Total health inspections
7
South Dakota average 4.5
Last Health inspection on Sep 2025
Flandreau Santee Sioux Tribe Care Center
CMS overall rating
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Flandreau Santee Sioux Tribe Care Center
CMS overall rating
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Flandreau Santee Sioux Tribe Care Center is a tribally operated nursing home in Flandreau, South Dakota, that provides skilled nursing, memory care, and long-term residential support in a welcoming, close-knit environment. Administered by Annmarie Kutzke, this 42-bed community is a relatively new nursing home in Moody County. Its approach to care centers on treating residents like family while supporting comfort, dignity, and connection for older adults who require daily clinical or personal assistance.
The community holds a 3-star overall CMS rating, performing above the South Dakota state average in several key areas. Staffing levels and quality measures both significantly exceed the state benchmark, along with health inspection performance. One of the strongest indicators is nursing coverage, with total nursing hours averaging 6 hours and 15 minutes per resident each day, which is higher than the state average and is the highest among South Dakota skilled nursing communities. Registered nurse coverage is especially strong at 1 hour and 47 minutes daily, more than double the statewide average.
Weekend RN coverage also stands out at 1 hour and 19 minutes per day, significantly above the state average and indicative of strong clinical oversight throughout the week. Nurse aide staffing reaches 4 hours and 55 minutes per resident daily, placing the community among the strongest in the state for direct hands-on care. Weekend total nursing coverage remains consistently high as well. Meanwhile, the only staffing category slightly below the state average is LPN coverage, which averages 27 minutes per resident each day.
Across seven health inspections, exceeding the South Dakota average of 4.5 inspections, the community received only 10 total citations. Citations averaged 1.43 per inspection, substantially lower than the statewide average of 3.34 and among the better records in South Dakota. No critical citations were identified, and all reviewed deficiencies from recent inspections were reported as corrected.
Additionally, recent inspections completed in August and September 2025 cited citation categories related to quality of care, nutrition, pharmacy services, and abuse prevention. All of which are standard regulatory review areas and do not suggest a broader pattern of harm or systemic compliance concerns. Confirmed amenities include a courtyard, dining room, living room, spa, salon, laboratory services, and a private family dining space. Physician support and 24-hour staffing are available, as well as memory care.
For older adults and families in the Flandreau and Moody County region, including members of the Santee Sioux Tribe, Flandreau Santee Sioux Tribe Care Center offers a compelling option for skilled nursing and memory care supported by exceptional staffing levels, strong clinical oversight, and a consistently favorable inspection history.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 2nd out of 57 homes in South Dakota for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 2nd out of 57 homes in South Dakota for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
6h 15m per day
Rank #2 / 57Nurse hours — State benchmarkedThis home is ranked 2nd out of 57 homes in South Dakota for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 57 South Dakota SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs South Dakota avg
+66%
Standout metric
Weekend RN is +155% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 47m per day | ▲ 123% State avg: 48m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 27m per day | ▼ 7% State avg: 29m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 4h 55m per day | ▲ 88% State avg: 2h 37m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 6h 17m per day | ▲ 89% State avg: 3h 19m per day · National avg: 3h 26m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 1h 19m per day | ▲ 155% State avg: 31m per day · National avg: 28m per day |
42-bed community Rank #92 / 117Bed count — State benchmarkedThis home is ranked 92nd out of 117 homes in South Dakota for bed count. Shows this facility's certified or reported bed count compared to other South Dakota SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 59 / 100 Rank #41 / 159Walk Score — State benchmarkedThis home is ranked 41st out of 159 homes in South Dakota for walk score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across South Dakota SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
ExpirationJune 30, 2026
CountyMoody
License Number80038
Flandreau Santee Sioux Tribe Care Center is administrated by Annmarie Kutzke.
