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Oakview Terrace
Nursing Home, Adult Day Care, Assisted Living, Independent Living & Memory Care · Freeman, 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.

Oakview Terrace

Nursing Home, Adult Day Care, Assisted Living, Independent Living & Memory Care · Freeman, 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.
510 E 8Th St, Freeman, SD 57029 View map Calculator: See prices in your area
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Overview of Oakview Terrace

Oakview Terrace is a nursing home in Freeman, South Dakota, offering assisted living and memory care. Administered by CEO Courtney Unruh, this 45-bed community operates as the non-profit, skilled nursing wing of Freeman Regional Health Services (FRHS), which maintains a close partner-in-health affiliation with the Avera Health network.

A specialized 10-bed memory care neighborhood is provided along with a variety of shared spaces dedicated to recreation and wellness. Care options include 24-hour clinical supervision, physical rehabilitation coordination, and long-term skilled care, while lifestyle services consist of chef-prepared meals and a calendar of activities.

Operating under federal CMS certification, the community maintains an exceptionally high-coverage staffing matrix to oversee complex physical and cognitive recovery. A defining structural strength of the property is its clinical staffing allocation, which provides a robust 4 hours and 47 minutes of total direct nursing care per resident daily, ranking it ninth highest out of all skilled nursing providers statewide. This framework also relies heavily on an above-average concentration of Registered Nurses (RNs) and dedicated certified nurse aides (CNAs) to maintain an attentive, relationship-centered care model.

Regulatory monitoring is conducted jointly by the South Dakota Department of Health and federal CMS frameworks, ensuring compliance through rigorous, unannounced health and safety inspections. The community holds a 5-star overall CMS rating, which is the highest possible designation achievable in federal care comparison systems, driven by quality measure outcomes and staffing metrics that track significantly above South Dakota state averages. During its most recent comprehensive state evaluation in June 2025, a small number of minor health citations across standard nutrition and infection control categories have been identified. However, all previous findings were systematically resolved under approved plans of correction, resulting in an active, fully compliant operating status with zero critical deficiencies.

Positioned in a quiet, rural setting, the community offers a close-knit atmosphere where older adults benefit from an integrated healthcare loop that seamlessly links the nursing home to the adjacent Freeman Medical Center hospital and local rural clinics.

With a unique status as a community-owned non-profit hospital district community, Oakview Terrace is a compelling option for families in the Freeman, Menno, Marion, and Bridgewater areas. While the rural location carries a car-dependent walk score of 26, the community coordinates specialized medical and recreational transportation to bridge logistical gaps.

Facility Direct Line (605) 925-4000
Facility Direct Line (605) 925-4000 Marketing@oakviewterracenpr.com

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.
▲ 84.1% Above SD avg. ▲ 84.1% 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.
Staffing Info 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.
▲ 50.8% Above SD avg. ▲ 50.8% Above SD avg.SD average: 3.3Click 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.
▲ 83.4% Above SD avg. ▲ 83.4% Above SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs South Dakota averages

Rank #13 / 65Nurse hours — State benchmarkedThis home is ranked 13th out of 65 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 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.Facilities with the same value for a metric share the same rank. 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.

Total nursing care Info This home is ranked 13th out of 65 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.

4h 47m

10% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
57m
+19% State avg: 48m per day · National avg: 41m per day
LPN / LVN Info 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.
0m
−100% State avg: 29m per day · National avg: 52m per day
Nurse Aide Info 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.
3h 37m
+38% State avg: 2h 37m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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.
4h 11m
+26% State avg: 3h 19m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
0m
−87% State avg: 3m per day · National avg: 4m per day
Weekend RN Info 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.
41m
+34% State avg: 31m per day · National avg: 28m per day

2 of 6 metrics below state avg

Standout metric: Nurse Aide is +38% above South Dakota average

Bed community size
45-bed community Rank #82 / 117Bed count — State benchmarkedThis home is ranked 82nd out of 117 homes 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.Facilities with the same value for a metric share the same rank. 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.
Years in operation
1 year in operation Rank #14 / 105Years in operation — State benchmarkedThis home is ranked 14th out of 105 homes 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.Facilities with the same value for a metric share the same rank. 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 newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 26 / 100 Rank #106 / 149Walk Score — State benchmarkedThis home is ranked 106th out of 149 homes 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.Facilities with the same value for a metric share the same rank. 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.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
79%
Rank #26 / 34Occupancy rate — State benchmarkedThis home is ranked 26th out of 34 homes in South Dakota for occupancy. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 34. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. 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.
Similar to the South Dakota average: 79.9%
Occupied beds
35 / 45
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
IssuanceJuly 1, 2025
CountyHutchinson
License Number10621

Ownership & Operating Entity

Oakview Terrace is administered by Courtney Unruh.

Amenities & Lifestyle

Garden
Dining
Activities
Wellness Program

Contact Oakview Terrace

CMS Health Inspection History

Inspections Since 2023 · 3 years of data
Total health inspections 3

State average 4.5

Last Health inspection on Jun 2025

Total health citations
11 Rank #20 / 65Health citations — State benchmarkedThis home is ranked 20th out of 65 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 65 SD facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. 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.

