Total health inspections
3
State average N/A
Last Health inspection on Jun 2025
Oakview Terrace
Nursing Home & Assisted Living · Freeman, SD
CMS overall rating
5/5
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.
5/5
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.
Oakview Terrace
Nursing Home & Assisted Living · Freeman, SD
CMS overall rating
5/5
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.
5/5
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.
Oakview Terrace operates a 45-bed nursing home at 510 East 8th Street in Freeman, Hutchinson County, South Dakota. Courtney Unruh administers the facility, which is certified by the Centers for Medicare & Medicaid Services under a governmental community model supported by a subsidized facility district. The neighborhood presents limited walkability (Walk Score 26), with most activities and services requiring a vehicle.
The facility carries a 5-star overall CMS rating; 99.2% above the South Dakota average. This top rating reflects performance across three rating dimensions. Health inspection ratings stand at 5 stars (17.6% above state mean).
The staffing rating of 5 stars reflects 4 hours 47 minutes of total daily nursing per resident, placing the facility 11th among 57 South Dakota facilities and 27% above the state average of 3 hours 46 minutes. Nurse aide coverage averages 3 hours 16 minutes daily, exceeding the state mean by 25%. Quality measures score 5 stars (83.2% above state average).
Clinical performance demonstrates measurable strength across preventive care and patient outcomes.
Falls resulting in major injury occur in 2.6% of long-stay residents compared to 5.0% statewide, which is 48% better performance than average.
Pressure ulcer prevalence in high-risk residents reaches 0.0% versus a state average of 4.5%. Urinary tract infections similarly stand at 0.0% versus 3.5% statewide. Hospitalizations occur at 0.18 per 1,000 resident care days against a state benchmark of 1.51 (88% lower).
Emergency department visits total 0.51 per 1,000 resident days compared to 1.85 statewide; a 72% improvement over the average rate.
Regulatory compliance data from three recent state inspections document 11 total health citations, ranked 19th among 59 South Dakota facilities and 17% below state average. Zero critical citations were issued. Federal penalties total $21,000, roughly half the state average of $40,000. The current resident census numbers 44, distributed across private pay (50%), Medicaid (43%), and Medicare (7%).
An active Resident Council convenes regularly. On-site nurse aide training and a wellness program are available. The facility maintains involvement with community engagement programming.
Oakview Terrace provides skilled nursing with 5-star clinical and quality ratings in a small rural South Dakota setting.
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.
4h 47m per day
Rank #13 / 65Nurse hours — State benchmarkedThis home is ranked 13th 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
Nurse Aide is +38% 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.
| 57m per day | ▲ 19% 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.
| 0m per day | ▼ 100% 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.
| 3h 37m per day | ▲ 38% 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.
| 4h 11m per day | ▲ 26% State avg: 3h 19m per day · National avg: 3h 26m per day |
|
Physical Therapist
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 per day | ▼ 87% State avg: 3m per day · National avg: 4m 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.
| 41m per day | ▲ 34% State avg: 31m per day · National avg: 28m per day |
45-bed community Rank #82 / 117Bed count — State benchmarkedThis home is ranked 82nd 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.
Walk Score: 26 / 100 Rank #106 / 159Walk Score — State benchmarkedThis home is ranked 106th 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.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
ExpirationJune 30, 2026 Expires in 6 days
CountyHutchinson
License Number10621
Oakview Terrace is administered by Courtney Unruh.
Beautiful Gardens
Dining Experience
Activities
Wellness Program
Food DescriptionThe dining services at Oakview Terrace provide delicious and nutritious meals prepared by chefs, with options catering to different dietary needs and preferences.
Health Inspection History
Inspections
Total health citations
11
Rank #21 / 67Health citations — State benchmarkedThis home is ranked 21st out of 67 homes in South Dakota. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 67 SD facilities. Lower citation counts earn a better 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 N/A
Citations per inspection
3.67
Rank #42 / 67Citations per inspection — State benchmarkedThis home is ranked 42nd out of 67 homes in South Dakota. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 67 facilities with citation data. Lower is better.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 N/A
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
In line with State averageState average: N/A
Serious health citations
2
In line with State averageState average: N/A
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
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
0% compared with State averageState average ratio: 0 : 0
Avg staff/day
23
Average shift
8.2 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
17,411
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
All 11 RN Staff are full-time employees. No contractors work on this role.
