Nursing home
Riverview Healthcare Center
611 East 2Nd Ave, Flandreau, SD 57028 · Map
For profit - Limited Liability company · Part of Evergreen Healthcare Group (41 facilities) · 63 certified beds
Riverview Healthcare Center is a Medicare-certified nursing home in Flandreau, South Dakota. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.66 hours per resident per day, below the South Dakota average of 3.89. Its most recent inspection on Feb 27, 2025 cited 18 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 3 fines totaling $93,379In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Riverview Healthcare Center 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) | 3.66 | 3.89 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.69 | 0.80 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.57 | 2.61 | 2.34 | below avg |
| Nursing staff turnover | 67.6% | 49.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 18.0 | 6.8 | 9.5 | above 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.
Penalties in CMS records: 3 fines totaling $93,379, 3 total penalties.
What inspectors found at Riverview Healthcare Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 25, 2026 · Full report (PDF) - Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 25, 2026 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jan 28, 2026 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 28, 2026 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 28, 2026 · Full report (PDF)
Show all 12 deficiencies
- Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Nov 18, 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 · Nov 18, 2025 · Full report (PDF) - Actual harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Sep 25, 2025 · Full report (PDF) - Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Sep 25, 2025 · Full report (PDF) - Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 25, 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 · Sep 25, 2025 · Full report (PDF) - Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Feb 27, 2025 · 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
- 611 East 2Nd Ave
Flandreau, SD 57028 - CMS certification #
- 435086
- Ownership
- For profit - Limited Liability company
- Certified beds
- 63
- Avg residents/day
- 52.0
- Provider type
- Medicare and Medicaid
- First certified
- 1995-04-01
- Chain
- Evergreen Healthcare Group (41 facilities)
- Setting
- Rural
Part of Evergreen Healthcare Group
Evergreen Healthcare Group operates 41 nursing facilities across the United States. View all Evergreen Healthcare Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Riverview Healthcare Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Avera Flandreau Hospital - Cah, Flandreau. 0.2 miles away, straight line.
- Nearest Medicare nursing home
- Flandreau Santee Sioux Tribe Care Center, Flandreau. 1.0 mile away, straight line.
- Nearest home health agency office
- Avera@Home Pipestone, Pipestone. 13.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Lewis Drug. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57028 as rural (rural area).
- Dialysis within 15 miles
- Davita Pipestone Dialysis, Pipestone, 13.8 miles away, straight line (CMS rating 4 of 5 stars)
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 57028.
Avera@Home Pipestone, office in Pipestone, 13.8 miles away, straight line
Brookings Health System, office in Brookings, 19.9 miles away, straight line - Nearest geriatric medicine practice
- Hutchinson Health, Hutchinson. 123.0 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 Flandreau, SD, risk to homes is greater than 40% of communities in South Dakota and 56% 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 moderate, earthquake very 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 | No plain statements of services found |
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Frequently asked questions
Is Riverview Healthcare Center a good nursing home?
CMS gives Riverview Healthcare Center 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 Riverview Healthcare Center staffed?
Riverview Healthcare Center reports 3.66 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Riverview Healthcare Center had inspection problems?
Its most recent CMS inspection cited 18 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Riverview Healthcare Center have?
Riverview Healthcare Center is certified for 63 beds.