State average 14.8

Citations per inspection
3.67 Rank #41 / 65Citations per inspection — State benchmarkedThis home is ranked 41st out of 65 homes in South Dakota for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 65 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. 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.

State average 3.34

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

9 of 11 citations resulted from standard inspections; 1 of 11 resulted from complaint investigations; and 1 of 11 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than State average

State average: 0.3

Serious health citations
2
11% worse than State average

State average: 1.8

0 critical citations State average: 0.3
2 serious citations State average: 1.8
9 moderate citations State average: 12.6
0 minor citations State average: 0
Citations history (last 3 years)
Infection Control moderate citation Jun 26, 2025
Corrected
Nursing Services moderate citation Jun 26, 2025
Corrected
Nutrition moderate citation Jun 26, 2025
Corrected
Quality of Care moderate citation Jun 26, 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 80
Employees 73
Contractors 7
Staff to resident ratio 1.82 : 1
6% fewer staff per resident than South Dakota average
South Dakota average ratio: 1.93 : 1 South Dakota average ratio: 1.93 : 1See full South Dakota ranking
Avg staff/day 23
Average shift 8.2 hours
6% better than South Dakota average
South Dakota average: 7.7 hours South Dakota average shift: 7.7 hoursSee full South Dakota ranking
Total staff hours (quarter) 17,411

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info 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 Info All 11 RN Staff are full-time employees. No contractors work on this role. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info No LPN Staff reported this quarter. 0
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. —
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 43 CNA Staff are full-time employees. No contractors work on this role. 43
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

1.4%

236 contractor hours this quarter

Physical Therapy Assistant: 2 Qualified Social Worker: 2 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4304310,66292100%8.8
Registered Nurse110112,24092100%8.9
Medication Aide/Technician6061,1308997%11.6
Other Dietary Services Staff2029346368%8
Mental Health Service Worker2028426470%7.9
Nurse Practitioner1014806065%8
Clinical Nurse Specialist3033944953%7.6
Dietitian1013305661%5.9
Occupational Therapy Aide0111462123%7
Administrator1011292426%5.4
Physical Therapy Assistant022404448%0.9
Occupational Therapy Assistant011261314%2
Respiratory Therapy Technician202212932%0.7
Medical Director0111533%5
Speech Language Pathologist101141516%1
Qualified Social Worker02281112%0.8
43 Certified Nursing Assistant
% of Days 100%
11 Registered Nurse
% of Days 100%
6 Medication Aide/Technician
% of Days 97%
2 Other Dietary Services Staff
% of Days 68%
View All Staffing Data

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 $21K Rank #23 / 67Federal fines — State benchmarkedThis home is ranked 23rd out of 67 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 67 facilities in the pool. Lower total dollars mean a better rank.Facilities with the same value for a metric share the same rank. 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.
48% lower than South Dakota average

South Dakota average: $40K

Number of fines 2
In line with South Dakota average

South Dakota average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
In line with South Dakota average

South Dakota average: 0.0

Fines amount comparison
Fines amount comparison
This facility $21K
South Dakota average $40K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jan 18, 2024 · $11K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 18, 2024
$11K

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 4.7
61% better than South Dakota average

South Dakota average: 12.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 15.9
34% better than South Dakota average

South Dakota average: 23.9

Long-stay resident measures
Significantly above average Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 7.8%
65% better than South Dakota average

South Dakota average: 22.3%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 12.3%
46% better than South Dakota average

South Dakota average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 27.5%
In line with South Dakota average

South Dakota average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.6%
48% better than South Dakota average

South Dakota average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.0%
100% better than South Dakota average

South Dakota average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than South Dakota average

South Dakota average: 3.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.9%
84% better than South Dakota average

South Dakota average: 5.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.1%
49% better than South Dakota average

South Dakota average: 4.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.9%
31% better than South Dakota average

South Dakota average: 24.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
5% better than South Dakota average

South Dakota average: 95.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with South Dakota average

South Dakota average: 96.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.18
88% better than South Dakota average

South Dakota average: 1.51

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.51
72% better than South Dakota average

South Dakota average: 1.85

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
18% better than South Dakota average

South Dakota average: 84.4%

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 44
Medicare
3
6.8% of residents
Medicaid
19
43.2% of residents
Private pay or other
22
50% 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.

This home is administered by Courtney Unruh.

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 435112

Show certification details

Places of interest near Oakview Terrace

Address 0.0 miles from city center Info Estimated distance in miles from Freeman's city center to Oakview Terrace's address, calculated via Google Maps.

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----435112
Nursing Home Explorer

Frequently Asked Questions about Oakview Terrace

Is Oakview Terrace in a walkable area?

Oakview Terrace has a walk score of 26. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Oakview Terrace?

According to SD state health department records, Oakview Terrace's license number is 10621.

What is the occupancy rate at Oakview Terrace?

Oakview Terrace's occupancy is 79%.

How long has Oakview Terrace been in business?

Oakview Terrace has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Oakview Terrace?

No, Oakview Terrace has a no-pet policy.

Does Oakview Terrace operate as a for-profit or non-profit?

Oakview Terrace is registered as a non-profit in SD.

Who is the administrator of Oakview Terrace?

Courtney Unruh is the administrator of Oakview Terrace.

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