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2/5
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.
2/5
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.
A central part of a downtown Brookings campus, United Living Community is an 81-bed nonprofit nursing home run by administrator Liz DeBerg and United Retirement Center. The facility handles skilled nursing, short-term rehab, respite care, and hydro-therapy. While 80% of new admissions use Medicare for short-term recovery, a smaller group of long-term Medicaid residents (18%) and private-pay clients (2%) shapes the building’s overall population, pushing the average stay to 421 days. The property sits in a highly walkable neighborhood with a Walk Score of 82, though recent financial records report a low occupancy rate of 34.1% alongside an operating deficit of $643.3 thousand on $7.8 million in revenue.
Government health logs show high staffing numbers, led by a daily nursing average of 5 hours and 55 minutes per resident that ranks third across South Dakota. This setup is heavily driven by nurse aides, who provide 3 hours and 48 minutes of direct care daily, helping to cover for below-average hours for registered nurses and LPNs. Clinical summaries reveal a sharp divide between short-term and long-term outcomes.
For temporary rehab residents, the logs show excellent performance, including zero major injuries from falls, zero antipsychotic drug initiations, and zero hospital readmissions. Conversely, tracking files show that permanent residents experienced higher rates of major fall injuries, antipsychotic usage, and daily activity decline than the state average, though the facility’s total federal fines sit low at $13,000.
Interested individuals looking over local care options can use these public tracking reports to see how the building handles different types of stays. Since the state logs verify top-tier daily care hours and flawless physical recovery scores for short-term rehab clients alongside low occupancy and some weak long-term safety numbers, the paperwork fits a building optimized for post-acute recovery.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 3rd out of 57 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 36m per day | ▼ 26% State avg: 48m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 27m per day | ▼ 8% State avg: 29m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 36m per day | ▲ 38% State avg: 2h 37m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
| 4h 1m per day | ▲ 21% State avg: 3h 19m per day · National avg: 3h 26m per day |
|
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.
| 0m per day | ▼ 100% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
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.
| 15m per day | ▼ 53% State avg: 31m per day · National avg: 28m per day |
Lower than the South Dakota average: 79.9%United Living Community is administrated by Liz Deberg.
South Dakota average 4.5
Last Health inspection on Aug 2025
South Dakota average 14.8
South Dakota average 3.34
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 16 citations resulted from standard inspections; and 7 of 16 resulted from complaint investigations.
100% better than South Dakota averageSouth Dakota average: 0.3
11% worse than South Dakota averageSouth Dakota average: 1.8
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
13% fewer staff per resident than South Dakota average
5% better than South Dakota average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 5 RN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.9 hoursAssists with medical care and medications.
All 7 LPN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursHelps with daily care and mobility.
All 53 CNA Staff are full-time employees. No contractors work on this role.
53
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
911 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 53 | 0 | 53 | 11,754 | 92 | 100% | 7.5 |
| Medication Aide/Technician | 35 | 0 | 35 | 9,964 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 7 | 0 | 7 | 2,687 | 92 | 100% | 10.2 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,576 | 66 | 72% | 8 |
| Dietitian | 3 | 0 | 3 | 1,476 | 92 | 100% | 8.1 |
| Registered Nurse | 5 | 0 | 5 | 1,470 | 84 | 91% | 10.9 |
| Administrator | 0 | 1 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 240 | 39 | 42% | 6.1 |
| Feeding Assistant | 0 | 1 | 1 | 104 | 13 | 14% | 8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 34 | 3 | 3% | 11.2 |
| Medical Director | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
68% lower than South Dakota averageSouth Dakota average: $40K
51% fewer fines than South Dakota averageSouth Dakota average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0 
In line with South Dakota averageSouth Dakota average: 0.0
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
May 23, 2024 · $13K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 23, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.4
28% worse than South Dakota averageSouth Dakota average: 12.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.6
23% worse than South Dakota averageSouth Dakota average: 23.9
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
31.3%
40% worse than South Dakota averageSouth Dakota average: 22.3%
Percent of long-stay residents whose ability to move independently worsened
27.1%
19% worse than South Dakota averageSouth Dakota average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.3%
13% worse than South Dakota averageSouth Dakota average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
8.3%
65% worse than South Dakota averageSouth Dakota average: 5.0%
Percent of long-stay high risk residents with pressure ulcers
4.5%
In line with South Dakota averageSouth Dakota average: 4.5%
Percent of long-stay residents with a urinary tract infection
3.7%
6% worse than South Dakota averageSouth Dakota average: 3.5%
Percent of long-stay residents who lose too much weight
5.8%
6% worse than South Dakota averageSouth Dakota average: 5.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than South Dakota averageSouth Dakota average: 4.1%
Percent of long-stay residents who received an antipsychotic medication
34.4%
41% worse than South Dakota averageSouth Dakota average: 24.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.5%
In line with South Dakota averageSouth Dakota average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.5%
In line with South Dakota averageSouth Dakota average: 96.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.51
In line with South Dakota averageSouth Dakota average: 1.51
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.67
64% better than South Dakota averageSouth Dakota average: 1.85
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
81.4%
In line with South Dakota averageSouth Dakota average: 84.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than South Dakota averageSouth Dakota average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
31.8%
59% worse than South Dakota averageSouth Dakota average: 78.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
0.0%
100% better than South Dakota averageSouth Dakota average: 21.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.6%
In line with South Dakota averageSouth Dakota average: 11.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than South Dakota averageSouth Dakota average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
40.0%
25% worse than South Dakota averageSouth Dakota average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
33.9%
33% worse than South Dakota averageSouth Dakota average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
80% of new residents, usually for short-term rehab.
