Federal inspection record · CMS data as of October 1, 2026
Tekakwitha Living Center
6 E Chestnut, Sisseton, SD · (605) 698-7693
- Certified beds
- 40
- Residents per day
- 40
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 7, 1988
1
How this home got 2 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.
-
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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among South Dakota homes
Tekakwitha Living Center carries 104 inspection points. That is fewer than 16% 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
31 health citations on record since 2023. 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 (2)
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G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Nutrition and Dietary9F
- 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.
- D
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- F
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- F
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights5E
- E
Ensure residents have reasonable access to and privacy in their use of communication methods.
- 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.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 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
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Infection Control4F
- E
Provide and implement an infection prevention and control program.
- E
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Pharmacy Service3E
- E
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.
- E
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.
- E
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.
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 care or services that was trauma informed and/or culturally competent.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Administration1F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Resident Assessment and Care Planning1D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspection history
2026-01-22
13 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2024-07-18
11 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2023-06-01
7 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 51 min of nursing staff time a day, 40 min of it from a registered nurse.
This home
2 h 51 min
South Dakota average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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
$37,079 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-07-18 | Fine | $30,729 |
| 2023-11-13 | Fine | $2,117 |
| 2023-10-23 | Fine | $4,233 |
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 days1.3 pts better | 0.2 | 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 vaccine2.6 pts worse | 94.6% | 97.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts worse | 7.2% | 5.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3 pts better | 2.9% | 5.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.4 pts worse | 8.1% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication40.4 pts worse | 58.1% | 17.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4 pts better | 20.8% | 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 worsened9 pts worse | 27.3% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.2 pts better | 20.3% | 21.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder5.2 pts worse | 7.1% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.9 pts worse | 6.8% | 2.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.2 pts better | 21.3% | 24.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts better | 2.6% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.6 pts better | 97.5% | 83.9% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication12.1 pts worse | 14.3% | 2.2% | 1.5% |
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Who owns and runs it
14 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 |
|---|---|---|---|
| Coteau Des Prairies Hospital | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Cameron, Erin | Corporate Director · Individual | 0% | 1 facilities |
| Coteau Des Prairies Hospital | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Gleason, David | Corporate Director · Individual | 0% | 1 facilities |
| Glynn, Matthew | Corporate Director · Individual | 0% | 1 facilities |
| Hendrickson, Leslie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hippen, Yvonne | Corporate Director · Individual | 0% | 1 facilities |
| Jaspers, Terry | Corporate Director · Individual | 0% | 1 facilities |
| Johnston, Faye | Corporate Director · Individual | 0% | 1 facilities |
| Mccleerey, Steven | Corporate Director · Individual | 0% | 1 facilities |
| Opsal, Geraldine | Corporate Director · Individual | 0% | 1 facilities |
| Stroschein, Chad | Corporate Officer · Individual | 0% | 9 facilities |
| Stroschein, Chad | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Weaver, Gregory | Operational/Managerial Control · Individual | 0% | 1 facilities |
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Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress7E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- C
Install resident room doors of proper design and width.
- C
Conform to length requirements for dead end corridors.
- C
Install resident room doors of proper design and width.
- C
Conform to length requirements for dead end corridors.
- C
Install resident room doors of proper design and width.
- C
Conform to length requirements for dead end corridors.
Miscellaneous2E
- D
Have simulated fire drills held at unexpected times.
- E
Have simulated fire drills held at unexpected times.
Smoke2D
- D
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Emergency Preparedness1D
- D
Develop and maintain an Emergency Preparedness Program (EP).
Gas, Vacuum, and Electrical Systems1D
- D
Have proper medical gas storage and administration areas.
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Other homes nearby
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Browns Valley Health Center
Browns Valley, MN · St. Francis Health Services · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 4 min
- Fines
- $17,345
-
Wilmot Care Center Inc
Wilmot, SD
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 4 h 14 min
- Fines
- $28,028
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Strand-Kjorsvig Community Rest Home
Roslyn, SD
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 13 min
- Fines
- $25,263