D64

PALISADE HEALTHCARE CENTER

Grade D 64/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
3/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

55

Ownership

For profit - Corporation

Total Fines

$12,149

Last Survey

N/A

920 4TH ST, GARRETSON, SD 57030
6055943466

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.52h
LPN
0.95h
CNA
2.59h
Total
4.06h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Aug 2023

100%

CH PACIFIC NORTHWEST HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2023

PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2023

WITZCORP GLOBAL LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2023

HERZKA, YISROEL

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2023

YENOWITZ, YITZCHOK

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2023

COUVE FINANCIAL SERVICES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

COUVE HEALTHCARE CONSULTING LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

PACIFIC NORTHWEST OPCO MANAGEMENT LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

PALISADE SNF OPERATIONS, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

SOUTH DAKOTA SNF CONSULTING LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

CHEEKS, DONALD

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

EVANS, KAYLA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

PARKER, LOURDES

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

PERLMAN, HAROLD

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2025

REES, JOSEPH

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

ROBY, BRITTNEY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

SPIELMAN, SHIMON

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

YENOWITZ, YITZCHOK

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

SPIELMAN, SHIMON

IndividualCORPORATE OFFICERSince Aug 2023

YENOWITZ, YITZCHOK

IndividualCORPORATE OFFICERSince Aug 2023

Penalties & Fines (1)

$12,149total fines
DateTypeDescriptionAmount
Nov 26, 2024Fine$12,149

Health Inspection Deficiencies (26)

November 19, 2025Health1 deficiency1 severe
0684JImmediate jeopardy, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Nov 20, 2025
September 17, 2025Health1 deficiency1 severe
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Sep 18, 2025
August 7, 2025Health7 deficiencies1 severe
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Aug 22, 2025
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 22, 2025
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 25, 2025
0582DMinimal harm, Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Aug 22, 2025
0686GActual harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Aug 22, 2025
0725EMinimal harm, Pattern

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nursing and Physician Services Deficiencies

Corrected Aug 22, 2025
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Aug 22, 2025
March 12, 2025Health2 deficiencies
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 28, 2025
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Mar 28, 2025
November 26, 2024Health2 deficiencies1 severe
0600GActual harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Dec 16, 2024
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 16, 2024
August 7, 2024Health1 deficiency
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Sep 13, 2024
March 18, 2024Health8 deficiencies
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Apr 11, 2024
0578DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Apr 11, 2024
0584FMinimal harm, Widespread

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.

Resident Rights Deficiencies

Corrected Apr 11, 2024
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 11, 2024
0695EMinimal harm, Pattern

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Apr 11, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Apr 11, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 11, 2024
0909DMinimal harm, Isolated

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Environmental Deficiencies

Corrected Apr 11, 2024
December 28, 2023Health1 deficiency
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 1, 2024
March 8, 2023Health3 deficiencies
0657EMinimal harm, Pattern

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 14, 2023
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 14, 2023
0678EMinimal harm, Pattern

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Quality of Life and Care Deficiencies

Corrected Apr 14, 2023

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Frequently Asked Questions

What is the CareGrader rating for PALISADE HEALTHCARE CENTER?

PALISADE HEALTHCARE CENTER in GARRETSON, South Dakota has a CareGrader grade of D (Below Average), with a composite score of 64.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for PALISADE HEALTHCARE CENTER?

PALISADE HEALTHCARE CENTER has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does PALISADE HEALTHCARE CENTER have?

PALISADE HEALTHCARE CENTER has 26 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has PALISADE HEALTHCARE CENTER been fined?

Yes. PALISADE HEALTHCARE CENTER has $12,149 in total fines from CMS enforcement actions across 1 penalty.

How many beds does PALISADE HEALTHCARE CENTER have?

PALISADE HEALTHCARE CENTER has 55 certified beds with approximately 46 current residents (84% occupancy). The facility is located at 920 4TH ST, GARRETSON, South Dakota 57030. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.