Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
139
89 employees · 50 contractors · 35 on an average day Tieszen Memorial Home Inc
Nursing Home, Assisted Living, Hospice Care, Memory Care & Skilled Nursing · Marion, SD
ALM Inspection Grade
A-
ALM's inspection grade is 91 / 100, an A- — 8 points above the South Dakota average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 91 / 100, an A- — 8 points above the South Dakota average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
4/5
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.
4/5
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.
Tieszen Memorial Home Inc
Nursing Home, Assisted Living, Hospice Care, Memory Care & Skilled Nursing · Marion, SD
ALM Inspection Grade
A-
ALM's inspection grade is 91 / 100, an A- — 8 points above the South Dakota average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 91 / 100, an A- — 8 points above the South Dakota average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
4/5
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.
4/5
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.
Tieszen Memorial Home Inc accepts Medicare, Medicaid, and private pay.
Tieszen Memorial Home is located in Marion, SD, and its care runs from nursing home care and skilled nursing to assisted living, memory care, and hospice care. Whichever level of care a resident turns out to need next, it is already in the building.
Assisted living takes care of bathing, dressing, and medication management. Memory care is kept secure, with staff supervising, and hospice care is there for residents in their final stage of life. Skilled Care is listed as a service, and the named programs include Rehab Services and a Wellness Center.
Laura Wilson is administrator of the home’s 64 beds, where nursing time averages 4 hours and 46 minutes per resident each day. Medicaid, private pay, and Medicare are all accepted, and Medicaid is the one for eligible residents whose savings run short over a long stay.
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
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 9th out of 48 nursing homes we track in South Dakota for nurse hours. 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 46m
This nursing home is ranked 9th out of 48 nursing homes we track in South Dakota for nurse hours. 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 46mStandout metric: Certified nursing assistant is +27% above South Dakota average
2 of 6 metrics below South Dakota average
Daily care time per resident, by role
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. 20 total: 11 of the facility's own employees and 9 agency contractors.
20 staff · 8.3-hour shifts
57m
↑ 18% · SD 48mThis facility: 57m per resident per day, 18% above the South Dakota average of 48m (among South Dakota facilities reporting a recent figure).
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. 20 total: 11 of the facility's own employees and 9 agency contractors.
20 staff · 8.3-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. 16 total: 7 of the facility's own employees and 9 agency contractors.
16 staff · 9.3-hour shifts
30m
↑ 3% · SD 29mThis facility: 30m per resident per day, 3% above the South Dakota average of 29m (among South Dakota facilities reporting a recent figure).
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. 16 total: 7 of the facility's own employees and 9 agency contractors.
16 staff · 9.3-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 77 total: 56 of the facility's own employees and 21 agency contractors.
77 staff · 6.7-hour shifts
3h 19m
↑ 27% · SD 2h 37mThis facility: 3h 19m per resident per day, 27% above the South Dakota average of 2h 37m (among South Dakota facilities reporting a recent figure).
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. 77 total: 56 of the facility's own employees and 21 agency contractors.
77 staff · 6.7-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
Physical therapist
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.
2m
↓ 44% · SD 3mThis facility: 2m per resident per day, 44% below the South Dakota average of 3m (among South Dakota facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
4h 4m
↑ 23% · SD 3h 19mThis facility: 4h 4m per resident per day, 23% above the South Dakota average of 3h 19m (among South Dakota facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
19m
↓ 38% · SD 31mThis facility: 19m per resident per day, 38% below the South Dakota average of 31m (among South Dakota facilities reporting a recent figure).
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.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
139
89 employees · 50 contractors · 35 on an average day
139 total staff / 53 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.62 : 1
↑ 36% · SD 1.93This facility: 2.62 staff per resident, 36% above the South Dakota average of 1.93 (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
139 staff ÷ 53 residents
See full South Dakota ranking →
Average hours one staff member works on a day they are on shift, across every role.
