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Tieszen Memorial Home Inc
Nursing Home, Assisted Living, Hospice Care, Memory Care & Skilled Nursing · Marion, 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 senior living cottages with trees Exterior view of Marion Assisted Living Center building Exterior view of a senior living facility entrance Interior of a fitness area with exercise equipment Outdoor seating area with patio and landscaping

Tieszen Memorial Home Inc

Nursing Home, Assisted Living, Hospice Care, Memory Care & Skilled Nursing · Marion, 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.
312 E State St, Marion, SD 57043 View map Calculator: See prices in your area
Tieszen Memorial Home Inc accepts Medicare, Medicaid, and private pay.
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Tieszen Memorial Home Inc accepts Medicare, Medicaid, and private pay.

Overview of Tieszen Memorial Home

Tieszen Memorial Home serves Turner County residents through a full continuum of care that includes skilled care, memory care, assisted living, and independent living. The nonprofit community operates as a 64-bed nursing home in Marion, South Dakota, under administrator Laura Wilson.

Tieszen’s CMS record is strong. Three inspections since 2022 have resulted in 7 citations, well below the South Dakota average of 14.8. There were no critical or serious findings, and all citations were corrected. The facility’s 4-star overall CMS rating reflects above-average performance on both Health Inspections and Staffing. Nurse hours average 4 hours and 33 minutes per resident per day, 21% above the South Dakota mean, placing the facility15th among 57 state SNFs.

Occupancy is 89.2%, notably above the state’s average of 79.9%, which shows consistent local demand. Residents stay at an average of 409 days, indicating a population that trends toward longer-term placement. Rehabilitation services and a Wellness Center support residents with post-acute and ongoing care needs alongside the memory care and assisted living programs.

Tieszen Memorial Home fits older adults and families seeking a nonprofit community with a broad care continuum, from independent living through skilled and memory care, in a smaller rural South Dakota setting.

Facility Direct Line (605) 648-3611
Facility Direct Line (605) 648-3611 info@tieszenhome.com

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 33m per day
Rank #18 / 65Nurse hours — State benchmarkedThis home is ranked 18th 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

6 of 6 metrics below state 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. 43m per day ▼ 11% State avg: 48m per day · National avg: 41m 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. 18m per day ▼ 39% State avg: 29m per day · National avg: 52m 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 21m per day ▼ 10% State avg: 2h 37m per day · National avg: 2h 20m 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 58m per day ▼ 11% State avg: 3h 19m per day · National avg: 3h 26m 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 ▼ 88% State avg: 3m per day · National avg: 4m 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. 19m per day ▼ 40% State avg: 31m per day · National avg: 28m 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.
409 days
Bed community size
64-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: 23 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
93%
Rank #7 / 34Occupancy rate — State benchmarkedThis home is ranked 7th 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
59 / 64
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
CountyTurner
License Number10647
CMS Certification Number435069

Ownership & Operating Entity

Tieszen Memorial Home Inc is administered by Laura Wilson.

Therapy & Rehabilitation

1 service
Rehabilitation Services

Additional Services

2 services
Skilled Care
Apartments

Amenities & Lifestyle

Specific ProgramsRehab Services, Wellness Center

Contact Tieszen Memorial Home Inc

Health Inspection History

Inspections since 2022
Total health inspections 3

State average N/A

Last Health inspection on Dec 2024

Total health citations
7 Rank #9 / 65Health citations — State benchmarkedThis home is ranked 9th 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
2.33 Rank #19 / 65Citations per inspection — State benchmarkedThis home is ranked 19th 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.

All 7 citations resulted from standard inspections.

Breakdown of citation severity (last 4 years)
Critical health citations
0
In line with State average

State average: N/A

Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A
0 serious citations State average: N/A
7 moderate citations State average: N/A
0 minor citations State average: N/A
Citations history (last 4 years)
Infection Control moderate citation Dec 19, 2024
Corrected
Quality of Care moderate citation Dec 19, 2024
Corrected
Quality of Care moderate citation Dec 19, 2024
Corrected
Resident Rights moderate citation 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.

