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Flandreau Santee Sioux Tribe Care Center
Nursing Home, Memory Care & Skilled Nursing · Flandreau, SD
CMS overall rating Info 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, Nursing Home in Flandreau, SD — Exterior view of the Flandreau Santee Sioux Tribe Care Center building

Flandreau Santee Sioux Tribe Care Center

Nursing Home, Memory Care & Skilled Nursing · Flandreau, SD
CMS overall rating Info 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.
909 Jones Dr, Flandreau, SD 57028 View map Calculator: See prices in your area
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Overview of Flandreau Santee Sioux Tribe Care Center

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.

Facility Direct Line (605) 573-2100
Facility Direct Line (605) 573-2100 longtermcare@fsst.org

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 10.5% Above SD avg. ▲ 10.5% Above SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 10.9% Above SD avg. ▲ 10.9% Above SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 10.0% Above SD avg. ▲ 10.0% Above SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Capacity and availability

Residents per day (avg)
19
Bed community size
42-bed community Rank #91 / 116Bed count — State benchmarkedThis home is ranked 91st out of 116 homes we track in South Dakota for bed count. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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.
Years in operation
1 year in operation Rank #14 / 107Years in operation — State benchmarkedThis home is ranked 14th out of 107 homes we track in South Dakota for years in operation. Shows how long this facility has been in operation compared to other South Dakota facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 59 / 100 Rank #41 / 148Walk Score — State benchmarkedThis home is ranked 41st out of 148 homes we track in South Dakota for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across South Dakota facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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

Occupancy

Occupancy rate
45%
Rank #33 / 33Occupancy rate — State benchmarkedThis home is ranked 33rd out of 33 homes we track in South Dakota for occupancy. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 33. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the South Dakota average: 79.9%
Occupied beds
19 / 42
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
IssuanceJuly 1, 2025
CountyMoody
License Number80038

Ownership & Operating Entity

Flandreau Santee Sioux Tribe Care Center is administered by Annmarie Kutzke.

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Courtyard
Dining
Spa
Salon

Contact Flandreau Santee Sioux Tribe Care Center

Penalties and fines

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

This home is administered by Annmarie Kutzke.