Doctor on Staff
24-Hour Staffing
Courtyard
Dining Room
Living Room
Spa
Salon
Laboratory Services
Private Family Dining Area
Health Inspection History
Inspections
Total health citations
10
Rank #18 / 59Health citations — State benchmarkedThis home is ranked 18th out of 59 homes in South Dakota for health citations. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 59 SD SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
South Dakota average 14.8
Citations per inspection
1.43
Rank #9 / 59Citations per inspection — State benchmarkedThis home is ranked 9th out of 59 homes in South Dakota for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 59 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
South Dakota average 3.34
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
5 of 10 citations resulted from standard inspections; and 5 of 10 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than South Dakota averageSouth Dakota average: 0.3
Serious health citations
3
67% worse than South Dakota averageSouth Dakota average: 1.8
Citations history (last 3 years)
Quality of Care serious citation
Sep 30, 2025
Corrected
Nutrition moderate citation
Aug 07, 2025
Corrected
Pharmacy moderate citation
Aug 07, 2025
Corrected
Quality of Care moderate citation
Aug 07, 2025
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
57
Employees
41
Contractors
16
Staff to resident ratio
2.48 : 1
28% more staff per resident than South Dakota average
Avg staff/day
20
Average shift
8.7 hours
13% better than South Dakota average
Total staff hours (quarter)
16,055
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
12 total: 8 full-time employees and 4 contractors.
12
12 total: 8 full-time employees and 4 contractors.
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
3 total: 1 full-time employee and 2 contractors.
3
3 total: 1 full-time employee and 2 contractors.
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.7 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
25 total: 18 full-time employees and 7 contractors.
25
25 total: 18 full-time employees and 7 contractors.
25
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
20.6%
3,310 contractor hours this quarter
Certified Nursing Assistant: 7
Registered Nurse: 4
Licensed Practical Nurse: 2
Occupational Therapy Aide: 1
Physician Assistant: 1
Medical Director: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 18 | 7 | 25 | 7,912 | 92 | 100% | 9.2 |
| Registered Nurse | 8 | 4 | 12 | 3,642 | 91 | 99% | 9.6 |
| Nurse Aide in Training | 7 | 0 | 7 | 904 | 51 | 55% | 8 |
| Medication Aide/Technician | 2 | 0 | 2 | 876 | 66 | 72% | 7.9 |
| Licensed Practical Nurse | 1 | 2 | 3 | 713 | 59 | 64% | 11.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 637 | 56 | 61% | 7.8 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 370 | 48 | 52% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 328 | 41 | 45% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 133 | 29 | 32% | 4.6 |
| Physician Assistant | 0 | 1 | 1 | 28 | 7 | 8% | 4 |
| Medical Director | 0 | 1 | 1 | 24 | 6 | 7% | 4 |
25 Certified Nursing Assistant
% of Days
100%
12 Registered Nurse
% of Days
99%
7 Nurse Aide in Training
% of Days
55%
2 Medication Aide/Technician
% of Days
72%
3 Licensed Practical Nurse
% of Days
64%
2 Clinical Nurse Specialist
% of Days
61%
1 Administrator
% of Days
66%
1 Other Dietary Services Staff
% of Days
52%
1 Mental Health Service Worker
% of Days
45%
1 Occupational Therapy Aide
% of Days
32%
1 Physician Assistant
% of Days
8%
1 Medical Director
% of Days
7%
Penalties and fines
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$23K Rank #38 / 59Federal fines — State benchmarkedThis home is ranked 38th out of 59 homes in South Dakota for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the South Dakota average among facilities with fines, and where it ranks among 59 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
43% lower than South Dakota averageSouth Dakota average: $40K
Number of fines
2
In line with South Dakota averageSouth Dakota average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
In line with South Dakota averageSouth Dakota average: 0.0
Fines amount comparison
Fines amount comparison
This facility
$23K
South Dakota average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 31, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 31, 2024
$17K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 22, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 22, 2024
$6K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.2
40% better than South Dakota averageSouth Dakota average: 12.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.4
