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B
Good

RIVERVIEW HEALTHCARE CENTER

611 EAST 2ND AVE · FLANDREAU, SD 57028

6059972481 · For profit - Limited Liability company

63 beds52 residents145 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

RIVERVIEW HEALTHCARE CENTER receives an overall staffing grade of B (Good). With 3.6579 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.695 HPRD, below the recommended 0.75. It is 0.24 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 14.13% compared to weekdays. The facility uses a moderate level of agency staff (10.04% of hours), suggesting some reliance on temporary workers.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.695 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.6579hrs/resident/day▼ 0.24
CMS benchmark: 3.48
RN HPRD
0.695hrs/resident/day▲ 0.01
Recommended: 0.75
Weekend Drop-off
14.13%
3.8101 weekday → 3.2716 weekend
Agency Staff
10.04%
5.86% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0697hrs/resident/day
Direct care aides
LPN HPRD
0.3887hrs/resident/day
Licensed practical nurses
Consistency
0.3259std 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. Moody County Average-1.75 HPRD
5.41
03.66 HPRD
vs. South Dakota State Average-0.17 HPRD
3.83
03.66 HPRD
vs. National Average-0.24 HPRD
3.90
03.66 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
RIVERVIEW HEALTHCARE CENTER ★
FLANDREAU · This facility
—
B
3.65790.695★☆☆☆☆
FLANDREAU SANTEE SIOUX TRIBE CARE CENTER
FLANDREAU
1 mi
A+
7.16631.7896★★★☆☆
DELLS NURSING AND REHAB CENTER INC
DELL RAPIDS
16.2 mi
C
3.23160.8024☆☆☆☆☆
THE NEIGHBORHOODS AT BROOKVIEW
BROOKINGS
19.8 mi
A
4.73480.8626★★★★★
UNITED LIVING COMMUNITY
BROOKINGS
20.9 mi
C
4.67430.454★★☆☆☆
PALISADE HEALTHCARE CENTER
GARRETSON
23.4 mi
C
3.4630.4409★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
30
Total Deficiencies
$93,379
Fines Assessed
Nov 18, 2025Health
2 deficiencies cited· Includes actual harm
▼
Sep 25, 2025Health
4 deficiencies cited· Includes actual harm
▼
Feb 27, 2025Health
9 deficiencies cited· Includes actual harm
▼
Jan 8, 2025Health
5 deficiencies cited· Includes actual harm
▼
Oct 31, 2024Health
1 deficiency cited· Includes actual harm
▼
Feb 15, 2024Health
2 deficiencies cited
▼
Sep 6, 2023Health
3 deficiencies cited
▼
Feb 16, 2023Health
4 deficiencies cited· Includes actual harm
▼

Penalty History

Feb 27, 2025Fine
$65,520
Jan 8, 2025Fine
$15,330
Oct 31, 2024Fine
$12,529
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.