Federal inspection record · CMS data as of October 1, 2026
Riverview Healthcare Center
611 East 2nd Ave, Flandreau, SD · (605) 997-2481
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 63
- Residents per day
- 56
- Ownership
- For-Profit
- Chain
- Evergreen Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 1, 1995
1
How this home got 1 star
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 (already 1)
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
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among South Dakota homes
Riverview Healthcare Center carries 352.25 inspection points. That is fewer than 0% 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
44 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 (15)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide enough food/fluids to maintain a resident's health.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
-
G
Ensure that residents are free from significant medication errors.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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J
Respond appropriately to all alleged violations.
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G
Respond appropriately to all alleged violations.
Everything else, by area of care
Pharmacy Service5E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- D
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Quality of Life and Care4E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights4E
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Keep residents' personal and medical records private and confidential.
- E
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.
- D
Keep residents' personal and medical records private and confidential.
Nutrition and Dietary3F
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
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.
Freedom from Abuse, Neglect, and Exploitation3E
- D
Respond appropriately to all alleged violations.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning2D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nursing and Physician Services2D
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- D
Post nurse staffing information every day.
Administration2E
- D
Have a plan that describes the process for conducting QAPI and QAA activities.
- E
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Environmental1D
- D
Keep all essential equipment working safely.
Inspection history
2026-08-28
23 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2025-02-27
19 health deficiencies · 12 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
2024-02-15
2 health deficiencies · 5 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 27 min of nursing staff time a day, 44 min of it from a registered nurse.
This home
3 h 27 min
South Dakota average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 67% of nursing staff and 60% of registered nurses left in the past year, along with 1 administrator.
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
$166,076 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-25 | Fine | $20,476 |
| 2025-11-18 | Fine | $15,807 |
| 2025-09-25 | Fine | $36,414 |
| 2025-02-27 | Fine | $65,520 |
| 2025-01-08 | Fine | $15,330 |
| 2024-10-31 | Fine | $12,529 |
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 days0.6 pts worse | 2.1 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts worse | 2.3 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine16.7 pts worse | 78.2% | 94.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.6 pts worse | 92.6% | 97.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3 pts better | 2.5% | 5.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.6 pts better | 4.3% | 5.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.3 pts worse | 11.0% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.3 pts better | 12.4% | 17.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.1 pts better | 22.7% | 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 worsened8.2 pts worse | 26.5% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.6 pts worse | 25.1% | 21.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.5 pts better | 0.4% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts better | 1.6% | 2.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.8 pts better | 17.7% | 24.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4 pts worse | 8.5% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine45.5 pts worse | 38.4% | 83.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.9 pts better | 9.4% | 13.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.3 pts worse | 4.5% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine34.9 pts worse | 40.6% | 75.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts worse | 23.7% | 20.0% | 23.4% |
·
Who owns and runs it
40 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 |
|---|---|---|---|
| Pacific Northwest SNF Operations Holdings (Sd) LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 6 facilities |
| Ch Pacific Northwest Holdings LLC | Indirect Ownership Interest · Organization | 0% | 22 facilities |
| Ch Pacific Northwest Holdings LLC | Adp Of The SNF · Organization | 0% | 22 facilities |
| Couve Financial Services LLC | Indirect Ownership Interest · Organization | 0% | 41 facilities |
| Couve Financial Services LLC | Operational/Managerial Control · Organization | 0% | 41 facilities |
| Couve Financial Services LLC | Adp Of The SNF · Organization | 0% | 41 facilities |
| Couve Healthcare Consulting LLC | Indirect Ownership Interest · Organization | 0% | 50 facilities |
| Couve Healthcare Consulting LLC | Operational/Managerial Control · Organization | 0% | 50 facilities |
| Couve Healthcare Consulting LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Herzka, Yisroel | Indirect Ownership Interest · Individual | 0% | 75 facilities |
| Herzka, Yisroel | Adp Of The SNF · Individual | 0% | 75 facilities |
| Johnson, Charles | Indirect Ownership Interest · Individual | 0% | 4 facilities |
| Johnson, Charles | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Johnson, Charles | Adp Of The SNF · Individual | 0% | 4 facilities |
| Lowe, Leonor | Managing Control - Governing Body · Individual | 0% | 6 facilities |
| Lowe, Leonor | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Lowe, Leonor | Adp Of The SNF · Individual | 0% | 6 facilities |
| Olson, Brenna | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Olson, Brenna | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Olson, Brenna | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pacific Northwest Opco Management LLC | Indirect Ownership Interest · Organization | 0% | 29 facilities |
| Pacific Northwest Opco Management LLC | Operational/Managerial Control · Organization | 0% | 29 facilities |
| Pacific Northwest Opco Management LLC | Adp Of The SNF · Organization | 0% | 29 facilities |
| Peterson, Scott | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Peterson, Scott | Adp Of The SNF · Individual | 0% | 2 facilities |
| Riverview SNF Operations, LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Riverview SNF Operations, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Riverview SNF Operations, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Riverview SNF Realty LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| South Dakota SNF Consulting LLC | Indirect Ownership Interest · Organization | 0% | 6 facilities |
| South Dakota SNF Consulting LLC | Operational/Managerial Control · Organization | 0% | 6 facilities |
| South Dakota SNF Consulting LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Spielman, Shimon | Corporate Officer · Individual | 0% | 48 facilities |
| Spielman, Shimon | Operational/Managerial Control · Individual | 0% | 48 facilities |
| Spielman, Shimon | Adp Of The SNF · Individual | 0% | 48 facilities |
| Witzcorp Global LLC | Adp Of The SNF · Organization | 0% | 21 facilities |
| Yenowitz, Yitzchok | Indirect Ownership Interest · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Corporate Officer · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Adp Of The SNF · Individual | 0% | 50 facilities |
·
Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install corridor and hallway doors that block smoke.
- D
Install an approved automatic sprinkler system.
Egress6E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- C
Have exits that are accessible at all times.
- 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.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Miscellaneous3F
- D
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- C
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems2E
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Emergency Preparedness2C
- C
Conduct testing and exercise requirements.
- C
Develop and maintain an Emergency Preparedness Program (EP).
Construction1D
- D
Meet other general requirements.
·
Other homes nearby
-
Flandreau Santee Sioux Tribe Care Center
Flandreau, SD
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 22 min
- Fines
- $27,967
-
Good Samaritan Society - Pipestone
Pipestone, MN · Good Samaritan Society
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 49 min
- Fines
- $17,345
-
Dells Nursing And Rehab Center Inc
Dell Rapids, SD
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 58 min
- Fines
- $173,010