11
All 11 RN Staff are full-time employees. No contractors work on this role.
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
No LPN Staff reported this quarter.
0
No LPN Staff reported this quarter.
0
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
—
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
All 43 CNA Staff are full-time employees. No contractors work on this role.
43
All 43 CNA Staff are full-time employees. No contractors work on this role.
43
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 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
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
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 43 | 0 | 43 | 10,662 | 92 | 100% | 8.8 |
| Registered Nurse | 11 | 0 | 11 | 2,240 | 92 | 100% | 8.9 |
| Medication Aide/Technician | 6 | 0 | 6 | 1,130 | 89 | 97% | 11.6 |
| Other Dietary Services Staff | 2 | 0 | 2 | 934 | 63 | 68% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 842 | 64 | 70% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 394 | 49 | 53% | 7.6 |
| Dietitian | 1 | 0 | 1 | 330 | 56 | 61% | 5.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 146 | 21 | 23% | 7 |
| Administrator | 1 | 0 | 1 | 129 | 24 | 26% | 5.4 |
| Physical Therapy Assistant | 0 | 2 | 2 | 40 | 44 | 48% | 0.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 26 | 13 | 14% | 2 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 21 | 29 | 32% | 0.7 |
| Medical Director | 0 | 1 | 1 | 15 | 3 | 3% | 5 |
| Speech Language Pathologist | 1 | 0 | 1 | 14 | 15 | 16% | 1 |
| Qualified Social Worker | 0 | 2 | 2 | 8 | 11 | 12% | 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%
2 Mental Health Service Worker
% of Days
70%
1 Nurse Practitioner
% of Days
65%
3 Clinical Nurse Specialist
% of Days
53%
1 Dietitian
% of Days
61%
1 Occupational Therapy Aide
% of Days
23%
1 Administrator
% of Days
26%
2 Physical Therapy Assistant
% of Days
48%
1 Occupational Therapy Assistant
% of Days
14%
2 Respiratory Therapy Technician
% of Days
32%
1 Medical Director
% of Days
3%
1 Speech Language Pathologist
% of Days
16%
2 Qualified Social Worker
% of Days
12%
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. 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.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 State averageState average: $40K
Number of fines
2
In line with State averageState 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 State averageState average: 0.0
Fines amount comparison
Fines amount comparison
This facility
$21K
State 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
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 18, 2024
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.7
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 State averageState average: 12.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.9
34% better than State averageState 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
7.8%
Percent of long-stay residents whose need for help with daily activities has increased
7.8%
65% better than State averageState average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
12.3%
Percent of long-stay residents whose ability to move independently worsened
12.3%
46% better than State averageState 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
27.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.5%
In line with State averageState average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
48% better than State averageState average: 5.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.0%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than State averageState average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than State averageState average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.9%
Percent of long-stay residents who lose too much weight
0.9%
84% better than State averageState average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.1%
Percent of long-stay residents who have depressive symptoms
2.1%
49% better than State averageState average: 4.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
16.9%
Percent of long-stay residents who received an antipsychotic medication
16.9%
31% better than State averageState 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 State averageState 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 State averageState average: 96.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.18
Number of hospitalizations per 1,000 long-stay resident days.
0.18
88% better than State averageState average: 1.51
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.51
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.51
72% better than State averageState average: 1.85
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
18% better than State averageState 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.
Places of interest near Oakview Terrace
0.0 miles from city center
Estimated distance in miles from Freeman's city center to Oakview Terrace's address, calculated via Google Maps.
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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.
| Oakview Terrace | NH AL | Freeman | - | 45 | - | 26 | - |
| Avera Mother Joseph Manor Retirement Community | NH AL HC IL | Aberdeen | - | 81 | - | 31 | 1 Bed / 2 Bed |
| Avera Maryhouse | NH AL HC | Pierre | - | 67 | - | 60 | Private Rooms / Semi-Private Rooms |
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| Bethesda Home of Aberdeen | NH AL HC NC RC | Aberdeen (Melrose Addition) | - | 86 | - | 12 | - |
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.
When does Oakview Terrace's license expire?
According to SD state health department records, Oakview Terrace's license expires on June 30, 2026.
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.
How many beds does Oakview Terrace have?
Oakview Terrace has 45 beds.
What is the address of Oakview Terrace?
Oakview Terrace is located at 510 E 8Th St, Freeman, SD 57029.
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