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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Palisade Healthcare Center provides comprehensive care in a peaceful setting, offering short-term rehabilitation and long-term care to help residents recover and regain their quality of life. The facility offers skilled nursing care, rehabilitation therapy, memory support, and respite stays. It is dedicated to providing high-quality, patient-centered care in a compassionate environment.
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.
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.
This home is ranked 19th out of 58 homes in South Dakota.| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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 50m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
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.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #54 / 55Payroll — State benchmarkedThis home is ranked 54th out of 55 homes in South Dakota.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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Similar to the South Dakota average: 79.9%Palisade Healthcare Center is administrated by Carolyn Riggs.
South Dakota average 4.5
Last Health inspection on Sep 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.
17 of 25 citations resulted from standard inspections; and 8 of 25 resulted from complaint investigations.
100% better than South Dakota averageSouth Dakota average: 0.3
67% worse than South Dakota averageSouth Dakota average: 1.8
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Palisade Healthcare Center is located in Garretson, South Dakota.
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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.
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Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
0% compared with South Dakota average
5% better than South Dakota average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.2 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
9 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 30 | 1 | 31 | 7,375 | 91 | 100% | 8.9 |
| Licensed Practical Nurse | 10 | 0 | 10 | 3,854 | 91 | 100% | 10.3 |
| Physical Therapist | 19 | 0 | 19 | 3,287 | 91 | 100% | 7.2 |
| Nurse Aide in Training | 6 | 0 | 6 | 1,100 | 72 | 79% | 7.9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 703 | 60 | 66% | 7.3 |
| Medication Aide/Technician | 9 | 0 | 9 | 653 | 60 | 66% | 7.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 610 | 73 | 80% | 6.3 |
| Registered Nurse | 7 | 0 | 7 | 605 | 69 | 76% | 6.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 470 | 59 | 65% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 457 | 58 | 64% | 7.9 |
| Administrator | 1 | 0 | 1 | 437 | 56 | 62% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 435 | 56 | 62% | 7.8 |
| Dietitian | 1 | 0 | 1 | 384 | 49 | 54% | 7.8 |
| Occupational Therapy Aide | 2 | 0 | 2 | 375 | 56 | 62% | 6.7 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
48Residents 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 South Dakota averageSouth Dakota average: 12.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.5
31% better than South Dakota averageSouth Dakota average: 23.9
Percent of long-stay residents whose need for help with daily activities has increased
5.1%
77% better than South Dakota averageSouth Dakota average: 22.3%
Percent of long-stay residents whose ability to move independently worsened
18.9%
17% better than South Dakota averageSouth Dakota average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.4%
5% better than South Dakota averageSouth Dakota average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
8.5%
68% worse than South Dakota averageSouth Dakota average: 5.0%
Percent of long-stay high risk residents with pressure ulcers
2.9%
36% better than South Dakota averageSouth Dakota average: 4.5%
Percent of long-stay residents with a urinary tract infection
3.5%
In line with South Dakota averageSouth Dakota average: 3.5%
Percent of long-stay residents who lose too much weight
2.2%
59% better than South Dakota averageSouth Dakota average: 5.5%
Percent of long-stay residents who have depressive symptoms
5.2%
28% worse than South Dakota averageSouth Dakota average: 4.1%
Percent of long-stay residents who received an antipsychotic medication
20.0%
18% better than South Dakota averageSouth Dakota average: 24.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than South Dakota averageSouth Dakota average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with South Dakota averageSouth Dakota average: 96.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.2%
8% better than South Dakota averageSouth Dakota average: 84.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than South Dakota averageSouth Dakota average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
79.1%
In line with South Dakota averageSouth Dakota average: 78.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
53% lower than South Dakota averageSouth Dakota average: $40K
51% fewer fines than South Dakota averageSouth Dakota average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
In line with South Dakota averageSouth Dakota average: 0.0
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Nov 26, 2024 · $19K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 26, 2024Last updated: Jan 2026
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
| Alcester Care and Rehab 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. | Alcester (Alcester Township) | 41 | 94.9% | +19% | 3.72 | +30% | -14% | $18.9k | 11 | 2.2 | 1 | 37 | 14 | Stroschein Properties III LLC | $3.0M | $2.3M | 78% | 435062 | ||||
| Aurora Brule Nursing Home Inc. |
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. | White Lake (White Lake Township) | 50 | 61.7% | -23% | 3.45 | +29% | -20% | $21.2k | 16 | 3.2 | 1 | 40 | 17 | Aurora-Brule Nursing Home | $2.9M | $2.5M | 87.9% | 435132 | ||||
| Palisade 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. | Garretson (Palisade Township) | 55 | 83.5% | +4% | 4.03 | -31% | -7% | $18.7k | 25 | 3.1 | 3 | 49 | 37 | - | $2.3M | $1.2M | 51.1% | 435115 | ||||
| Avantara Arrowhead |
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. | Rapid City (Broadmoor Subdivision) | 68 | 75.2% | -6% | 2.80 | +52% | -36% | $61.0k | 34 | 3.8 | 9 | 61 | 12 | Philip Preston | $10.7M | $4.7M | 44.1% | 435051 |
Historical financial and operational data for Palisade Healthcare Center based on CMS SNF Cost Reports.
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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 84%.
Carolyn Riggs is the administrator of Palisade Healthcare Center.
Palisade Healthcare Center has 55 beds.
Palisade Healthcare Center is located at 920 4th St.
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