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Data / Nursing homes / South Dakota / Riverview Healthcare Center

Riverview Healthcare Center, Flandreau, SD: 1 star rating, fined $166,076 across 6 fines

Riverview Healthcare Center in Flandreau, SD is owned by Pacific Northwest SNF Operations Holdings (SD) LLC and Riverview SNF Operations, LLC, is rated 1 of 5 stars by Medicare, and was fined $166,076 across 6 fines in the three years to October 1, 2026. CMS lists 44 health citations from inspections in that time, the latest survey on August 28, 2026, and 15 of them found actual harm or immediate jeopardy.

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Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in South Dakota
Address
611 East 2nd Ave, Flandreau, SD 57028
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measure rating
1 of 5
Certified beds
63
Residents per day
56 on average
Ownership type
For profit, limited liability company
Legal business name
Riverview 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
$166,076 across 6 fines, three years to October 1, 2026
Payment denials
0
Health citations
44, of which 15 with actual harm or immediate jeopardy
Latest survey
August 28, 2026
CMS Certification Number
435086
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
March 25, 2026Fine$20,476Not listeddata.cms.gov
November 18, 2025Fine$15,807Not listeddata.cms.gov
September 25, 2025Fine$36,414Not listeddata.cms.gov
February 27, 2025Fine$65,520Not listeddata.cms.gov
January 8, 2025Fine$15,330Not listeddata.cms.gov
October 31, 2024Fine$12,529Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 28, 2026F692Provide enough food/fluids to maintain a resident's health.G: isolated, actual harmPlan of correctionSeptember 21, 2026data.cms.gov
August 28, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmPlan of correctionSeptember 21, 2026data.cms.gov
August 28, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmPlan of correctionSeptember 21, 2026data.cms.gov
August 28, 2026F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmPlan of correctionSeptember 21, 2026data.cms.gov
August 28, 2026F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmPlan of correctionSeptember 21, 2026data.cms.gov
August 28, 2026F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmPlan of correctionSeptember 21, 2026data.cms.gov
August 28, 2026F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmPlan of correctionSeptember 21, 2026data.cms.gov
August 28, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmPlan of correctionSeptember 21, 2026data.cms.gov
August 28, 2026F732Post nurse staffing information every day.D: isolated, no actual harm, potential for more than minimal harmPlan of correctionSeptember 21, 2026data.cms.gov
August 28, 2026F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmPlan of correctionSeptember 21, 2026data.cms.gov
August 28, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmPlan of correctionSeptember 21, 2026data.cms.gov
August 28, 2026F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmPlan of correctionSeptember 21, 2026data.cms.gov
August 28, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmPlan of correctionSeptember 21, 2026data.cms.gov
August 28, 2026F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmPlan of correctionSeptember 21, 2026data.cms.gov
August 28, 2026F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmPlan of correctionSeptember 21, 2026data.cms.gov
June 2, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 18, 2026data.cms.gov
March 25, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedMarch 26, 2026data.cms.gov
March 25, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedApril 15, 2026data.cms.gov
January 28, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2026data.cms.gov
January 28, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2026data.cms.gov
January 28, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2026data.cms.gov
November 18, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedNovember 25, 2025data.cms.gov
November 18, 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 harmPast noncomplianceOctober 9, 2025data.cms.gov
September 25, 2025F760Ensure that residents are free from significant medication errors.G: isolated, actual harmCorrectedSeptember 30, 2025data.cms.gov
September 25, 2025F697Provide safe, appropriate pain management for a resident who requires such services.G: isolated, actual harmCorrectedSeptember 30, 2025data.cms.gov
September 25, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedSeptember 30, 2025data.cms.gov
September 25, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 30, 2025data.cms.gov
February 27, 2025F697Provide safe, appropriate pain management for a resident who requires such services.G: isolated, actual harmCorrectedMarch 27, 2025data.cms.gov
February 27, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedMarch 27, 2025data.cms.gov
February 27, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedMarch 27, 2025data.cms.gov
February 27, 2025F908Keep all essential equipment working safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2025data.cms.gov
February 27, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 14, 2025data.cms.gov
February 27, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2025data.cms.gov
February 27, 2025F812Procure 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 14, 2025data.cms.gov
February 27, 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 27, 2025data.cms.gov
February 27, 2025F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 27, 2025data.cms.gov
January 8, 2025F610Respond appropriately to all alleged violations.J: isolated, immediate jeopardyCorrectedJanuary 25, 2025data.cms.gov
January 8, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.J: isolated, immediate jeopardyCorrectedJanuary 25, 2025data.cms.gov
January 8, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyCorrectedJanuary 25, 2025data.cms.gov
January 8, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 25, 2025data.cms.gov
January 8, 2025F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 25, 2025data.cms.gov
October 31, 2024F610Respond appropriately to all alleged violations.G: isolated, actual harmCorrectedNovember 26, 2024data.cms.gov
February 15, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2024data.cms.gov
February 15, 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 harmCorrectedMarch 15, 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 (4 owners, 7 managers, 2 officers, directors or trustees, 7 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
Riverview SNF Operations, LLCDirect ownerNot listedAugust 31, 2023data.cms.gov
CH Pacific Northwest Holdings LLCIndirect ownerNot listedAugust 31, 2023data.cms.gov
Couve Financial Services LLCIndirect ownerNot listedAugust 31, 2023data.cms.gov
Couve Healthcare Consulting LLCIndirect ownerNot listedAugust 31, 2023data.cms.gov
Pacific Northwest OPCO Management LLCIndirect ownerNot listedAugust 31, 2023data.cms.gov
South Dakota SNF Consulting LLCIndirect ownerNot listedAugust 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
Riverview 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 16, 2025data.cms.gov
Couve Healthcare Consulting LLCAdditional disclosable partyNot listedMay 16, 2025data.cms.gov
Pacific Northwest OPCO Management LLCAdditional disclosable partyNot listedMay 16, 2025data.cms.gov
Riverview SNF Operations, LLCAdditional disclosable partyNot listedOctober 30, 2025data.cms.gov
Riverview SNF Realty LLCAdditional disclosable partyNot listedSeptember 2, 2025data.cms.gov
South Dakota SNF Consulting LLCAdditional disclosable partyNot listedMay 16, 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.