All states › South Dakota › Garretson › Palisade Healthcare Center
920 4th St Garretson, SD 57030 · Minnehaha County
CMS certification number 435115 · See this home on Medicare Care Compare
Is Palisade Healthcare Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Palisade Healthcare Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the South Dakota average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.50 hours per resident per day at Palisade Healthcare Center, below the South Dakota median of 3.69 (US median: 3.72). About 0.60 of those hours are from registered nurses. On weekends it falls to 2.76 hours, 21% below its all-week average. Ask how weekends are staffed. 63.8% of nursing staff left within a year (South Dakota median 46.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Palisade Healthcare Center: Medicare and Medicaid
Palisade Healthcare Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet South Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 7, 2025 and found 6 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 29 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 29 citations at Palisade Healthcare Center across 10 inspection dates, 12 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on November 19, 2025 (complaint inspection). The most common areas cited were quality of life and care (6) and resident assessment and care planning (6). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level J, November 19, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
April 16, 2026 · 3 citations · includes complaint inspection
HProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EMake sure that a working call system is available in each resident's bathroom and bathing area.
DProvide and implement an infection prevention and control program.
November 19, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
September 17, 2025 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
August 7, 2025 · 7 citations, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProvide and implement an infection prevention and control program.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
March 12, 2025 · 2 citations · includes complaint inspection
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 26, 2024 · 2 citations, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
August 7, 2024 · 1 citation · includes complaint inspection
DEnsure that residents are free from significant medication errors.
March 18, 2024 · 8 citations
FHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide safe and appropriate respiratory care for a resident when needed.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DEnsure services provided by the nursing facility meet professional standards of quality.
DRegularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
December 28, 2023 · 1 citation · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
March 8, 2023 · 3 citations
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
DEnsure services provided by the nursing facility meet professional standards of quality.
Questions to ask on a tour of Palisade Healthcare Center
- Inspectors cited the home at the immediate-jeopardy level on November 19, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 16, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 21% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 63.8% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
5 penalties in the last three years, including $249,546 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 16, 2026 | Fine | $94,600 |
| Nov 19, 2025 | Fine | $122,476 |
| Sep 17, 2025 | Fine | $8,608 |
| Aug 7, 2025 | Fine | $11,713 |
| Nov 26, 2024 | Fine | $12,149 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 4/5 |
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Location
Hospitals near Palisade Healthcare Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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13.4 mi
Avera Dells Area Health Center - CAH Dell RapidsEmergency roomMedian ER visit 1h 46m for patients treated and sent home
-
14.6 mi
Sanford Luverne Medical Center LuverneEmergency roomMedian ER visit 1h 56m for patients treated and sent home
- 16.7 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Palisade Healthcare Center › All nursing homes in Garretson ›
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Other Evergreen Healthcare Group nursing homes in South Dakota
- Fountain Springs Healthcare · Rapid City · 3 stars
- Wheatcrest Hills Healthcare Center · Britton · 3 stars
- Prairie View Healthcare Center · Woonsocket · 2 stars
- Firesteel Healthcare Center · Mitchell · 1 stars
- Riverview Healthcare Center · Flandreau · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 43 Evergreen Healthcare Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.