7 h
↓ 9% · SD 7.7 hThis facility: 7 h, 9% below the South Dakota average of 7.7 h (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
22,179 staff hours this quarter
See full South Dakota ranking →90.9% of staff hours were worked by the facility's own employees
South Dakota average: 87.9% · Contractors this quarter: Certified Nursing Assistant (21), Registered Nurse (9), Licensed Practical Nurse (9), Occupational Therapy Aide (3), Respiratory Therapy Technician (2), Occupational Therapy Assistant (2), Speech Language Pathologist (1), Physical Therapy Aide (1), Qualified Social Worker (1), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
64
Rank #25 / 55Bed count — State benchmarked This nursing home is ranked 25th out of 55 nursing homes we track in South Dakota for bed count. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
64
Rank #25 / 55Bed count — State benchmarked This nursing home is ranked 25th out of 55 nursing homes we track in South Dakota for bed count. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Years of operating
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #3 / 51Years in operation — State benchmarked This nursing home is ranked 3rd out of 51 nursing homes we track in South Dakota for years in operation. Shows how long this facility has been in operation compared to other South Dakota facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #3 / 51Years in operation — State benchmarked This nursing home is ranked 3rd out of 51 nursing homes we track in South Dakota for years in operation. Shows how long this facility has been in operation compared to other South Dakota facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
1
year
Walk Score
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #40 / 57Walk Score — State benchmarked This nursing home is ranked 40th out of 57 nursing homes we track in South Dakota for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across South Dakota facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #40 / 57Walk Score — State benchmarked This nursing home is ranked 40th out of 57 nursing homes we track in South Dakota for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across South Dakota facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
23
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #17 / 29Occupancy rate — State benchmarked This nursing home is ranked 17th out of 29 nursing homes we track in South Dakota for occupancy. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 29. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #17 / 29Occupancy rate — State benchmarked This nursing home is ranked 17th out of 29 nursing homes we track in South Dakota for occupancy. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 29. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
88.8%
This home usually has limited availability
Based on 56.8 residents and 64 beds. Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Similar to the South Dakota average: 86.2%
Avg. Length of Stay
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.
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.
487
days
About This Community
Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
CountyTurner
License Number10647
CMS Certification Number435069
Tieszen Memorial Home Inc is administered by Laura Wilson.
Resident Council
CNA Training Program
Pets not allowed
CMS Health Inspection History
ALM Inspection Grade
91 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
8 points above the South Dakota average for CMS-certified facilities (83/100)
Category breakdown
Citations
Strong
37 severity-weighted points (12 deficiencies) · 2× lower than the typical CMS-certified SD facility (median: 73)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Concern
43 days to fix issues · slower than the typical CMS-certified SD facility (median: 37)
Total health inspections
3
↓ 40% · SD 5This facility: 3, 40% below the SD average of 5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
12
Rank #15 / 50Health citations — State benchmarked This nursing home is ranked 15th out of 50 nursing homes we track 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 50 SD facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 33% · SD 17.8This facility: 12, 33% below the SD average of 17.8 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
4
Rank #33 / 50Citations per inspection — State benchmarked This nursing home is ranked 33rd out of 50 nursing homes we track in South Dakota for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 50 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 10% · SD 3.64This facility: 4, 10% above the SD average of 3.64 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
12 of 12 citations corrected
Critical
J–L
0
↓ 100% · SD 0.3This facility: 0, 100% below the SD average of 0.3 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · SD 2.2This facility: 0, 100% below the SD average of 2.2 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
12
↓ 22% · SD 15.3This facility: 12, 22% below the SD average of 15.3 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
State avg 0 (In line with State average)
No harm, minimal riskState avg 0 (In line with State average)Latest inspection: May 28, 2026 · 7 citations, all corrected
Most cited category: Resident Rights, 3 of 12 citations · 6 categories in total
Citations history
Most recent first
May 28, 2026
7 citations
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Dec 19, 2024
4 citations
Resident Rights moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Aug 23, 2023
1 citation
Abuse/Neglect moderate citation
Corrected
Corrected
Top deficiency categories
Share of 12 citations
