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Palisade Healthcare Center
Nursing Home, Memory Care, Respite Care & Skilled Nursing · Garretson, 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.
Exterior view of Palisade Healthcare Center with landscaped grounds Cozy common area with games and books Dining area with tables set and green napkins Cozy resident room with a bed and window. Rehabilitation gym area with exercise equipment Therapy room with a tank and equipment for treatment

Palisade Healthcare Center

Nursing Home, Memory Care, Respite Care & Skilled Nursing · Garretson, 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.
920 4Th St, Garretson, SD 57030 View map Calculator: See prices in your area
Palisade Healthcare Center accepts Medicare, Medicaid, and private pay.
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Palisade Healthcare Center accepts Medicare, Medicaid, and private pay.

Overview of Palisade Healthcare Center

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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.

Facility Direct Line (605) 594-3466
Facility Direct Line (605) 594-3466
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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.
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.
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.
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.

Staffing hours breakdown

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 — compared to state averages

Total nursing care / resident Info 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 2m per day
Rank #23 / 65Nurse hours — State benchmarkedThis home is ranked 23rd 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.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
Staff typeHours / Day / Residentvs 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. 33m 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. 43m 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. 2h 8m 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. 2h 48m 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 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. 18m per day

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
96 days
Bed community size
55-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 37 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
86%
Rank #18 / 34Occupancy rate — State benchmarkedThis home is ranked 18th 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.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.
Higher than the South Dakota average: 79.9%
Occupied beds
47 / 55
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
CountyMinnehaha
License Number10623
CMS Certification Number435115

Ownership & Operating Entity

Palisade Healthcare Center is administered by Carolyn Riggs.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

1 service
Memory Support

Amenities & Lifestyle

Specific ProgramsRespite Stays, Supplementary Care Options

Contact Palisade Healthcare Center

Health Inspection History

Inspections since 2023
Total health inspections 8

State average N/A

Last Health inspection on Sep 2025

Total health citations
25 Rank #51 / 65Health citations — State benchmarkedThis home is ranked 51st 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.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
3.12 Rank #32 / 65Citations per inspection — State benchmarkedThis home is ranked 32nd 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.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.

17 of 25 citations resulted from standard inspections; and 8 of 25 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical health citations
0
In line with State average

State average: N/A

Serious health citations
3
In line with State average

State average: N/A

0 critical citations State average: N/A
3 serious citations State average: N/A
22 moderate citations State average: N/A
0 minor citations State average: N/A
Citations history (last 3 years)
Quality of Care serious citation Sep 17, 2025
Corrected
Abuse/Neglect moderate citation Aug 07, 2025
Corrected
Infection Control moderate citation Aug 07, 2025
Corrected
Nursing Services moderate citation 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.

Staffing Data

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

Total staff 90
Employees 90
Contractors 0
Staff to resident ratio 1.88 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 26
Average shift 8.3 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 19,797

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 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 9 LPN Staff are full-time employees. No contractors work on this role. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 33 CNA Staff are full-time employees. No contractors work on this role. 33
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 0% — all staff are direct employees this quarter

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 Assistant330337,87092100%8.8
Physical Therapist170172,81392100%7.3
Licensed Practical Nurse9092,46092100%9
Registered Nurse8081,4129199%8.8
Medication Aide/Technician100101,3437986%9.6
RN Director of Nursing2026445863%7.5
Other Dietary Services Staff2025717986%6
Clinical Nurse Specialist2025275762%7.4
Nurse Practitioner1014846166%7.9
Dietitian1014846065%8.1
Mental Health Service Worker1014335661%7.7
Occupational Therapy Aide1013826470%6
Administrator1013204043%8
Nurse Aide in Training2025678%7
33 Certified Nursing Assistant
% of Days 100%
17 Physical Therapist
% of Days 100%
9 Licensed Practical Nurse
% of Days 100%
8 Registered Nurse
% of Days 99%
10 Medication Aide/Technician
% of Days 86%
2 RN Director of Nursing
% of Days 63%
2 Other Dietary Services Staff
% of Days 86%
2 Clinical Nurse Specialist
% of Days 62%
1 Nurse Practitioner
% of Days 66%
1 Dietitian
% of Days 65%
1 Mental Health Service Worker
% of Days 61%
1 Occupational Therapy Aide
% of Days 70%
1 Administrator
% of Days 43%
2 Nurse Aide in Training
% of Days 8%
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 $19K Rank #65 / 67Federal fines — State benchmarkedThis home is ranked 65th 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.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.
53% lower than State average

