All states › South Dakota › Lake Andes › Lake Andes Senior Living
740 East Lake St Lake Andes, SD 57356 · Charles Mix County
CMS certification number 435097 · See this home on Medicare Care Compare
Is Lake Andes Senior Living 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 Lake Andes Senior Living as of October 2026.
CMS rates it 4 out of 5 stars overall, above 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 3.44 hours per resident per day at Lake Andes Senior Living, below the South Dakota median of 3.69 (US median: 3.72). About 0.57 of those hours are from registered nurses. On weekends it falls to 2.76 hours, 20% below its all-week average. Ask how weekends are staffed. 41.7% of nursing staff left within a year (South Dakota median 46.5%).
About this nursing home
Paying for care at Lake Andes Senior Living: Medicare and Medicaid
Lake Andes Senior Living 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 13, 2026 and found 2 deficiencies. In total, inspectors issued 23 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 23 citations at Lake Andes Senior Living across 4 inspection dates, 1 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on September 5, 2024. The most common areas cited were resident assessment and care planning (5) and resident rights (5). 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 K, September 5, 2024).
August 13, 2026 · 2 citations
DEnsure each resident receives an accurate assessment.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
August 21, 2025 · 3 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide and implement an infection prevention and control program.
October 16, 2024 · 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.
September 5, 2024 · 17 citations, includes immediate jeopardy
KProvide appropriate treatment and care according to orders, resident’s preferences and goals.
KProvide and implement an infection prevention and control program.
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.
FHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
FConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
EKeep residents' personal and medical records private and confidential.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Questions to ask on a tour of Lake Andes Senior Living
- Inspectors cited the home at the immediate-jeopardy level on September 5, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- Weekend staffing is 20% below the all-week average. Who is on duty on Saturday nights?
- 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
2 penalties in the last three years, including $102,440 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Oct 16, 2024 | Fine | $10,839 |
| Sep 5, 2024 | Fine | $91,601 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 3/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 3/5 | 4/5 |
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Location
Hospitals near Lake Andes Senior Living
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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12.9 mi
Wagner Community Mem Hosp - Critical Access Hosp WagnerEmergency roomMedian ER visit 1h 54m for patients treated and sent home
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15.2 mi
Douglas County Memorial Hospital-CAH ArmourEmergency roomMedian ER visit 1h 58m for patients treated and sent home
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21.9 mi
Platte Health Center - Critical Access Hospital PlatteEmergency roomMedian ER visit 2h 8m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Accura Healthcare nursing homes in South Dakota
- Faulkton Senior Living · Faulkton · 5 stars
- Aberdeen Health and Rehab · Aberdeen · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 44 Accura Healthcare 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.