Palisade Healthcare Center

Nursing Home

920 4th St
Garretson, SD 57030 · Minnehaha County
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Call (605) 594-3466

Official website not yet verified

Overall Medicare rating★★★★★

Overall: state avg 3.0 · U.S. 3.0

Health inspections★★★★★

Staffing★★★★★

Staffing: state avg 3.5 · U.S. 3.0

Quality measures★★★★★

Source: CMS Care Compare (data as of October 1, 2026)

View Safety Report

Important notices from CMS:

CMS has flagged this facility for abuse citations (the “abuse icon”). It is applied when a facility was cited for abuse at a level of harm in the past year, or at a potential-for-harm level in each of the last two years.
CMS lists this facility as a candidate for its Special Focus Facility program, which is reserved for nursing homes with a persistent record of serious quality problems. Candidates are not yet enrolled in the program.

Safety at a glance

5Serious citations (actual harm or immediate jeopardy), last 3 inspection cycles

29Total health citations, last 3 inspection cycles

$249,546Federal fines, last 3 years (5 fines)

Most recent standard inspection: April 16, 2026.

Most recent serious findings

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

April 16, 2026 · Inspectors rated this “actual harm to residents (not immediate jeopardy).” The problem affected more than a very small number of residents, or happened repeatedly. Found during a complaint investigation.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

November 19, 2025 · Inspectors rated this “immediate jeopardy to resident health or safety.” The problem affected one or a very small number of residents or staff. Found during a complaint investigation.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

September 17, 2025 · Inspectors rated this “actual harm to a resident (not immediate jeopardy).” The problem affected one or a very small number of residents or staff. Found during a complaint investigation.

View the full Safety Report →

Availability

Availability Unknown

This facility has not confirmed current availability. We never estimate vacancies. Please call (605) 594-3466 to ask about openings and waiting lists.

E-mail Palisade Healthcare Center about openings We help you write the message; you send it from your own e-mail.

Nurse staffing

Total nurse hours per resident per day: 3.50 hours · state avg 3.86, U.S. 3.90
Registered nurse (RN) hours per resident per day: 0.60 hours
Total nurse hours on weekends: 2.76 hours · state avg 3.28
Nursing staff turnover (yearly): 63.8% · state avg 48.6%
RN turnover (yearly): 50%
Administrators who left (yearly): 1

Hours per resident per day = total nursing hours worked ÷ number of residents. Higher usually means more hands-on time. Values are from payroll records reported to CMS (Payroll-Based Journal).

Source: CMS Provider Information (data as of October 1, 2026)

Paying for care

Medicaid: This nursing home is certified to accept Medicaid. It is also Medicare certified, so Medicare can pay for short-term skilled care after a qualifying hospital stay.

In South Dakota, Medicaid long-term care is provided through HOPE Waiver.

Ways to pay for care in South Dakota →

Pricing

Published price: Not Yet Verified

What families report paying

No family reports yet. To protect privacy and avoid misleading figures, we show a summary only after 5 reports.

Yearly price increases

No increase reports yet. Shown after 5 reports.

Nursing home care may be paid by Medicare (short-term skilled care after a qualifying hospital stay), Medicaid (if eligible), long-term care insurance, or privately. This facility is Medicaid certified.

Share What You Pay Estimate 3- and 5-year costs

Family Cameras & Video Access

Family-installed room cameras: Not Verified
Facility-provided room cameras: Not Verified
Authorized remote family viewing: Not Verified
Live video visitation: Not Verified

We have not yet verified this facility’s camera policy. Rules for in-room cameras vary by state and usually require consent from the resident and any roommate. Ask the facility for its written electronic-monitoring policy.

Applying & contacting

Online admission application: Not yet checked
Online waiting-list form: Not yet checked
Online inquiry form: Not yet checked
Online tour scheduling: Not yet checked

Application checklist & links Applying to several facilities? Add each one to your compare list and open the apply page.

Ownership

Ownership type: For profit - Corporation
Chain / affiliation: Evergreen Healthcare Group
Legal business name: Palisade SNF Operations, LLC

Owner or manager	Role	Share
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%
CH PACIFIC NORTHWEST HOLDINGS LLC	ADP OF THE SNF	—
CHEEKS, DONALD	ADP OF THE SNF	—
CHEEKS, DONALD	MANAGING CONTROL - GOVERNING BODY	—
CHEEKS, DONALD	OPERATIONAL/MANAGERIAL CONTROL	—
COUVE FINANCIAL SERVICES LLC	ADP OF THE SNF	—
COUVE FINANCIAL SERVICES LLC	OPERATIONAL/MANAGERIAL CONTROL	—
COUVE HEALTHCARE CONSULTING LLC	ADP OF THE SNF	—
COUVE HEALTHCARE CONSULTING LLC	OPERATIONAL/MANAGERIAL CONTROL	—
EVANS, KAYLA	ADP OF THE SNF	—
EVANS, KAYLA	MANAGING CONTROL - GOVERNING BODY	—
EVANS, KAYLA	OPERATIONAL/MANAGERIAL CONTROL	—

Source: CMS Provider Information (data as of October 1, 2026)

About this listing

CMS Certification Number: 435115
Certified beds: 55
Average residents per day: 48.6
Medicare / Medicaid: Medicare and Medicaid
Continuing care retirement community: No
First certified: October 1, 1998
Last confirmed by official source: October 1, 2026

Serious citations*3

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