Staffing Data

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

Total staff 142
Employees 86
Contractors 56
Staff to resident ratio 2.37 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 33
Average shift 7.1 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 21,584

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 19 total: 10 full-time employees and 9 contractors. 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 15 total: 5 full-time employees and 10 contractors. 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 88 total: 57 full-time employees and 31 contractors. 88
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.8 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

9.4%

2,018 contractor hours this quarter

Certified Nursing Assistant: 31 Licensed Practical Nurse: 10 Registered Nurse: 9 Speech Language Pathologist: 1 Qualified Social Worker: 1 Physical Therapy Aide: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Respiratory Therapy Technician: 1

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 Assistant57318812,83892100%6.8
Registered Nurse109192,26092100%9.2
Licensed Practical Nurse510151,6178896%8.2
Other Dietary Services Staff5051,2977582%6.6
Clinical Nurse Specialist5051,1346571%7.6
Administrator2021,0706773%8.5
Dental Services Staff1014926368%7.8
Nurse Practitioner1014916166%8
Physical Therapy Aide0111864448%4.2
Speech Language Pathologist011842830%3
Occupational Therapy Aide0113855%7.5
Respiratory Therapy Technician011321516%2.1
Occupational Therapy Assistant0112833%9.3
Qualified Social Worker011191112%1.7
88 Certified Nursing Assistant
% of Days 100%
19 Registered Nurse
% of Days 100%
15 Licensed Practical Nurse
% of Days 96%
5 Other Dietary Services Staff
% of Days 82%
5 Clinical Nurse Specialist
% of Days 71%
2 Administrator
% of Days 73%
1 Dental Services Staff
% of Days 68%
1 Nurse Practitioner
% of Days 66%
1 Physical Therapy Aide
% of Days 48%
1 Speech Language Pathologist
% of Days 30%
1 Occupational Therapy Aide
% of Days 5%
1 Respiratory Therapy Technician
% of Days 16%
1 Occupational Therapy Assistant
% of Days 3%
1 Qualified Social Worker
% of Days 12%
View All Staffing Data

Penalties and fines

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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. 9.7
20% 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. 18.8
21% better than State average

State average: 23.9

Long-stay resident measures
Average State avg: 2.6 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 16.7%
25% better than State average

State average: 22.3%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 16.8%
26% 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 23.0%
14% 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 7.4%
47% 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 5.2%
16% worse than State average

State average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.9%
73% better than State average

State average: 3.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.3%
59% better than State average

State average: 5.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.5%
64% better than State average

State average: 4.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 23.5%
In line with State average

State average: 24.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.2%
In line with 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%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.33
12% better than State average

State average: 1.51

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.81
56% better than State average

State average: 1.85

Short-stay resident measures
Below average State avg: 2.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.8%
14% 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 95.5%
22% better than State average

State average: 78.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 45.0%
16% worse than State average

State average: 53.7%

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

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

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Nonprofit
Nonprofit 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."
$5.9M
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."
-$84.9K
Nonprofit Nonprofit 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."
$5.9M Rank #29 / 63Revenue — State benchmarkedThis home is ranked 29th 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."
-$84.9K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$2.0M
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 #33 / 63Payroll — State benchmarkedThis home is ranked 33rd 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.
$3.6M 61.1% 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 #34 / 63Payroll % — State benchmarkedThis home is ranked 34th 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).
$2.4M
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).
$6.0M
How we calculate these figures

This home is administered by Laura Wilson.

This home is owned by Tieszen Memorial Home Inc

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 435069

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under private pay (53% of admissions), and a typical private pay stay runs around 11 - 12 months.

Admissions
62 total

Coverage residents most often arrive under.

Medicare 19%
Private pay 53%
Medicaid 27%
Discharges
51 total

Coverage residents most often leave under.

Medicare 22%
Private pay 57%
Medicaid 22%

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 Marion's city center to Tieszen Memorial Home Inc's address, calculated via Google Maps.

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Frequently Asked Questions about Tieszen Memorial Home Inc

Is Tieszen Memorial Home Inc in a walkable area?

Tieszen Memorial Home Inc has a walk score of 23. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Tieszen Memorial Home Inc?

According to SD state health department records, Tieszen Memorial Home Inc's license number is 10647.

What is the occupancy rate at Tieszen Memorial Home Inc?

Tieszen Memorial Home Inc's occupancy is 93%.

Does Tieszen Memorial Home Inc operate as a for-profit or non-profit?

Tieszen Memorial Home Inc is registered as a non-profit in SD.

Who is the administrator of Tieszen Memorial Home Inc?

Laura Wilson is the administrator of Tieszen Memorial Home Inc.

How many beds does Tieszen Memorial Home Inc have?

Tieszen Memorial Home Inc has 64 beds.

Are there photos of Tieszen Memorial Home Inc?

Yes — there are 5 photos of Tieszen Memorial Home Inc in the photo gallery on this page.

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