State average: $40K

Number of fines 1
51% fewer fines than State average

State 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 State average

State average: 0.0

Fines amount comparison
Fines amount comparison
This facility $19K
State average $40K
Penalty History

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

1 penalty in the past 3 years

Nov 26, 2024 · $19K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Nov 26, 2024
$19K

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. 7.5
38% better than State average

State average: 12.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 16.5
31% better than State average

State average: 23.9

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 5.1%
77% better than State average

State average: 22.3%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 18.9%
17% better than State average

State 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 25.4%
5% better than State average

State average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 8.5%
68% worse than State average

State average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.9%
36% better than State average

State average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.5%
In line with State average

State average: 3.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.2%
59% better than State average

State average: 5.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 5.2%
28% worse than State average

State average: 4.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 20.0%
18% better than State average

State average: 24.4%

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

State average: 95.7%

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

State average: 96.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.2%
8% better than State average

State average: 84.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 79.1%
In line with State average

State average: 78.2%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

55% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

31% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

14% of new residents, often for long-term daily care.

Typical stay 1 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 48
Medicare
4
8.3% of residents
Medicaid
30
62.5% of residents
Private pay or other
14
29.2% 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.

Finances and operations

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.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.0M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$202.3K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.0M Rank #36 / 63Revenue — State benchmarkedThis home is ranked 36th out of 63 homes in South Dakota for Revenue. Shows this facility's annual revenue compared to the South Dakota average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$202.3K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #42 / 63Payroll — State benchmarkedThis home is ranked 42nd out of 63 homes in South Dakota for Payroll. Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.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.
$1.9M 36.8% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #48 / 63Payroll % — State benchmarkedThis home is ranked 48th out of 63 homes in South Dakota for Payroll %. Shows payroll as a percentage of revenue versus the South Dakota average. Well-run South Dakota facilities typically land around 64–73% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.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.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.0M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.8M
How we calculate these figures

This home is administered by Carolyn Riggs.

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 435115

Show certification details

Who this home usually serves

TYPE OF STAY

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.

Admissions
49 total

Coverage residents most often arrive under.

Medicare 55%
Private pay 31%
Medicaid 14%
Discharges
59 total

Coverage residents most often leave under.

Medicare 32%
Private pay 37%
Medicaid 31%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

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Address 0.0 miles from city center Info Estimated distance in miles from Garretson's city center to Palisade Healthcare Center's address, calculated via Google Maps.

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Frequently Asked Questions about Palisade Healthcare Center

What neighborhood is Palisade Healthcare Center in?

Palisade Healthcare Center is in the Palisade Township neighborhood of Garretson.

Is Palisade Healthcare Center in a walkable area?

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.

What is the license number of Palisade Healthcare Center?

According to SD state health department records, Palisade Healthcare Center's license number is 10623.

What is the occupancy rate at Palisade Healthcare Center?

Palisade Healthcare Center's occupancy is 86%.

Does Palisade Healthcare Center operate as a for-profit or non-profit?

Palisade Healthcare Center is registered as a for-profit in SD.

Who is the administrator of Palisade Healthcare Center?

Carolyn Riggs is the administrator of Palisade Healthcare Center.

How many beds does Palisade Healthcare Center have?

Palisade Healthcare Center has 55 beds.

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