Resident Rights
3 deficiencies (25%)
Quality of Life & Care
3 deficiencies (25%)
Infection Control
2 deficiencies (17%)
Nutrition & Dietary
2 deficiencies (17%)
Abuse, Neglect & Exploitation
1 deficiency (8%)
Nursing & Physician Services
1 deficiency (8%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 12 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Enforcement
Penalties and fines
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 · Data as of Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Total fines
$0
SD avg $54KSouth Dakota average: $54,430. Average among the 72 South Dakota facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0
SD avg 2.5South Dakota average: 2.5. Average among the 72 South Dakota facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the South Dakota average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 52% · SD 2.6This facility: 4.0, 52% above the SD average of 2.6 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
10.1
Score · lower is better
↓ 9% · SD 11.0This facility: 10.1, 9% below the SD average of 11.0 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
18.7
Score · lower is better
↓ 13% · SD 21.4This facility: 18.7, 13% below the SD average of 21.4 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 8 better, 4 worse, 1 near SD average
4 short-stay measures: 1 better, 1 worse, 2 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
14.9%
↓ 31% · SD 21.5This facility: 14.9, 31% below the SD average of 21.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
14.9%
↓ 31% · SD 21.5This facility: 14.9, 31% below the SD average of 21.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
12.9%
↓ 29% · SD 18.3This facility: 12.9, 29% below the SD average of 18.3 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
12.9%
↓ 29% · SD 18.3This facility: 12.9, 29% below the SD average of 18.3 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.2%
↑ 15% · SD 24.5This facility: 28.2, 15% above the SD average of 24.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.2%
↑ 15% · SD 24.5This facility: 28.2, 15% above the SD average of 24.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
1.4%
↓ 53% · SD 2.9This facility: 1.4, 53% below the SD average of 2.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
1.4%
↓ 53% · SD 2.9This facility: 1.4, 53% below the SD average of 2.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
6.8%
↑ 23% · SD 5.5This facility: 6.8, 23% above the SD average of 5.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
6.8%
↑ 23% · SD 5.5This facility: 6.8, 23% above the SD average of 5.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
9.4%
↑ 110% · SD 4.5This facility: 9.4, 110% above the SD average of 4.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
9.4%
↑ 110% · SD 4.5This facility: 9.4, 110% above the SD average of 4.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
6.3%
↑ 11% · SD 5.7This facility: 6.3, 11% above the SD average of 5.7 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
6.3%
↑ 11% · SD 5.7This facility: 6.3, 11% above the SD average of 5.7 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.9%
↓ 84% · SD 5.9This facility: 0.9, 84% below the SD average of 5.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.9%
↓ 84% · SD 5.9This facility: 0.9, 84% below the SD average of 5.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
19.6%
↓ 21% · SD 24.8This facility: 19.6, 21% below the SD average of 24.8 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
19.6%
↓ 21% · SD 24.8This facility: 19.6, 21% below the SD average of 24.8 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 5% · SD 94.9This facility: 100.0, 5% above the SD average of 94.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 5% · SD 94.9This facility: 100.0, 5% above the SD average of 94.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 3% · SD 97.2This facility: 100.0, 3% above the SD average of 97.2 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 3% · SD 97.2This facility: 100.0, 3% above the SD average of 97.2 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.33
↓ 12% · SD 1.51This facility: 1.33, 12% below the SD average of 1.51 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.33
↓ 12% · SD 1.51This facility: 1.33, 12% below the SD average of 1.51 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.81
↓ 56% · SD 1.85This facility: 0.81, 56% below the SD average of 1.85 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.81
↓ 56% · SD 1.85This facility: 0.81, 56% below the SD average of 1.85 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 4 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
45.0%
↓ 16% · US 53.7This facility: 45.0, 16% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
45.0%
↓ 16% · US 53.7This facility: 45.0, 16% below the US average of 53.7 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
5.9%
↑ 169% · SD 2.2This facility: 5.9, 169% above the SD average of 2.2 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
5.9%
↑ 169% · SD 2.2This facility: 5.9, 169% above the SD average of 2.2 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
↑ 17% · SD 83.9This facility: 98.4, 17% above the SD average of 83.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
↑ 17% · SD 83.9This facility: 98.4, 17% above the SD average of 83.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Tieszen Memorial Home Inc’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 45 South Dakota nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Breaking even on care
3.0% operating margin
+4.4 pts vs prior year
Positive margin in 1 of the last 8 reported years. Net income $0.7M after other income.