31% better than South Dakota averageSouth Dakota average: 23.9
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
14.8%
Percent of long-stay residents whose need for help with daily activities has increased
14.8%
34% better than South Dakota averageSouth Dakota average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
4.9%
Percent of long-stay residents whose ability to move independently worsened
4.9%
79% better than South Dakota averageSouth Dakota average: 22.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.7%
11% worse than South Dakota averageSouth Dakota average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than South Dakota averageSouth Dakota average: 5.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
12.3%
Percent of long-stay high risk residents with pressure ulcers
12.3%
174% worse than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.3%
Percent of long-stay residents with a urinary tract infection
1.3%
63% better than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.0%
Percent of long-stay residents who lose too much weight
4.0%
27% better than South Dakota averageSouth Dakota average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
16.9%
Percent of long-stay residents who have depressive symptoms
16.9%
314% worse than South Dakota averageSouth Dakota average: 4.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
30.1%
Percent of long-stay residents who received an antipsychotic medication
30.1%
24% worse than South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than South Dakota averageSouth Dakota average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with South Dakota averageSouth Dakota average: 96.9%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
23
Medicaid
23
100% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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Estimated distance in miles from Flandreau's city center to Flandreau Santee Sioux Tribe Care Center's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in South Dakota
Flandreau Santee Sioux Tribe Care Center is located in Flandreau, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.
Compare Nursing Home around South Dakota
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Filter by care type
| Avera Maryhouse |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. | Pierre | 67
Facility
67
SD AVG
69
Rank
#49 / 117 | - | - | 5.30 | +18% | +22% | $0 | 9 | 2.3 | - | 58 |
60
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60
SD AVG
39
Rank
#39 / 159 | - | - | - | - | 435034 | ||||
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NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Rapid City | 10
Facility
10
SD AVG
69
Rank
#116 / 117 | 87.3% | +9% | 3.82 | -2% | -12% | $32.3k | 11 | 1.6 | 2 | 86 |
16
Facility
16
SD AVG
39
Rank
#120 / 159 | - | $8.8M | $4.4M | 50.3% | 435110 | ||||
| Avera Mother Joseph Manor Retirement Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Aberdeen | 81
Facility
81
SD AVG
69
Rank
#32 / 117 | - | - | 4.62 | -24% | +6% | $20.6k | 12 | 1.7 | 3 | 77 |
31
Facility
31
SD AVG
39
Rank
#93 / 159 | - | - | - | - | 435042 | ||||
| Flandreau Santee Sioux Tribe Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Flandreau | 42
Facility
42
SD AVG
69
Rank
#92 / 117 | - | - | 6.25 | +90% | +44% | $22.8k | 10 | 1.4 | 3 | 20 |
59
Facility
59
SD AVG
39
Rank
#41 / 159 | - | - | - | - | 43A139 |
Frequently Asked Questions about Flandreau Santee Sioux Tribe Care Center
Is Flandreau Santee Sioux Tribe Care Center in a walkable area?
Flandreau Santee Sioux Tribe Care Center has a walk score of 59. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
What is the license number of Flandreau Santee Sioux Tribe Care Center?
According to SD state health department records, Flandreau Santee Sioux Tribe Care Center's license number is 80038.
When does Flandreau Santee Sioux Tribe Care Center's license expire?
According to SD state health department records, Flandreau Santee Sioux Tribe Care Center's license expires on June 30, 2026.
Who is the administrator of Flandreau Santee Sioux Tribe Care Center?
AnnMarie Kutzke is the administrator of Flandreau Santee Sioux Tribe Care Center.
How many beds does Flandreau Santee Sioux Tribe Care Center have?
Flandreau Santee Sioux Tribe Care Center has 42 beds.
Are there photos of Flandreau Santee Sioux Tribe Care Center?
Yes — there is 1 photo of Flandreau Santee Sioux Tribe Care Center in the photo gallery on this page.
What is the address of Flandreau Santee Sioux Tribe Care Center?
Flandreau Santee Sioux Tribe Care Center is located at 909 Jones Dr.
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