Federal inspection record · CMS data as of October 1, 2026
United Living Community
405 First Ave, Brookings, SD · (605) 692-5351
- Cited for abuse (CMS abuse icon)
- Certified beds
- 67
- Residents per day
- 66
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1994
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.
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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.
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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.
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
United Living Community carries 64 inspection points. That is fewer than 36% 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
22 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
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.
Everything else, by area of care
Nutrition and Dietary6F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
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.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 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.
Resident Rights3E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- E
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.
Resident Assessment and Care Planning3E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
Infection Control2E
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
Pharmacy Service1E
- 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.
Quality of Life and Care1D
- D
Provide or get specialized rehabilitative services as required for a resident.
Inspection history
2025-12-04
8 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2024-05-23
9 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2023-06-29
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 50 min of nursing staff time a day, 36 min of it from a registered nurse.
This home
4 h 50 min
South Dakota average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 64% 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
$33,027 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-07-10 | Fine | $20,332 |
| 2024-05-23 | Fine | $12,695 |
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 daysAbout the same | 1.5 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.2 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.4 pts worse | 92.5% | 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 injury2.8 pts worse | 8.3% | 5.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.9 pts better | 0.0% | 5.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts worse | 6.1% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.5 pts better | 10.2% | 17.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication15.1 pts worse | 39.9% | 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 worsened5.6 pts worse | 23.9% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased15.3 pts worse | 36.8% | 21.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.3 pts worse | 4.2% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.5 pts better | 0.4% | 2.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.9 pts worse | 33.4% | 24.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.9 pts better | 3.6% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.8 pts worse | 83.1% | 83.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.3 pts better | 8.0% | 13.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts worse | 3.5% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine19.2 pts better | 94.7% | 75.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.2 pts better | 12.8% | 20.0% | 23.4% |
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Who owns and runs it
13 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 |
|---|---|---|---|
| United Retirement Center | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Avera Mckennan | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Baker, Joan | Corporate Director · Individual | 0% | 1 facilities |
| Bell, Julie | Corporate Director · Individual | 0% | 1 facilities |
| Brotsky, Robert | Corporate Director · Individual | 0% | 1 facilities |
| Gilkerson, James | Corporate Director · Individual | 0% | 1 facilities |
| Harrison, Alice | Corporate Director · Individual | 0% | 1 facilities |
| Hight, Kaleb | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Johnson, Joshua | Corporate Officer · Individual | 0% | 2 facilities |
| Koolmo, Camille | Corporate Officer · Individual | 0% | 1 facilities |
| Lee, Mary Jo | Corporate Director · Individual | 0% | 1 facilities |
| Nielsen, Helen | Corporate Director · Individual | 0% | 1 facilities |
| Schmieding, Rebecca | Corporate Director · Individual | 0% | 1 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke1C
- C
Inspect, test, and maintain automatic sprinkler systems.
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Other homes nearby
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The Neighborhoods At Brookview
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 21 min
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Riverview Healthcare Center
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- J
- Nursing / resident / day
- 3 h 27 min
- Fines
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Flandreau Santee Sioux Tribe Care Center
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 22 min
- Fines
- $27,967