Does it invest in staff?
Payroll in line with South Dakota homes
57.5% payroll share of revenue
SD average 58.8%Rank #18 / 45Payroll % of net patient revenue — State benchmarked This nursing home is ranked 18th out of 45 nursing homes we track in South Dakota for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the South Dakota average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.2M while revenue rose $0.7M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with South Dakota homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | SD median | Compared with SD homesRank in SD | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $6.6M | +$0.7M | Trend 20172024 | SD median $6.6M | Rank in SD Rank #23 / 45Net patient revenue — State benchmarked This nursing home is ranked 23rd out of 45 nursing homes we track in South Dakota for net patient revenue. Shows this facility's net patient revenue compared to the South Dakota average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 50% of homes | Above SD median Higher net patient revenue than 50% of SD homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $6.4M | +$0.4M | Trend 20172024 | SD median $6.6M | Rank in SD Rank #24 / 45Operating expenses — State benchmarked This nursing home is ranked 24th out of 45 nursing homes we track in South Dakota for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other South Dakota homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 48% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.2M | +$0.3M | Trend 20172024 | SD median $0.0M | Rank in SD Rank #15 / 45Net patient income — State benchmarked This nursing home is ranked 15th out of 45 nursing homes we track in South Dakota for net patient income. Shows net patient revenue minus operating expenses, compared with other South Dakota homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 68% of homes | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 3.0% | +4.4 pts | Trend 20172024 | SD median 0.7% | Rank in SD Rank #13 / 45Operating margin — State benchmarked This nursing home is ranked 13th out of 45 nursing homes we track in South Dakota for operating margin. Shows net patient income as a share of net patient revenue, compared with other South Dakota homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 73% of homes | Thin margin A margin from 0% to 5% of revenue leaves little room for unexpected costs. |
| Other income Money not from resident care: investments, grants, services. | $0.5M | — | Trend — | SD median $0.1M | Rank in SD Rank #14 / 45Other income — State benchmarked This nursing home is ranked 14th out of 45 nursing homes we track in South Dakota for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other South Dakota homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 70% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $0.7M | −$1.3M | Trend — | SD median $0.2M | Rank in SD Rank #11 / 45Net income — State benchmarked This nursing home is ranked 11th out of 45 nursing homes we track in South Dakota for net income. Shows the bottom line after other income, compared with other South Dakota homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 77% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Staff spending in line with South Dakota homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | SD median | Compared with SD homesRank in SD | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $3.8M | +$0.2M | Trend 20172024 | SD median $3.8M | Rank in SD Rank #23 / 45Payroll costs — State benchmarked This nursing home is ranked 23rd out of 45 nursing homes we track in South Dakota for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the South Dakota average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 50% of homes | Above SD median Higher payroll than 50% of SD homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 57.5% | −3.6 pts | Trend 20172024 | SD median 55.7% | Rank in SD Rank #18 / 45Payroll % of net patient revenue — State benchmarked This nursing home is ranked 18th out of 45 nursing homes we track in South Dakota for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the South Dakota average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 61% of homes | Near SD average The SD average is 58.8% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · SD benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the South Dakota payroll average.
