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Data / Nursing homes / South Dakota / Palisade Healthcare Center

Palisade Healthcare Center, Garretson, SD: 1 star rating, fined $249,546 across 5 fines

Palisade Healthcare Center in Garretson, SD is owned by Pacific Northwest SNF Operations Holdings (SD) LLC, is rated 1 of 5 stars by Medicare, and was fined $249,546 across 5 fines in the three years to October 1, 2026. CMS lists 26 health citations from inspections in that time, the latest survey on April 16, 2026, and 5 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in South Dakota
Address
920 4th St, Garretson, SD 57030
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
4 of 5
Certified beds
55
Residents per day
49 on average
Ownership type
For profit, corporation
Legal business name
Palisade SNF Operations, LLC
Chain
Evergreen Healthcare Group, 43 facilities
Special focus
Special focus candidate
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$249,546 across 5 fines, three years to October 1, 2026
Payment denials
0
Health citations
26, of which 5 with actual harm or immediate jeopardy
Latest survey
April 16, 2026
CMS Certification Number
435115
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
April 16, 2026Fine$94,600Not listeddata.cms.gov
November 19, 2025Fine$122,476Not listeddata.cms.gov
September 17, 2025Fine$8,608Not listeddata.cms.gov
August 7, 2025Fine$11,713Not listeddata.cms.gov
November 26, 2024Fine$12,149Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
April 16, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.H: pattern, actual harmCorrectedMay 6, 2026data.cms.gov
April 16, 2026F919Make sure that a working call system is available in each resident's bathroom and bathing area.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 6, 2026data.cms.gov
April 16, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 6, 2026data.cms.gov
November 19, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J: isolated, immediate jeopardyCorrectedNovember 20, 2025data.cms.gov
September 17, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedSeptember 18, 2025data.cms.gov
August 7, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedAugust 22, 2025data.cms.gov
August 7, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2025data.cms.gov
August 7, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2025data.cms.gov
August 7, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2025data.cms.gov
August 7, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2025data.cms.gov
August 7, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceApril 25, 2025data.cms.gov
August 7, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2025data.cms.gov
March 12, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2025data.cms.gov
March 12, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2025data.cms.gov
November 26, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedDecember 16, 2024data.cms.gov
November 26, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 16, 2024data.cms.gov
August 7, 2024F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2024data.cms.gov
March 18, 2024F909Regularly 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 11, 2024data.cms.gov
March 18, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 11, 2024data.cms.gov
March 18, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 11, 2024data.cms.gov
March 18, 2024F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 11, 2024data.cms.gov
March 18, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 11, 2024data.cms.gov
March 18, 2024F584Honor 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 11, 2024data.cms.gov
March 18, 2024F578Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 11, 2024data.cms.gov
March 18, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 11, 2024data.cms.gov
December 28, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 1, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 20 individual or personal trusts (9 managers, 3 officers, directors or trustees, 8 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Pacific Northwest SNF Operations Holdings (SD) LLCDirect owner100%August 31, 2023data.cms.gov
Couve Financial Services LLCOperational or managerial controlNot listedAugust 31, 2023data.cms.gov
Couve Healthcare Consulting LLCOperational or managerial controlNot listedAugust 31, 2023data.cms.gov
Pacific Northwest OPCO Management LLCOperational or managerial controlNot listedAugust 31, 2023data.cms.gov
Palisade SNF Operations, LLCOperational or managerial controlNot listedAugust 31, 2023data.cms.gov
South Dakota SNF Consulting LLCOperational or managerial controlNot listedAugust 31, 2023data.cms.gov
CH Pacific Northwest Holdings LLCAdditional disclosable partyNot listedAugust 31, 2023data.cms.gov
Couve Financial Services LLCAdditional disclosable partyNot listedMay 12, 2025data.cms.gov
Couve Healthcare Consulting LLCAdditional disclosable partyNot listedMay 12, 2025data.cms.gov
Pacific Northwest OPCO Management LLCAdditional disclosable partyNot listedMay 12, 2025data.cms.gov
Palisade SNF Operations, LLCAdditional disclosable partyNot listedJuly 29, 2025data.cms.gov
Palisade SNF Realty LLCAdditional disclosable partyNot listedMay 12, 2025data.cms.gov
South Dakota SNF Consulting LLCAdditional disclosable partyNot listedMay 12, 2025data.cms.gov
Witzcorp Global LLCAdditional disclosable partyNot listedAugust 31, 2023data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.