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C
Below Standard

PALISADE HEALTHCARE CENTER

920 4TH ST · GARRETSON, SD 57030

6055943466 · For profit - Corporation

55 beds46.9 residents77 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

PALISADE HEALTHCARE CENTER receives an overall staffing grade of C (Below Standard). With 3.463 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4409 HPRD, below the recommended 0.75. It is 0.43 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 18.65% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.463 HPRD — needs 0.02 more hours per resident per day.
⚠️RN staffing (0.4409 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.463hrs/resident/day▼ 0.43
CMS benchmark: 3.48
RN HPRD
0.4409hrs/resident/day▼ 0.24
Recommended: 0.75
Weekend Drop-off
18.65%
3.6557 weekday → 2.9739 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7896hrs/resident/day
Direct care aides
LPN HPRD
0.811hrs/resident/day
Licensed practical nurses
Consistency
0.4401std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Minnehaha County Average-0.77 HPRD
4.24
03.46 HPRD
vs. South Dakota State Average-0.37 HPRD
3.83
03.46 HPRD
vs. National Average-0.43 HPRD
3.90
03.46 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
PALISADE HEALTHCARE CENTER ★
GARRETSON · This facility
—
C
3.4630.4409★☆☆☆☆
Bethany Home - Brandon
BRANDON
9.2 mi
A
4.93230.8899★☆☆☆☆
DELLS NURSING AND REHAB CENTER INC
DELL RAPIDS
13.3 mi
C
3.23160.8024☆☆☆☆☆
GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER
SIOUX FALLS
16.1 mi
B
3.55330.751★★☆☆☆
DOW RUMMEL VILLAGE
SIOUX FALLS
16.5 mi
A
5.06380.8622★★★★☆
AVERA PRINCE OF PEACE
SIOUX FALLS
17.5 mi
A+
5.39091.3822★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
26
Total Deficiencies
$12,149
Fines Assessed
Nov 19, 2025Health
1 deficiency cited· Includes actual harm
▼
Sep 17, 2025Health
1 deficiency cited· Includes actual harm
▼
Aug 7, 2025Health
7 deficiencies cited· Includes actual harm
▼
Mar 12, 2025Health
2 deficiencies cited
▼
Nov 26, 2024Health
2 deficiencies cited· Includes actual harm
▼
Aug 7, 2024Health
1 deficiency cited
▼
Mar 18, 2024Health
8 deficiencies cited
▼
Dec 28, 2023Health
1 deficiency cited
▼
Mar 8, 2023Health
3 deficiencies cited
▼

Penalty History

Nov 26, 2024Fine
$12,149
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.