% of net patient revenue
Payroll share Operating margin SD payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $4.6M | $4.7M | $5.0M | $4.7M | $4.8M | $5.2M | $5.9M | $6.6M |
| Operating expenses | $4.9M | $4.9M | $5.1M | $5.3M | $5.4M | $5.8M | $6.0M | $6.4M |
| Net patient income | −$0.3M | −$0.2M | −$0.1M | −$0.6M | −$0.6M | −$0.6M | −$0.1M | $0.2M |
| Operating margin | −6.5% | −3.3% | −1.8% | −13.0% | −13.3% | −10.8% | −1.4% | 3.0% |
| Net income | −$0.1M | $0.1M | $0.1M | $0.4M | $0.3M | $0.1M | $2.0M | $0.7M |
| Payroll costs | $2.8M | $2.7M | $2.9M | $3.0M | $3.0M | $3.3M | $3.6M | $3.8M |
| Payroll share of revenue | 59.5% | 56.9% | 58.3% | 64.2% | 63.6% | 63.5% | 61.1% | 57.5% |
| Beds | 64 | 64 | 64 | 64 | 64 | 64 | 64 | 64 |
| Gross revenue | $5.3M | $5.5M | $5.3M | $5.5M | $5.0M | $5.6M | $6.1M | $6.4M |
| Salaries | $2.3M | $2.2M | $2.4M | $2.5M | $2.6M | $2.8M | $3.0M | $3.1M |
| Wage-related costs | $0.5M | $0.5M | $0.5M | $0.5M | $0.5M | $0.5M | $0.6M | $0.7M |
| Contract labor | $0.3M | $0.4M | $0.3M | $0.2M | $0.3M | $0.3M | $0.2M | $0.2M |
| Other operating costs | $2.2M | $2.2M | $2.2M | $2.3M | $2.4M | $2.5M | $2.4M | $2.6M |
| Net patient revenue per day | $215 | $218 | $222 | $230 | $260 | $265 | $283 | $317 |
| Cost per day | $229 | $225 | $226 | $260 | $295 | $294 | $287 | $308 |
| Average length of stay | 311.4 days | 395.6 days | 620.4 days | 250.0 days | 312.1 days | 445.2 days | 408.6 days | 486.8 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
44 admissions · FY2024
Residents admitted during the year.
Medicare
27 · 61%
Medicaid
6 · 14%
Private pay & other
11 · 25%
Resident snapshot
53 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
1 · 2%
Medicaid
24 · 45%
Private pay & other
28 · 53%
Leaving
43 discharges · FY2024
Residents discharged during the year.
Medicare
14 · 33%
Medicaid
14 · 33%
Private pay & other
15 · 35%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Tieszen Memorial Home Inc
0.0 miles from city center
Estimated distance in miles from Marion's city center to Tieszen Memorial Home Inc's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the SD Dept. of Health (DOH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The South Dakota average is: 58.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Avera Maryhouse | NH AL HOS | Pierre | 67
Facility
67
SD AVG
69
Rank
#23 / 55 | ? | - | - | 5.49
Facility
5.49
SD AVG
4.54
Rank
#4 / 48 | +14% | +21% | $0
Facility
$0
SD AVG
$52.4k
Rank
#1 / 51 | 9
Facility
9
SD AVG
17.8
Rank
#7 / 50 | 2.3
Facility
2.3
SD AVG
3.6
Rank
#10 / 50 | - | 59 | - |
60
Facility
60
SD AVG
38
Rank
#11 / 57 | - | - | - | - | 435034 | ||||
| Tieszen Memorial Home Inc | NH AL HOS MC SNF | Marion | 64
Facility
64
SD AVG
69
Rank
#25 / 55 | A- |
88.8%
Facility
88.8%
SD AVG
86.2%
Rank
#17 / 29 | +3% | 4.76
Facility
4.76
SD AVG
4.54
Rank
#9 / 48 | +31% | +5% | $0
Facility
$0
SD AVG
$52.4k
Rank
#1 / 51 | 12
Facility
12
SD AVG
17.8
Rank
#15 / 50 | 4.0
Facility
4.0
SD AVG
3.6
Rank
#33 / 50 | - | 57 | - |
23
Facility
23
SD AVG
38
Rank
#40 / 57 | Tieszen Memorial Home Inc | $6.6MFiscal year ending 12/2024
Facility
$6.6MFiscal year ending 12/2024
SD AVG
$7.6M
Rank
#23 / 45 | $3.8MFiscal year ending 12/2024
Facility
$3.8MFiscal year ending 12/2024
SD AVG
$4.5M
Rank
