Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (55% of admissions), and a typical Medicare stay runs around 1 months.
Located on 4th Street in Garretson, South Dakota, Palisade Healthcare Center is a skilled nursing facility with 55 beds. Most daily errands within this small community require transportation beyond walking distance. The center has an occupancy rate of 84%, and residents stay an average of 96 days. Medicare, Medicaid, and private pay are accepted, providing access routes for rehabilitation stays and longer-term care.
The community’s clinical focus is reflected in its staffing model. Nurse staffing averages 4 hours and 2 minutes per resident each day. Residents are supported by registered nurses, nurse aides, and licensed practical nurses. This hands-on support makes it an ideal setting for patients recovering from an illness or injury, or for those needing ongoing skilled nursing care.
Clinically, Palisade offers rehabilitation services and respite care options, so families can choose if they need short-term support for a recovering relative. There’s 24-hour staffing and memory support services to ensure the safety and specialized care for residents with cognitive needs. Residents’ meals are prepared on-site with attention to nutrition.
The straightforward, no-frills facility is best-suited for families focused on skilled care and clinical support rather than extensive amenities or activities programming.
Palisade Healthcare Center is administered by Carolyn Riggs.
State average 4.5
Last Health inspection on Sep 2025
State average 14.8
State average 3.34
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 25 citations resulted from standard inspections; and 8 of 25 resulted from complaint investigations.
State average: 0.3
State 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.
| Certified Nursing Assistant | 33 | 0 | 33 | 7,870 | 92 | 100% | 8.8 |
| Physical Therapist | 17 | 0 | 17 | 2,813 | 92 | 100% | 7.3 |
| Licensed Practical Nurse | 9 | 0 | 9 | 2,460 | 92 | 100% | 9 |
| Registered Nurse | 8 | 0 | 8 | 1,412 | 91 | 99% | 8.8 |
| Medication Aide/Technician | 10 | 0 | 10 | 1,343 | 79 | 86% | 9.6 |
| RN Director of Nursing | 2 | 0 | 2 | 644 | 58 | 63% | 7.5 |
| Other Dietary Services Staff | 2 | 0 | 2 | 571 | 79 | 86% | 6 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 527 | 57 | 62% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 484 | 61 | 66% | 7.9 |
| Dietitian | 1 | 0 | 1 | 484 | 60 | 65% | 8.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 433 | 56 | 61% | 7.7 |
| Occupational Therapy Aide | 1 | 0 | 1 | 382 | 64 | 70% | 6 |
| Administrator | 1 | 0 | 1 | 320 | 40 | 43% | 8 |
| Nurse Aide in Training | 2 | 0 | 2 | 56 | 7 | 8% | 7 |
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
Nov 26, 2024 · $19K
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
55% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
14% of new residents, often for long-term daily 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.
Historical financial and operational data for Palisade Healthcare Center from 2013–2022, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2022 — the home's most recent complete cost report, an older period than most facilities report.
Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 12/2022. This is an older period than most facilities report, so compare with that in mind.
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (55% of admissions), and a typical Medicare stay runs around 1 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Garretson's city center to Palisade Healthcare Center's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the SD Dept. of Health (DOH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Avera Maryhouse | NH AL HOS | Pierre | 67
Facility
67
SD AVG
69
Rank
#49 / 117 | - | - | 5.30
Facility
5.30
SD AVG
4.34
Rank
#7 / 65 | +18% | +22% | $0
