Nursing home
Tieszen Memorial Home
312 East State St, Marion, SD 57043 · Map
Non profit - Corporation · 64 certified beds
Tieszen Memorial Home is a Medicare-certified nursing home in Marion, South Dakota. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.47 hours per resident per day, below the South Dakota average of 3.89. Its most recent inspection on Dec 19, 2024 cited 4 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Tieszen Memorial Home 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) | 3.47 | 3.89 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.77 | 0.80 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.46 | 2.61 | 2.34 | below avg |
| Nursing staff turnover | 42.5% | 49.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 4.0 | 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.
What inspectors found at Tieszen Memorial Home
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
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 19, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · Dec 19, 2024 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Dec 19, 2024 · 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 · Dec 19, 2024 · 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 · Aug 23, 2023
Show all 7 deficiencies
- 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 · May 26, 2022 - Potential for harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 26, 2022
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
- 312 East State St
Marion, SD 57043 - CMS certification #
- 435069
- Ownership
- Non profit - Corporation
- Certified beds
- 64
- Avg residents/day
- 57.5
- Provider type
- Medicare and Medicaid
- First certified
- 1993-06-15
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Tieszen Memorial Home using Google Maps.
Other public records
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
DOL also concluded 1 case here with no violations found, most recently for a period ending Apr 9, 2005.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Freeman Medical Center - Cah, Freeman. 10.4 miles away, straight line.
- Nearest Medicare nursing home
- Oakview Terrace, Freeman. 10.4 miles away, straight line.
- Nearest home health agency office
- Avera @ Home, Sioux Falls. 24.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Heritage Pharmacy. 9.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57043 as metropolitan (metropolitan high commuting).
- Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 57043.
Aseracare Hospice, office in Sioux Falls, 23.6 miles away, straight line (CMS family survey rating 2 of 5 stars) - Nearest geriatric medicine practice
- Unmc Physicians, Omaha. 160.9 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)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire relatively low, tornado very high, heat wave relatively low, 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 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| 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 Tieszen Memorial Home a good nursing home?
CMS gives Tieszen Memorial Home an overall rating of 4 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Tieszen Memorial Home staffed?
Tieszen Memorial Home reports 3.47 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Tieszen Memorial Home had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Tieszen Memorial Home have?
Tieszen Memorial Home is certified for 64 beds.