Total health inspections
3
South Dakota average 4.5
Last Health inspection on Dec 2024
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Tieszen Memorial Home Inc
Nursing Home in South Dakota
CMS overall rating
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.
Tieszen Memorial Home Inc
Nursing Home in South Dakota
CMS overall rating
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.
Tieszen Memorial Home INC is a senior living facility located in Marion, South Dakota. It offers skilled care, memory care, assisted living, and independent living options. The facility aims to provide high-quality care and a supportive environment for its residents.
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
This home is ranked 15th out of 64 homes in South Dakota.
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.
This home is ranked 15th out of 64 homes in South Dakota.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 33m per day
Rank #15 / 64Nurse hours — state benchmarkedThis home is ranked 15th out of 64 homes in South Dakota.Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 64 South Dakota SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs South Dakota avg
+21%
| Staff type | Hours / day | 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.
| 46m per day | ▼ 4% 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.
| 14m per day | ▼ 52% 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.
| 2h 28m per day | ▼ 6% State avg: 2h 37m per day · National avg: 2h 20m per day |
|
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.
| 3h 10m per day | ▼ 5% State avg: 3h 19m per day · National avg: 3h 26m per day |
|
RN (Weekend)
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.
| 29m per day | ▼ 6% State avg: 31m per day · National avg: 28m per day |
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
89.2%
Rank #20 / 61Occupancy rate — state benchmarkedThis home is ranked 20th out of 61 homes in South Dakota.Shows this facility's occupancy rate versus the South Dakota average, with its statewide rank out of 61. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
409 days
Occupancy rate
89.2%
Rank #20 / 61Occupancy rate — state benchmarkedThis home is ranked 20th out of 61 homes in South Dakota.Shows this facility's occupancy rate versus the South Dakota average, with its statewide rank out of 61. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
409 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
19% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
53% of new residents, often for short stays.
Typical stay
11 - 12 months
Medicaid
27% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Voluntary non-profit community
Home revenue
$8.2M
Surplus of revenue
$2.0M
Voluntary non-profit community
Home revenue
$8.2M Rank #45 / 61Revenue — state benchmarkedThis home is ranked 45th out of 61 homes in South Dakota.Shows this facility's annual revenue compared to the South Dakota SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Surplus of revenue
$2.0M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #30 / 61Payroll — state benchmarkedThis home is ranked 30th out of 61 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.
$3.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #30 / 61Payroll — state benchmarkedThis home is ranked 30th out of 61 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.2M
64-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
CountyTurner
License Number10647
CMS Certification Number435069
Tieszen Memorial Home Inc is administrated by Wilson, Laura.
Rehabilitation Services
Skilled Care
Apartments
Specific ProgramsRehab Services, Wellness Center
Health Inspection History
Inspections
Total health citations
7
Rank #9 / 66Health citations — state benchmarkedThis home is ranked 9th out of 66 homes in South Dakota.Shows this facility's total health deficiency citations benchmarked to the South Dakota state average, with a ranking across all 66 SD SNFs. Lower citation counts earn a better rank.
South Dakota average 14.8
Citations per inspection
2.33
South Dakota average 3.34
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 7 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
100% better than South Dakota averageSouth Dakota average: 0.3
Serious Health citations
0
0
100% better than South Dakota averageSouth Dakota average: 1.8
0 critical citations
0 serious citations
7 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 19, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Dec 19, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Dec 19, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Dec 19, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Dec 19, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Dec 19, 2024
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Dec 19, 2024
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Dec 19, 2024
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.
