Nursing home
Lake Andes Senior Living
740 East Lake St, Lake Andes, SD 57356 · Map
For profit - Individual · Part of Accura Healthcare (37 facilities) · 43 certified beds
Lake Andes Senior Living is a Medicare-certified nursing home in Lake Andes, South Dakota. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.14 hours per resident per day, below the South Dakota average of 3.89. Its most recent inspection on Aug 21, 2025 cited 3 deficiencies.
- 2 fines totaling $102,440In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Lake Andes Senior Living compares
This facility vs. the South Dakota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | South Dakota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.14 | 3.89 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.57 | 0.80 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.22 | 2.61 | 2.34 | below avg |
| Nursing staff turnover | 32.4% | 49.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 6.8 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the August 21, 2025 inspection was corrected by September 26, 2025
Penalties in CMS records: 2 fines totaling $102,440, 2 total penalties.
What inspectors found at Lake Andes Senior Living
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 21, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 16, 2024 · Full report (PDF) - Immediate jeopardy
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 5, 2024 · Full report (PDF)
Show all 12 deficiencies
- Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Sep 5, 2024 · Full report (PDF) - Potential for harm
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · Sep 5, 2024 · Full report (PDF) - Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Sep 5, 2024 · Full report (PDF) - Potential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Sep 5, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 5, 2024 · Full report (PDF) - Potential for harm
Have 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.
Nursing and Physician Services Deficiencies · Sep 5, 2024 · Full report (PDF) - Potential for harm
Honor 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.
Resident Rights Deficiencies · Sep 5, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 740 East Lake St
Lake Andes, SD 57356 - CMS certification #
- 435097
- Ownership
- For profit - Individual
- Certified beds
- 43
- Avg residents/day
- 42.9
- Provider type
- Medicare and Medicaid
- First certified
- 1996-03-01
- Chain
- Accura Healthcare (37 facilities)
- Setting
- Rural
Part of Accura Healthcare
Accura Healthcare operates 37 nursing facilities across the United States. View all Accura Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Lake Andes Senior Living using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What Lake Andes Senior Living says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 12, 2026) - Nurse on site: 24 hours a day.
24-hour skilled nursing care
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
Hospice & Palliative Care
(page, checked Oct 15, 2026) - Apartment types named: private room, semi-private room.
Private and semi-private rooms
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Wagner Community Memorial Hospital - Cah, Wagner. 12.9 miles away, straight line.
- Nearest Medicare nursing home
- Good Samaritan Society - Wagner, Wagner. 13.6 miles away, straight line.
- Nearest home health agency office
- Dakota Physical Therapy Home Health Care, Mitchell. 45.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Parkston Drug. 32.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57356 as rural (rural area).
- Dialysis within 15 miles
- Avera Dialysis - Wagner, Wagner, 14.7 miles away, straight line (CMS rating 5 of 5 stars)
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 57356.
- Nearest geriatric medicine practice
- Unmc Physicians, Omaha. 178.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Lake Andes, SD, risk to homes is greater than 72% of communities in South Dakota and 74% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire relatively moderate, tornado very high, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Lake Andes Senior Living a good nursing home?
CMS gives Lake Andes Senior Living an overall rating of 1 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Lake Andes Senior Living staffed?
Lake Andes Senior Living reports 3.14 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Lake Andes Senior Living had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Lake Andes Senior Living have?
Lake Andes Senior Living is certified for 43 beds.