.2 pts worse | 27.7% | 24.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.7 pts better | 2.8% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.7 pts better | 95.6% | 83.9% | 82.3% |
·
Who owns and runs it
10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Groff, Howard | 5% Or Greater Indirect Ownership Interest · Individual | 50% | 9 facilities |
| Sheridan, Gail | 5% Or Greater Indirect Ownership Interest · Individual | 50% | 9 facilities |
| American Healthcare Management Services LLC | Operational/Managerial Control · Organization | 0% | 32 facilities |
| Berndt, Paul | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Groff, Howard | Corporate Officer · Individual | 0% | 9 facilities |
| Leneave, Ted | Corporate Officer · Individual | 0% | 44 facilities |
| Leneave, Ted | Operational/Managerial Control · Individual | 0% | 44 facilities |
| Sheridan, Gail | Corporate Officer · Individual | 0% | 9 facilities |
| Tealwood Enterprise Inc | 5% Or Greater Direct Ownership Interest · Organization | 0% | 9 facilities |
| Wright, Molly | W-2 Managing Employee · Individual | 0% | 1 facilities |
·
Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress1B
- B
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Miscellaneous1B
- B
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1B
- B
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Emergency Preparedness1E
- E
Address patient/client population and determine types of services needed.
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Other homes nearby
-
Good Samaritan Society - Wagner
Wagner, SD · Good Samaritan Society
Not rated- Worst citation, 3 yrs
- none
- Nursing / resident / day
- —
- Fines
- $0
-
Platte Care Center
Platte, SD
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 2 min
- Fines
- $13,176
-
Avera Bormann Manor
Parkston, SD
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 42 min
- Fines
- $47,187