Compare Nursing Homes around South Dakota The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Filter by care type
| 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% | 2 | 11 | 2.2 | 1 | 37 | - | - | Stroschein Properties Iii Llc | $3.0M | $1.5M | 50.6% | 435062 | ||||
| Tieszen Memorial 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. | Marion | 64 | 89.2% | +12% | 4.54 | +50% | +5% | 0 | 7 | 2.3 | 0 | 55 | - | - | Tieszen Memorial Home Inc | $8.2M | $3.0M | 37% | 435069 | ||||
| Avantara Clark City |
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. | Clark | 35 | 79.4% | -1% | 3.15 | -22% | -27% | 1 | 5 | 1.3 | 1 | 31 | - | 31 | Schlomer, Tiffany | $6.0M | $1.5M | 25.5% | 435058 | ||||
| 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% | 2 | 16 | 3.2 | 1 | 40 | - | - | Aurora-Brule Nursing Home | $2.9M | $1.5M | 51.8% | 435132 | ||||
| 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% | 5 | 34 | 3.8 | 9 | 61 | - | 12 | Preston, Philip | $10.7M | $2.9M | 27.3% | 435051 |
Financial Assistance for
Nursing Home in South Dakota
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
129
Employees
76
Contractors
53
Staff to resident ratio
2.15:1
12% better than South Dakota averageSouth Dakota average ratio: 1.91:1
Avg staff/day
32
Average shift
7.3 hours
5% worse than South Dakota averageSouth Dakota average: 7.7 hours
Total staff hours (quarter)
21,110
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
79
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
16.7%
3,532 contractor hours this quarter
Certified Nursing Assistant: 28
Registered Nurse: 10
Licensed Practical Nurse: 8
Qualified Social Worker: 2
Physical Therapy Aide: 1
Speech Language Pathologist: 1
Occupational Therapy Assistant: 1
Occupational Therapy Aide: 1
Respiratory Therapy Technician: 1
Staff by category
| Certified Nursing Assistant | 51 | 28 | 79 | 12,905 | 91 | 100% | 6.9 |
| Registered Nurse | 11 | 10 | 21 | 2,470 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 3 | 8 | 11 | 1,499 | 84 | 92% | 9.3 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,360 | 71 | 78% | 7.8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 717 | 63 | 69% | 7.5 |
| Administrator | 1 | 0 | 1 | 567 | 61 | 67% | 9.3 |
| Dental Services Staff | 1 | 0 | 1 | 483 | 62 | 68% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 469 | 60 | 66% | 7.8 |
| Physical Therapy Aide | 0 | 1 | 1 | 324 | 60 | 66% | 5.4 |
| Speech Language Pathologist | 0 | 1 | 1 | 183 | 41 | 45% | 4.5 |
| Qualified Social Worker | 0 | 2 | 2 | 61 | 22 | 24% | 2.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 38 | 4 | 4% | 9.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 28 | 3 | 3% | 9.3 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 8 | 1 | 1% | 8 |
79 Certified Nursing Assistant
% of Days
100%
21 Registered Nurse
% of Days
100%
11 Licensed Practical Nurse
% of Days
92%
5 Other Dietary Services Staff
% of Days
78%
3 Clinical Nurse Specialist
% of Days
69%
1 Administrator
% of Days
67%
1 Dental Services Staff
% of Days
68%
1 Nurse Practitioner
% of Days
66%
1 Physical Therapy Aide
% of Days
66%
1 Speech Language Pathologist
% of Days
45%
2 Qualified Social Worker
% of Days
24%
1 Occupational Therapy Aide
% of Days
4%
1 Occupational Therapy Assistant
% of Days
3%
1 Respiratory Therapy Technician
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
60
Medicare
3
5% of residents
Medicaid
28
46.7% of residents
Private pay or other
29
48.3% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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.
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.
9.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.7
20% better than South Dakota averageSouth Dakota average: 12.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.8
21% better than South Dakota averageSouth Dakota 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
16.7%
Percent of long-stay residents whose need for help with daily activities has increased
16.7%
25% better than South Dakota averageSouth Dakota average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
16.8%
Percent of long-stay residents whose ability to move independently worsened
16.8%
26% better than South Dakota averageSouth Dakota 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
23.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.0%
14% better than South Dakota averageSouth Dakota average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
7.4%
Percent of long-stay residents experiencing one or more falls with major injury
7.4%
47% worse than South Dakota averageSouth Dakota average: 5.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.2%
Percent of long-stay high risk residents with pressure ulcers
5.2%
16% worse than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.9%
Percent of long-stay residents with a urinary tract infection
0.9%
73% better than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.3%
Percent of long-stay residents who lose too much weight
2.3%
59% better than South Dakota averageSouth Dakota average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.5%
Percent of long-stay residents who have depressive symptoms
1.5%
64% better than South Dakota averageSouth Dakota average: 4.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
23.5%
Percent of long-stay residents who received an antipsychotic medication
23.5%
In line with South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
In line with South Dakota averageSouth Dakota 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 South Dakota averageSouth Dakota average: 96.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.33
Number of hospitalizations per 1,000 long-stay resident days.
1.33
12% better than South Dakota averageSouth Dakota average: 1.51
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.81
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.81
56% better than South Dakota averageSouth Dakota average: 1.85
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.8%
14% better than South Dakota averageSouth Dakota average: 84.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than South Dakota averageSouth Dakota average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
22% better than South Dakota averageSouth Dakota average: 78.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than South Dakota averageSouth Dakota average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
45.0%
Percentage of residents at or above expected ability to care for themselves at discharge.
45.0%
16% worse than South Dakota averageSouth Dakota average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Tieszen Memorial Home Inc based on CMS SNF Cost Reports.
Occupancy Rate
89.2%
↑ 5.3pp vs 2022
Net Income
$2.0M
↑ ~$1.8M vs 2022
Total Payroll
$3.8M
↑ ~$236.5K vs 2022
Profit Margin
31.9%
↑ 29.4pp vs 2022
Loading trend charts...
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