Federal inspection record · CMS data as of October 1, 2026
Scotchman Living Center
503 West Pine, Philip, SD · (605) 859-2583
- Certified beds
- 42
- Residents per day
- 34
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicaid
- Certified since
- April 1, 1978
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
★★★★★+1 star
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
★★★★★−1 star
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
Scotchman Living Center carries 16 inspection points. That is fewer than 86% 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
12 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 (4)
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care3D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning2D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service1D
- D
Ensure medication error rates are not 5 percent or greater.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-07-16
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2025-11-20
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-12-19
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 1 min of nursing staff time a day, 57 min of it from a registered nurse.
This home
5 h 1 min
South Dakota average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 40% 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
$47,655 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-27 | Fine | $9,568 |
| 2024-12-19 | Fine | $30,069 |
| 2024-03-06 | Fine | $8,018 |
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 days0.4 pts better | 1.1 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 1.7 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.1 pts better | 100.0% | 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 injury2.1 pts worse | 7.6% | 5.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms10.4 pts worse | 16.3% | 5.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts worse | 8.4% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.1 pts better | 7.6% | 17.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.2 pts worse | 36.0% | 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 worsened8.4 pts worse | 26.7% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased14.9 pts worse | 36.4% | 21.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.5% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection7.8 pts worse | 10.7% | 2.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.4 pts worse | 29.9% | 24.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers9.8 pts worse | 14.3% | 4.5% | 4.5% |
·
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-
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-
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-
Good Samaritan Society New Underwood
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