Cycle 1
Health 2025-12-04 · Fire 2025-12-04
12 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Brookings, SD
United Living Community
2-star overall rating with 2-star inspections with abuse icon flag with $12,695 in total fines with 12 recent health deficiencies
405 First Ave, Brookings, SD
(605) 692-5351
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
67
Certified beds
Average residents
63
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1994-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.45
Registered nurse staffing · state 0.80 · national 0.68
LPN hours / resident day
0.41
Licensed practical nurse staffing · state 0.49 · national 0.87
Aide hours / resident day
3.81
Nurse aide staffing · state 2.61 · national 2.35
Total nurse hours
4.68
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
0.87
RN + LPN hours · state 1.28 · national 1.54
Weekend hours
4.11
Weekend nurse staffing · state 3.32 · national 3.43
Weekend RN hours
0.21
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.00
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.54
CMS adjusted RN staffing hours
Adjusted total hours
5.58
CMS adjusted total nurse staffing hours
Case-mix index
1.15
Higher values indicate more complex resident acuity
RN turnover
75%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,325
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
44.88
Composite VBP score used to determine payment impact.
Payment multiplier
0.9980
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.81
Performance 18.27% · Measure score 6.81 · Achievement 6.81 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
6.19
Performance 5.99% · Measure score 6.19 · Achievement 6.19 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
0
Baseline 52.94% · Performance 72.15% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
4.95
Baseline 4.54 hours · Performance 4.49 hours · Measure score 4.95 · Achievement 4.95 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.4% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 68 · Observed rate 7.35% · Lower 95% interval 6.89% |
| Discharge to community | 33.94% |
50.57%
16.6 pts worse
|
Worse than the National Rate · Eligible stays 58 · Observed rate 27.59% · Lower 95% interval 24.52% |
| Medicare spending per beneficiary | 0.71 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 97.3% |
95.27%
2 pts better
|
Numerator 36 · Denominator 37 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 37 |
| Discharge self-care score | 40% |
53.69%
13.7 pts worse
|
Numerator 12 · Denominator 30 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 15 · Denominator 30 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 37 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.98% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 37 · Observed rate 0% · Lower 95% interval 3.16% |
| Staff COVID-19 vaccination coverage | 0.63% |
8.2%
7.6 pts worse
|
Numerator 1 · Denominator 159 |
| Staff flu vaccination coverage | 22.29% |
42%
19.7 pts worse
|
Numerator 39 · Denominator 175 |
| Discharge function score | 63.33% |
56.45%
6.9 pts better
|
Numerator 19 · Denominator 30 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.5
About the same
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.2 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.9
1.2 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.5% |
95.4%
2.9 pts worse
|
93.4%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 95.4% · Q2 89.2% · Q3 91.8% · Q4 93.4% · 4Q avg 92.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.5% |
96.9%
1.6 pts better
|
95.5%
3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.1% |
5.1%
2 pts worse
|
3.3%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 7.7% · Q3 3.3% · Q4 8.2% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.6%
4.6 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 4.0% |
5.5%
1.5 pts better
|
5.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 5.8% · Q3 4.1% · Q4 2.2% · 4Q avg 4.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.0% |
17.8%
7.8 pts better
|
19.6%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 13.2% · Q3 10.0% · Q4 10.2% · 4Q avg 10.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 35.6% |
25.1%
10.5 pts worse
|
16.7%
18.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.3% · Q2 31.9% · Q3 34.1% · Q4 38.1% · 4Q avg 35.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 24.7% |
21.3%
3.4 pts worse
|
16.3%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 34.2% · Q3 12.5% · Q4 27.5% · 4Q avg 24.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.1% |
21.6%
3.5 pts worse
|
14.9%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 37.3% · Q3 18.0% · Q4 24.5% · 4Q avg 25.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.7% |
2.0%
2.7 pts worse
|
1.0%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 6.6% · Q3 4.8% · Q4 3.9% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.9% |
3.3%
0.4 pts better
|
1.7%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 6.2% · Q3 1.7% · Q4 1.7% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.7% |
25.8%
2.9 pts worse
|
19.8%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.5% · Q2 31.2% · Q3 17.6% · Q4 29.8% · 4Q avg 28.7% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
