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CMS Nursing Home Compare · March 2026

Flandreau Santee Sioux Tribe Care Center

909 Jones Dr, Flandreau, SD 57028

Flandreau Santee Sioux Tribe Care Center, a 42-bed non profit - other nursing facility in Flandreau, SD, holds a 3-star CMS overall rating - right around the 3.0-star national average, with nurse staffing above the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6055732100

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3 / 5
Average · CMS overall · nat'l 3.0
7.16
Well above average · nurse hrs/day · nat'l 3.89
10
Inspection findings · 3 serious
$17K
Federal penalties (2)

Health Inspection

3/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
43A139
Ownership
Non profit - Other
Provider Type
Medicaid
Beds
42
Residents
22
In Hospital
No
County
Moody
Last Inspection
Aug 7, 2025

Staffing Data

How the 7.16 total nursing hours per resident-day are staffed:

RN Hours
1.78 (nat'l avg: 0.68)
LPN Hours
0.46
CNA Hours
4.92
Total Nursing Hours
7.16 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
58.1%
RN Turnover
41.7%

What the CMS Record Reveals About Flandreau Santee Sioux Tribe Care Center

Flandreau Santee Sioux Tribe Care Center operates 42 certified beds in Flandreau, SD with approximately 22 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (4★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 10 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $17K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 7.16 total nursing hours per resident day (national average 3.89), with RN coverage at 1.78 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Other" ownership and operating as a "Medicaid" provider, Flandreau Santee Sioux Tribe Care Center falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 58.1%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (10 most recent)

G - Isolated - Actual harm Sep 30, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 25, 2025

E - Pattern - Minimal harm Aug 7, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 12, 2025

D - Isolated - Minimal harm Aug 7, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Sep 12, 2025

D - Isolated - Minimal harm Aug 7, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 9, 2025

G - Isolated - Actual harm Dec 31, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 29, 2025

G - Isolated - Actual harm Oct 22, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 18, 2024

E - Pattern - Minimal harm Aug 6, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 29, 2024

E - Pattern - Minimal harm Apr 4, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 28, 2024

D - Isolated - Minimal harm Apr 4, 2024 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 28, 2024

D - Isolated - Minimal harm Apr 5, 2023 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 5, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 14.7% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 8.9% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 12.8% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 35.9% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.4% No
Percentage of long-stay residents who have depressive symptoms Long Stay 16.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 19.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 22.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay N/A No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History 2 penalties totaling $17K

Date Type Amount
Dec 31, 2024 Fine $11K
Oct 22, 2024 Fine $6K

Frequently Asked Questions

What is the overall CMS rating for Flandreau Santee Sioux Tribe Care Center?
Flandreau Santee Sioux Tribe Care Center has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (4★).
What are the staffing levels at Flandreau Santee Sioux Tribe Care Center?
Flandreau Santee Sioux Tribe Care Center reports 7.16 total nursing hours per resident day (national average: 3.89). RN hours are 1.78 per resident day (national average: 0.68). Nursing staff turnover is 58.1%.
How many beds does Flandreau Santee Sioux Tribe Care Center have?
Flandreau Santee Sioux Tribe Care Center has 42 certified beds with approximately 22 residents. The facility is located at 909 Jones Dr, Flandreau, SD 57028.
Does Flandreau Santee Sioux Tribe Care Center have any deficiencies on record?
Yes, Flandreau Santee Sioux Tribe Care Center has 10 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Flandreau Santee Sioux Tribe Care Center received any fines or penalties?
Yes, Flandreau Santee Sioux Tribe Care Center has received 2 penalties totaling $17K.
Who owns Flandreau Santee Sioux Tribe Care Center?
Flandreau Santee Sioux Tribe Care Center is classified as "Non profit - Other" ownership. The facility type is "Medicaid".
When was Flandreau Santee Sioux Tribe Care Center last inspected?
The most recent health inspection for Flandreau Santee Sioux Tribe Care Center was on Aug 7, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Flandreau Santee Sioux Tribe Care Center?
Flandreau Santee Sioux Tribe Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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