Facility
$0
SD AVG
$38.5k
Rank
#1 / 67 | 9
Facility
9
SD AVG
14.8
Rank
#17 / 65 | 2.3
Facility
2.3
SD AVG
3.3
Rank
#19 / 65 | - | 59 | - |
60
Facility
60
SD AVG
39
Rank
#38 / 158 | - | - | - | - | 435034 | ||||
| Prairie Heights Healthcare | NH HOS SNF | Nw Aberdeen | 99
Facility
99
SD AVG
69
Rank
#21 / 117 |
62.9%
Facility
62.9%
SD AVG
82.2
Rank
#31 / 34 | -23% | 3.86
Facility
3.86
SD AVG
4.34
Rank
#28 / 65 | -39% | -11% | $0
Facility
$0
SD AVG
$38.5k
Rank
#1 / 67 | 5
Facility
5
SD AVG
14.8
Rank
#4 / 65 | 1.7
Facility
1.7
SD AVG
3.3
Rank
#12 / 65 | - | 62 | - |
85
Facility
85
SD AVG
39
Rank
#1 / 158 | - | $11.3MFiscal year ending 12/2023
Facility
$11.3MFiscal year ending 12/2023
SD AVG
$6.7M
Rank
#13 / 63 | $6.1MFiscal year ending 12/2023
Facility
$6.1MFiscal year ending 12/2023
SD AVG
$2.6M
Rank
#15 / 63 | 54.4%Fiscal year ending 12/2023
Facility
54.4%Fiscal year ending 12/2023
SD AVG
40.8%
Rank
#31 / 63 | 435004 | ||||
| Bethesda Home of Aberdeen | NH AL HC RC SNF | Aberdeen (Aberdeen Township) | 86
Facility
86
SD AVG
69
Rank
#27 / 117 | - | - | 5.08
Facility
5.08
SD AVG
4.34
Rank
#11 / 65 | +1% | +17% | $0
Facility
$0
SD AVG
$38.5k
Rank
#1 / 67 | 6
Facility
6
SD AVG
14.8
Rank
#8 / 65 | 2.0
Facility
2.0
SD AVG
3.3
Rank
#15 / 65 | - | 45 | - |
85
Facility
85
SD AVG
39
Rank
#1 / 158 | Christian Retirement Center Of Northern California | $4.5MFiscal year ending 12/2023
Facility
$4.5MFiscal year ending 12/2023
SD AVG
$6.7M
Rank
#50 / 63 | $3.3MFiscal year ending 12/2023
Facility
$3.3MFiscal year ending 12/2023
SD AVG
$2.6M
Rank
#37 / 63 | 73%Fiscal year ending 12/2023
Facility
73%Fiscal year ending 12/2023
SD AVG
40.8%
Rank
#17 / 63 | 435071 | ||||
| Bethany Home Sioux Falls/Bethany Home-Brandon | NH AL IL MC SNF | Sioux Falls | 112
Facility
112
SD AVG
69
Rank
#11 / 117 | - | - | 5.47
Facility
5.47
SD AVG
4.34
Rank
#5 / 65 | -15% | +26% | $0
Facility
$0
SD AVG
$38.5k
Rank
#1 / 67 | 13
Facility
13
SD AVG
14.8
Rank
#27 / 65 | 3.3
Facility
3.3
SD AVG
3.3
Rank
#35 / 65 | 1 | 43 | - |
65
Facility
65
SD AVG
39
Rank
#24 / 158 | Augustana Lutheran Church | $5.9MFiscal year ending 06/2024
Facility
$5.9MFiscal year ending 06/2024
SD AVG
$6.7M
Rank
#41 / 63 | $4.1MFiscal year ending 06/2024
Facility
$4.1MFiscal year ending 06/2024
SD AVG
$2.6M
Rank
#23 / 63 | 68.6%Fiscal year ending 06/2024
Facility
68.6%Fiscal year ending 06/2024
SD AVG
40.8%
Rank
#12 / 63 | 435096 | ||||
| Palisade Healthcare Center | NH MC RC SNF | Garretson (Palisade Township) | 55
Facility
55
SD AVG
69
Rank
#62 / 117 |
85.8%
Facility
85.8%
SD AVG
82.2
Rank
#18 / 34 | +4% | 4.03
Facility
4.03
SD AVG
4.34
Rank
#23 / 65 | -20% | -7% | $154.9k
Facility
$154.9k
SD AVG
$38.5k
Rank
#65 / 67 | 25
Facility
25
SD AVG
14.8
Rank
#51 / 65 | 3.1
Facility
3.1
SD AVG
3.3
Rank
#32 / 65 | 3 | 47 | - |
37
Facility
37
SD AVG
39
Rank
#81 / 158 | - | $5.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$5.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
SD AVG
$6.7M
Rank
#36 / 63 | $1.9M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$1.9M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
SD AVG
$2.6M
Rank
#42 / 63 | 36.8%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
36.8%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
SD AVG
40.8%
Rank
#48 / 63 | 435115 |
Palisade Healthcare Center is in the Palisade Township neighborhood of Garretson.
Palisade Healthcare Center has a walk score of 37. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to SD state health department records, Palisade Healthcare Center's license number is 10623.
Palisade Healthcare Center's occupancy is 86%.
Palisade Healthcare Center has been operating for approximately 1 year, based on available licensing and registration records.
No, Palisade Healthcare Center has a no-pet policy.
Palisade Healthcare Center is registered as a for-profit in SD.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance