Flandreau Santee Sioux Tribe Care Center
Nursing Home, Memory Care & Skilled Nursing · Flandreau, SD
CMS overall rating
3/5
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.
3/5
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, Memory Care & Skilled Nursing · Flandreau, SD
CMS overall rating
3/5
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.
3/5
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
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.
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 / 65Nurse hours — State benchmarkedThis home is ranked 2nd out of 65 homes in South Dakota. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 65 South Dakota facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg
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. 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.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.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.
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score: 59 / 100 Rank #41 / 159Walk Score — State benchmarkedThis home is ranked 41st out of 159 homes in South Dakota. 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.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.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
IssuanceJuly 1, 2025
ExpirationJune 30, 2026 Expired
CountyMoody
License Number80038
Flandreau Santee Sioux Tribe Care Center is administered by Annmarie Kutzke.
Doctor on Staff
24-Hour Staffing
Courtyard
Dining Room
Living Room
Spa
Salon
Laboratory Services
Private Family Dining Area
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.
Places of interest near Flandreau Santee Sioux Tribe Care Center
0.0 miles from city center
Estimated distance in miles from Flandreau's city center to Flandreau Santee Sioux Tribe Care Center's address, calculated via Google Maps.
Calculate Travel Distance to Flandreau Santee Sioux Tribe Care Center
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Compare Nursing Homes around the area
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
| Avera Maryhouse | NH AL HOS | Pierre | - | 67 | - | 60 | Private Rooms / Semi-Private Rooms |
| Bethesda Home of Aberdeen | NH AL HC RC SNF | Aberdeen (Aberdeen Township) | - | 86 | - | 85 | - |
| Prairie Heights Healthcare | NH HOS SNF | Aberdeen | - | 99 | - | 85 | - |
| Bethany Home Sioux Falls/Bethany Home-Brandon | NH AL IL MC SNF | Sioux Falls | - | 112 | - | 65 | - |
| Flandreau Santee Sioux Tribe Care Center | NH MC SNF | Flandreau | - | 42 | - | 59 | - |
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.
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.
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.
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