4.6%
0.4 pts worse
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.1% · Q3 8.6% · Q4 5.2% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 75.0% |
83.2%
8.2 pts worse
|
81.7%
6.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 81.5% · Q2 70.8% · Q3 81.0% · Q4 66.7% · 4Q avg 75.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.6% |
11.7%
0.1 pts better
|
12.0%
0.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.6% · Observed 11.1% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.7%
1.7 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 31.8% |
78.2%
46.4 pts worse
|
79.7%
47.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 31.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 0.0% |
21.5%
21.5 pts better
|
23.9%
23.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 0.0% · Observed 0.0% · Expected 19.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-23 · Fire 2024-05-23
8 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2023-06-29 · Fire 2023-06-29
2 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
C · Minimal harm
2024-05-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-20
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-12-04
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-18
E · Potential for more than minimal harm
2025-12-04
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2026-01-18
E · Potential for more than minimal harm
2025-12-04
F803 · Nutrition and Dietary Deficiencies
Health
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.
Corrected 2026-01-18
D · Potential for more than minimal harm
2025-12-04
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-01-18
D · Potential for more than minimal harm
2025-12-04
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2026-01-18
D · Potential for more than minimal harm
2025-12-04
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-01-18
D · Potential for more than minimal harm
2025-12-04
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2026-01-18
D · Potential for more than minimal harm
2025-12-04
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2026-01-18
D · Potential for more than minimal harm
2025-08-14
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-10-04
G · Actual harm
2025-07-10
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-12
E · Potential for more than minimal harm
2025-07-10
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-08-12
D · Potential for more than minimal harm
2025-07-10
F825 · Quality of Life and Care Deficiencies
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-08-12
G · Actual harm
2024-06-26
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-25
D · Potential for more than minimal harm
2024-06-26
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-07-25
D · Potential for more than minimal harm
2024-06-26
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-07-25
E · Potential for more than minimal harm
2024-05-23
F625 · Resident Rights Deficiencies
Health
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.
Corrected 2024-07-18
E · Potential for more than minimal harm
2024-05-23
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-07-18
E · Potential for more than minimal harm
2024-05-23
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-18
E · Potential for more than minimal harm
2024-05-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-18
D · Potential for more than minimal harm
2024-05-23
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-07-18
E · Potential for more than minimal harm
2023-06-29
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-01
D · Potential for more than minimal harm
2023-06-29
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-08-01
Penalties and ownership
What sits behind the stars
$12,695
2024-05-23
Fine
Fine · fine $12,695
Fine
Ownership
United Retirement Center
5% Or Greater Direct Ownership Interest · Organization
Avera Mckennan
Operational/Managerial Control · Organization
Baker, Joan
Corporate Director · Individual
Bell, Julie
Corporate Director · Individual
Brotsky, Robert
Corporate Director · Individual
Gilkerson, James
Corporate Director · Individual
Harrison, Alice
Corporate Director · Individual
Hight, Kaleb
Contracted Managing Employee · Individual
Johnson, Joshua
Corporate Officer · Individual
Koolmo, Camille
Corporate Officer · Individual
Lee, Mary Jo
Corporate Director · Individual
Nielsen, Helen
Corporate Director · Individual
Schmieding, Rebecca
Corporate Director · Individual
Nearby options
Other facilities in reach
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The Neighborhoods At Brookview
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5-star overall rating with 5-star inspections with 2 recent health deficiencies
#2
Riverview Healthcare Center
Flandreau, SD
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $93,379 in total fines with 18 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#3
Flandreau Santee Sioux Tribe Care Center
Flandreau, SD
3-star overall rating with 3-star inspections with $17,007 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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