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 43A139

Show certification details

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Address 0.0 miles from city center Info 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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Info below is compiled from CMS reports & the SD Dept. of Health (DOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The South Dakota average is: 58.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Bethany Home Sioux Falls/Bethany Home-Brandon ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
Sioux Falls
112
Facility 112
SD AVG 69
Rank #11 / 116
--
5.61
Facility 5.61
SD AVG 4.34
Rank #4 / 65
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ -15%+29%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 67
13
Facility 13
SD AVG 14.8
Rank #27 / 65
3.3
Facility 3.3
SD AVG 3.3
Rank #35 / 65
142-
65
Facility 65
SD AVG 42
Rank #25 / 148
Augustana Lutheran Church
$5.9MFiscal year ending 06/2024
Facility $5.9MFiscal year ending 06/2024
SD AVG $7.1M
Rank #30 / 58
$4.1MFiscal year ending 06/2024
Facility $4.1MFiscal year ending 06/2024
SD AVG $4.2M
Rank #21 / 58
68.6%Fiscal year ending 06/2024
Facility 68.6%Fiscal year ending 06/2024
SD AVG 58.6%
Rank #8 / 58
435096
Tieszen Memorial Home Inc ★ ★ ★ ★ ★
NH
AL
HOS
MC
SNF
Marion
64
Facility 64
SD AVG 69
Rank #53 / 116
91.1%
Facility 91.1%
SD AVG 84%
Rank #12 / 33
+8%
4.58
Facility 4.58
SD AVG 4.34
Rank #14 / 65
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ +21%+6%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 67
7
Facility 7
SD AVG 14.8
Rank #9 / 65
2.3
Facility 2.3
SD AVG 3.3
Rank #19 / 65
-58-
23
Facility 23
SD AVG 42
Rank #107 / 148
Tieszen Memorial Home Inc
$5.9MFiscal year ending 12/2023
Facility $5.9MFiscal year ending 12/2023
SD AVG $7.1M
Rank #32 / 58
$3.6MFiscal year ending 12/2023
Facility $3.6MFiscal year ending 12/2023
SD AVG $4.2M
Rank #26 / 58
61.1%Fiscal year ending 12/2023
Facility 61.1%Fiscal year ending 12/2023
SD AVG 58.6%
Rank #10 / 58
435069
Westhills Village ★ ★ ★ ★ ★
NH
AL
HC
IL
PC
SNF
Rapid City
44
Facility 44
SD AVG 69
Rank #89 / 116
93.4%
Facility 93.4%
SD AVG 84%
Rank #9 / 33
+11%
4.26
Facility 4.26
SD AVG 4.34
Rank #17 / 65
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +31%-2%
$13.5k
Facility $13.5k
SD AVG $38.5k
Rank #28 / 67
9
Facility 9
SD AVG 14.8
Rank #17 / 65
3.0
Facility 3.0
SD AVG 3.3
Rank #27 / 65
141-
21
Facility 21
SD AVG 42
Rank #111 / 148
Bradley Archer
$6.7MFiscal year ending 09/2023
Facility $6.7MFiscal year ending 09/2023
SD AVG $7.1M
Rank #27 / 58
$8.6MFiscal year ending 09/2023
Facility $8.6MFiscal year ending 09/2023
SD AVG $4.2M
Rank #5 / 58
128.7%Fiscal year ending 09/2023
Facility 128.7%Fiscal year ending 09/2023
SD AVG 58.6%
Rank #1 / 58
435033
Bethesda Home of Aberdeen ★ ★ ★ ★ ★
NH
AL
HC
RC
SNF
Aberdeen (Aberdeen Township)
86
Facility 86
SD AVG 69
Rank #27 / 116
--
5.41
Facility 5.41
SD AVG 4.34
Rank #11 / 65
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ +1%+25%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 67
6
Facility 6
SD AVG 14.8
Rank #8 / 65
2.0
Facility 2.0
SD AVG 3.3
Rank #15 / 65
-42-
85
Facility 85
SD AVG 42
Rank #1 / 148
Christian Retirement Center Of Northern California
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
SD AVG $7.1M
Rank #40 / 58
$3.3MFiscal year ending 12/2023
Facility $3.3MFiscal year ending 12/2023
SD AVG $4.2M
Rank #32 / 58
73%Fiscal year ending 12/2023
Facility 73%Fiscal year ending 12/2023
SD AVG 58.6%
Rank #6 / 58
435071
Flandreau Santee Sioux Tribe Care Center ★ ★ ★ ☆ ☆
NH
MC
SNF
Flandreau
42
Facility 42
SD AVG 69
Rank #91 / 116
45.2%
Facility 45.2%
SD AVG 84%
Rank #33 / 33
-46%- ★ ★ ★ ☆ ☆ - ★ ★ ★ ☆ ☆ --
$22.8k
Facility $22.8k
SD AVG $38.5k
Rank #41 / 67
---19-
59
Facility 59
SD AVG 42
Rank #41 / 148
----43A139
Nursing Home Explorer

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.

What is the occupancy rate at Flandreau Santee Sioux Tribe Care Center?

Flandreau Santee Sioux Tribe Care Center's occupancy is 45%.

How long has Flandreau Santee Sioux Tribe Care Center been in business?

Flandreau Santee Sioux Tribe Care Center has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Flandreau Santee Sioux Tribe Care Center?

No, Flandreau Santee Sioux Tribe Care Center has a no-pet policy.

Is Flandreau Santee Sioux Tribe Care Center a government-operated facility?

Flandreau Santee Sioux Tribe Care Center is a government-operated nursing facility in SD.

Who is the administrator of Flandreau Santee Sioux Tribe Care Center?

AnnMarie Kutzke is the administrator of Flandreau Santee Sioux Tribe Care Center.

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