PALISADE HEALTHCARE CENTER
920 4TH ST, GARRETSON, SD 57030 · CCN 435115
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 55
- Avg residents/day
- 46.9
- Phone
- 6055943466
Inspection history vs South Dakota & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | South Dakota avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-07 | 11 | 6.8 | 9.5 | +4.2 worse |
| 2 | 2024-03-18 | 11 | 5.6 | 9.8 | +5.4 worse |
| 3 | 2023-03-08 | 4 | 3.0 | 9.3 | +1.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.46 | 59.3% |
| RN staffing (reported) | 0.44 | 16.7% |
| Total nurse staffing (adjusted) | 4.06 | — |
Fines & penalties
- Total fines
- $235,809
- Number of fines
- 4
- Number of penalties
- 4
- Payment denials
- 0
Chain
- Chain
- EVERGREEN HEALTHCARE GROUP
- Facilities in chain
- 41
- Chain avg overall
- 2.30 / 5
Inspection citations (26)1 immediate jeopardy3 actual harm
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-19 · Health · corrected 2025-11-20
Immediate jeopardy
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-17 · Health · corrected 2025-09-18
Actual harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-08-07 · Health · corrected 2025-08-22
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-07 · Health · corrected 2025-04-25
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-08-07 · Health · corrected 2025-08-22
Actual harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-08-07 · Health · corrected 2025-08-22
Potential for more than minimal harm
- EF0761Ensure 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.2025-08-07 · Health · corrected 2025-08-22
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-08-07 · Health · corrected 2025-08-22
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-08-07 · Health · corrected 2025-08-22
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-03-12 · Health · corrected 2025-03-28
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-12 · Health · corrected 2025-03-28
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-26 · Health · corrected 2024-12-16
Actual harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-11-26 · Health · corrected 2024-12-16
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-08-07 · Health · corrected 2024-09-13
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-03-18 · Health · corrected 2024-04-11
Potential for more than minimal harm
- DF0578Honor 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.2024-03-18 · Health · corrected 2024-04-11
Potential for more than minimal harm
- FF0584Honor 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.2024-03-18 · Health · corrected 2024-04-11
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-03-18 · Health · corrected 2024-04-11
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-18 · Health · corrected 2024-04-11
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-18 · Health · corrected 2024-04-11
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-03-18 · Health · corrected 2024-04-11
Potential for more than minimal harm
- DF0909Regularly 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.2024-03-18 · Health · corrected 2024-04-11
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-12-28 · Health · corrected 2024-02-01
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-03-08 · Health · corrected 2023-04-14
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-03-08 · Health · corrected 2023-04-14
Potential for more than minimal harm
- EF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2023-03-08 · Health · corrected 2023-04-14
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-08-31 |
| CH PACIFIC NORTHWEST HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-31 |
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-31 |
| WITZCORP GLOBAL LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-31 |
| HERZKA, YISROEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-31 |
| YENOWITZ, YITZCHOK | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-31 |
| COUVE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| COUVE HEALTHCARE CONSULTING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| PALISADE SNF OPERATIONS, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| SOUTH DAKOTA SNF CONSULTING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| CHEEKS, DONALD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| EVANS, KAYLA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| PARKER, LOURDES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| PERLMAN, HAROLD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-03 |
| REES, JOSEPH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| ROBY, BRITTNEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| SPIELMAN, SHIMON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| YENOWITZ, YITZCHOK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 |
| SPIELMAN, SHIMON | Individual | CORPORATE OFFICER | — | 2023-08-31 |
| YENOWITZ, YITZCHOK | Individual | CORPORATE OFFICER | — | 2023-08-31 |
Other facilities in GARRETSON
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.