2% of new residents, often for short stays.
18% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
67Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
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.
Historical financial and operational data for United Living Community from 2011–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #16 / 55Payroll — State benchmarkedThis home is ranked 16th out of 55 homes in South Dakota. Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (80% of admissions), and a typical Medicare stay runs around 1 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Brookings's city center to United Living Community's address, calculated via Google Maps.
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United Living Community is located in Brookings, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
| Avera Maryhouse |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. | Pierre | 67
Facility
67
SD AVG
69
Rank
#49 / 117 | - | - | 5.30
Facility
5.30
SD AVG
4.34
Rank
#5 / 57 | +18% | +22% | $0
Facility
$0
SD AVG
$38.5k
Rank
#1 / 59 | 9
Facility
9
SD AVG
14.8
Rank
#16 / 59 | 2.3
Facility
2.3
SD AVG
3.3
Rank
#18 / 59 | - | 59 | - |
60
Facility
60
SD AVG
39
Rank
#39 / 159 | - | - | - | - | 435034 | ||||
| Bethesda Home of Aberdeen |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NC Nursing Care
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Aberdeen (Melrose Addition) | 86
Facility
86
SD AVG
69
Rank
#27 / 117 |
92.8%
Facility
92.8%
SD AVG
79.9%
Rank
#8 / 54 | +16% | 4.38
Facility
4.38
SD AVG
4.34
Rank
#16 / 57 | -22% | +1% | $0
Facility
$0
SD AVG
$38.5k
Rank
#1 / 59 | 7
Facility
7
SD AVG
14.8
Rank
#8 / 59 | 2.3
Facility
2.3
SD AVG
3.3
Rank
#18 / 59 | - | 85 | - |
12
Facility
12
SD AVG
39
Rank
#127 / 159 | Scott Eisenbeisz | $11.8M
Facility
$11.8M
SD AVG
$6.7M
Rank
#13 / 55 | $8.6M
Facility
$8.6M
SD AVG
$2.6M
Rank
#5 / 55 | 72.5%
Facility
72.5%
SD AVG
40.8%
Rank
#6 / 55 | 435073 | ||||
| Fountain Springs Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Rapid City | 10
Facility
10
SD AVG
69
Rank
#116 / 117 |
87.3%
Facility
87.3%
SD AVG
79.9%
Rank
#21 / 54 | +9% | 3.82
Facility
3.82
SD AVG
4.34
Rank
#27 / 57 | -2% | -12% | $22.5k
Facility
$22.5k
SD AVG
$38.5k
Rank
#43 / 59 | 11
Facility
11
SD AVG
14.8
Rank
#19 / 59 | 1.6
Facility
1.6
SD AVG
3.3
Rank
#12 / 59 | 2 | 82 | - |
16
Facility
16
SD AVG
39
Rank
#120 / 159 | - | $8.8M
Facility
$8.8M
SD AVG
$6.7M
Rank
#21 / 55 | $4.4M
Facility
$4.4M
SD AVG
$2.6M
Rank
#21 / 55 | 50.3%
Facility
50.3%
SD AVG
40.8%
Rank
#27 / 55 | 435110 | ||||
| Avera Mother Joseph Manor Retirement Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Aberdeen | 81
Facility
81
SD AVG
69
Rank
#32 / 117 | - | - | 4.62
Facility
4.62
SD AVG
4.34
Rank
#12 / 57 | -24% | +6% | $8.8k
Facility
$8.8k
SD AVG
$38.5k
Rank
#34 / 59 | 12
Facility
12
SD AVG
14.8
Rank
#24 / 59 | 1.7
Facility
1.7
SD AVG
3.3
Rank
#13 / 59 | 3 | 76 | - |
31
Facility
31
SD AVG
39
Rank
#93 / 159 | - | - | - | - | 435042 | ||||
| United Living Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Brookings (Brookings Township) | 81
Facility
81
SD AVG
69
Rank
#32 / 117 |
34.1%
Facility
34.1%
SD AVG
79.9%
Rank
#54 / 54 | -57% | 5.91
Facility
5.91
SD AVG
4.34
Rank
#3 / 57 | -60% | +36% | $44.0k
Facility
$44.0k
SD AVG
$38.5k
Rank
#21 / 59 | 16
Facility
16
SD AVG
14.8
Rank
#27 / 59 | 2.7
Facility
2.7
SD AVG
3.3
Rank
#21 / 59 | 2 | 66 | - |
82
Facility
82
SD AVG
39
Rank
#10 / 159 | United Retirement Center | $7.8M
Facility
$7.8M
SD AVG
$6.7M
Rank
#26 / 55 | $5.0M
Facility
$5.0M
SD AVG
$2.6M
Rank
#16 / 55 | 63.9%
Facility
63.9%
SD AVG
40.8%
Rank
#15 / 55 | 435079 |
United Living Community is in the Brookings Township neighborhood of Brookings.
United Living Community has a walk score of 82. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to SD state health department records, United Living Community's license number is 10601.
According to SD state health department records, United Living Community's license expires on June 30, 2026.
United Living Community's occupancy is 34%.
Liz DeBerg is the administrator of United Living Community.
United Living Community has 81 beds.
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