#23 / 45 | 57.5%Fiscal year ending 12/2024
Facility
57.5%Fiscal year ending 12/2024
SD AVG
58.8%
Rank
#18 / 45 | 435069 | ||||
| Good Samaritan Society Canton | NH AL HOS SNF | Canton | 56
Facility
56
SD AVG
69
Rank
#30 / 55 | ? |
90.2%
Facility
90.2%
SD AVG
86.2%
Rank
#16 / 29 | +5% | 4.20
Facility
4.20
SD AVG
4.54
Rank
#18 / 48 | +8% | -7% | $19.6k
Facility
$19.6k
SD AVG
$52.4k
Rank
#25 / 51 | 7
Facility
7
SD AVG
17.8
Rank
#6 / 50 | 1.8
Facility
1.8
SD AVG
3.6
Rank
#8 / 50 | 2 | 51 | - |
64
Facility
64
SD AVG
38
Rank
#9 / 57 | Karsten Rohlfs | $6.1MFiscal year ending 09/2024
Facility
$6.1MFiscal year ending 09/2024
SD AVG
$7.6M
Rank
#27 / 45 | $3.5MFiscal year ending 09/2024
Facility
$3.5MFiscal year ending 09/2024
SD AVG
$4.5M
Rank
#27 / 45 | 56.9%Fiscal year ending 09/2024
Facility
56.9%Fiscal year ending 09/2024
SD AVG
58.8%
Rank
#20 / 45 | 435101 | ||||
| Rolling Hills Healthcare | NH HOS SNF | Belle Fourche | 83
Facility
83
SD AVG
69
Rank
#13 / 55 | C |
73.3%
Facility
73.3%
SD AVG
86.2%
Rank
#26 / 29 | -15% | 3.39
Facility
3.39
SD AVG
4.54
Rank
#37 / 48 | -5% | -25% | $122.6k
Facility
$122.6k
SD AVG
$52.4k
Rank
#45 / 51 | 34
Facility
34
SD AVG
17.8
Rank
#45 / 50 | 4.3
Facility
4.3
SD AVG
3.6
Rank
#38 / 50 | 5 | 61 | A+ |
8
Facility
8
SD AVG
38
Rank
#53 / 57 | - | $6.6MFiscal year ending 12/2024
Facility
$6.6MFiscal year ending 12/2024
SD AVG
$7.6M
Rank
#21 / 45 | $3.7MFiscal year ending 12/2024
Facility
$3.7MFiscal year ending 12/2024
SD AVG
$4.5M
Rank
#24 / 45 | 55.5%Fiscal year ending 12/2024
Facility
55.5%Fiscal year ending 12/2024
SD AVG
58.8%
Rank
#24 / 45 | 435035 | ||||
| Avantara Redfield | NH HOS SNF | Redfield | 58
Facility
58
SD AVG
69
Rank
#29 / 55 | B+ |
92.1%
Facility
92.1%
SD AVG
86.2%
Rank
#9 / 29 | +7% | 3.33
Facility
3.33
SD AVG
4.54
Rank
#41 / 48 | -36% | -27% | $23.0k
Facility
$23.0k
SD AVG
$52.4k
Rank
#29 / 51 | 17
Facility
17
SD AVG
17.8
Rank
#21 / 50 | 2.4
Facility
2.4
SD AVG
3.6
Rank
#12 / 50 | 3 | 53 | A+ |
34
Facility
34
SD AVG
38
Rank
#29 / 57 | Diane Forgey | $4.8MFiscal year ending 12/2024
Facility
$4.8MFiscal year ending 12/2024
SD AVG
$7.6M
Rank
#33 / 45 | $2.5MFiscal year ending 12/2024
Facility
$2.5MFiscal year ending 12/2024
SD AVG
$4.5M
Rank
#34 / 45 | 51.7%Fiscal year ending 12/2024
Facility
51.7%Fiscal year ending 12/2024
SD AVG
58.8%
Rank
#32 / 45 | 435054 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other SD nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Know before you visit
Frequently Asked Questions about Tieszen Memorial Home Inc
Quick answers from public records and the community's own listing.01 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.
02 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.
03 What is the occupancy rate at Tieszen Memorial Home Inc?
Tieszen Memorial Home Inc's occupancy is 88.8%.
04 How long has Tieszen Memorial Home Inc been in business?
Tieszen Memorial Home Inc has been operating for approximately 1 year, based on available licensing and registration records.
05 Are pets allowed at Tieszen Memorial Home Inc?
No, Tieszen Memorial Home Inc has a no-pet policy.
06 What is the best email address for Tieszen Memorial Home Inc?
The team at Tieszen Memorial Home Inc can be reached at info@tieszenhome.com.
07 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.
Updated on
