Total health inspections
7
South Dakota average 4.5
Last Health inspection on Sep 2025
Flandreau Santee Sioux Tribe Care Center
Nursing Home · South Dakota, SD
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Flandreau Santee Sioux Tribe Care Center
Nursing Home · South Dakota, SD
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Flandreau Santee Sioux Tribe Care Center is a long-term care facility located in Flandreau, South Dakota. It offers skilled nursing care and memory care services in a safe and responsive environment. The center is dedicated to caring for residents as if they were family.
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 1st out of 62 homes in South Dakota.
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 1st out of 62 homes in South Dakota.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 #1 / 62Nurse hours — state benchmarkedThis home is ranked 1st out of 62 homes in South Dakota.Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 62 South Dakota SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs South Dakota avg
+66%
Standout metric
RN (Weekend) is +155% above state avg
| Staff type | Hours / day | 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 |
|
Total Nursing (Weekend)
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 |
|
RN (Weekend)
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
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 59 / 100
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 #19 / 64Health citations — state benchmarkedThis home is ranked 19th out of 64 homes in South Dakota.Shows this facility's total health deficiency citations benchmarked to the South Dakota state average, with a ranking across all 64 SD SNFs. Lower citation counts earn a better rank.
South Dakota average 14.8
Citations per inspection
1.43
Rank #9 / 64Citations per inspection — state benchmarkedThis home is ranked 9th out of 64 homes in South Dakota.Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 64 SNFs with citation data. Lower is better.
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
3
67% worse than South Dakota averageSouth Dakota average: 1.8
0 critical citations
3 serious citations
7 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 30, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 30, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 07, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 07, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 07, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 07, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 07, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 07, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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.
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.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
50
Employees
30
Contractors
20
Staff to resident ratio
2.17:1
14% better than South Dakota averageSouth Dakota average ratio: 1.91:1
Avg staff/day
18
Average shift
9.2 hours
19% better than South Dakota averageSouth Dakota average: 7.7 hours
Total staff hours (quarter)
15,022
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
2
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 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
27
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
34.1%
5,123 contractor hours this quarter
Certified Nursing Assistant: 15
Occupational Therapy Aide: 2
Licensed Practical Nurse: 1
Medical Director: 1
Other Physician: 1
Staff by category
| Certified Nursing Assistant | 12 | 15 | 27 | 8,102 | 91 | 100% | 9.7 |
| Registered Nurse | 8 | 0 | 8 | 3,294 | 91 | 100% | 10.2 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 934 | 66 | 73% | 8 |
| Medication Aide/Technician | 2 | 0 | 2 | 692 | 66 | 73% | 8.1 |
| Other Dietary Services Staff | 2 | 0 | 2 | 646 | 70 | 77% | 7.1 |
| Occupational Therapy Aide | 0 | 2 | 2 | 559 | 61 | 67% | 6.9 |
| Administrator | 2 | 0 | 2 | 512 | 63 | 69% | 8.1 |
| Licensed Practical Nurse | 1 | 1 | 2 | 163 | 16 | 18% | 9.6 |
| Nurse Practitioner | 1 | 0 | 1 | 72 | 9 | 10% | 8 |
| Medical Director | 0 | 1 | 1 | 24 | 5 | 5% | 4.8 |
| Other Physician | 0 | 1 | 1 | 24 | 6 | 7% | 4 |
27 Certified Nursing Assistant
% of Days
100%
8 Registered Nurse
% of Days
100%
2 Clinical Nurse Specialist
% of Days
73%
2 Medication Aide/Technician
% of Days
73%
2 Other Dietary Services Staff
% of Days
77%
2 Occupational Therapy Aide
% of Days
67%
2 Administrator
% of Days
69%
2 Licensed Practical Nurse
% of Days
18%
1 Nurse Practitioner
% of Days
10%
1 Medical Director
% of Days
5%
1 Other Physician
% of Days
7%
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.
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.
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 (Data as of Jan 2026)
Total fines amount
$23K
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
Compare Nursing Home around South Dakota
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
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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).
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| Avantara Clark City |
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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. | Clark | 35 | 79.4% | -1% | 3.15 | -22% | -27% | 1 | 5 | 1.3 | 1 | 31 | 31 | Tiffany Schlomer | $6.0M | $1.5M | 25.5% | 435058 | ||||
| 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 | - | - | 6.25 | +47% | +44% | 2 | 10 | 1.4 | 3 | 20 | 59 | - | - | - | - | 43A139 | ||||
| Aurora Brule Nursing Home Inc. |
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. | White Lake (White Lake Township) | 50 | 61.7% | -23% | 3.45 | +29% | -20% | 2 | 16 | 3.2 | 1 | 40 | 17 | Aurora-Brule Nursing Home | $2.9M | $1.5M | 51.8% | 435132 | ||||
| Avantara Arrowhead |
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. | Rapid City (Broadmoor Subdivision) | 68 | 75.2% | -6% | 2.80 | +52% | -36% | 5 | 34 | 3.8 | 9 | 61 | 12 | Philip Preston | $10.7M | $2.9M | 27.3% | 435051 |
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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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