South Dakota average 4.5
Last Health inspection on Jun 2025
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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.
Oakview Terrace is administrated by Courtney Unruh.
South Dakota average 4.5
Last Health inspection on Jun 2025
South Dakota average 14.8
South Dakota 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).
South Dakota average: 0.3
South Dakota average: 1.8
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
236 contractor hours this quarter
| 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 |
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jan 18, 2024 · $11K
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
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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Oakview Terrace is located in Freeman, South Dakota.
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The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
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| Avera Maryhouse |
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.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. |
Pierre |
67
Facility
67
SD AVG
69
Rank
#49 / 117
| - | - | 5.30 | +18% | +22% | $0 | 9 | 2.3 | - | 58 |
60
Facility
60
SD AVG
39
Rank
#39 / 159
| - | - | - | - | 435034 | ||||
| Oakview Terrace |
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. |
Freeman |
45
Facility
45
SD AVG
69
Rank
#82 / 117
| - | - | 4.79 | +24% | +10% | $20.7k | 11 | 3.7 | 2 | 42 |
26
Facility
26
SD AVG
39
Rank
#106 / 159
| - | - | - | - | 435112 | ||||
| Fountain Springs Healthcare 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.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. |
Rapid City |
10
Facility
10
SD AVG
69
Rank
#116 / 117
| 87.3% | +9% | 3.82 | -2% | -12% | $32.3k | 11 | 1.6 | 2 | 86 |
16
Facility
16
SD AVG
39
Rank
#120 / 159
| - | $8.8M | $4.4M | 50.3% | 435110 | ||||
| Avera Mother Joseph Manor Retirement Community |
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.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. |
Aberdeen |
81
Facility
81
SD AVG
69
Rank
#32 / 117
| - | - | 4.62 | -24% | +6% | $20.6k | 12 | 1.7 | 3 | 77 |
31
Facility
31
SD AVG
39
Rank
#93 / 159
| - | - | - | - | 435042 |
Oakview Terrace has a walk score of 26. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to SD state health department records, Oakview Terrace's license number is 10621.
According to SD state health department records, Oakview Terrace's license expires on June 30, 2026.
Courtney Unruh is the administrator of Oakview Terrace.
Oakview Terrace has 45 beds.
Oakview Terrace is located at 510 E 8th St.
(605) 925-4000 will put you in contact with the team at Oakview Terrace.
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