Nursing home

Palisade Healthcare Center

920 4th St, Garretson, SD, 57030

CMS ownership records associate this facility with Evergreen Healthcare Group · For profit - Corporation.

CMS overall rating
CMS overall rating: 1 out of 51of 5

At a glance

CMS reports a 1-star overall rating for Palisade Healthcare Center, with 26 inspection citations on record (4 higher severity). Federal records include $154,946 in the current dataset.
CMS overall
1
of 5
Health inspection
1
of 5
Staffing
3
of 5
Quality measures
3
of 5
Certified beds
55
CMS-reported

CMS rating profile

The four CMS ratings on one aligned scale, with county and state averages for context.

Rating profile

How this facility's overall rating relates to its three CMS component ratings.

Overall1 of 5
Health inspection1 of 5
Staffing3 of 5
Quality measures3 of 5

CMS-reported data · updated 2026-07-17

Comparative context

This facility's CMS overall rating next to its county and state averages.

This facility 1
15
Minnehaha Co. avg 2.33South Dakota avg 2.81This facility
This facility: 1 of 5. Minnehaha Co. avg: 2.33. South Dakota avg: 2.81.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
Averages are calculated from CMS records included in this dataset and exclude facilities CMS has not rated. A neutral reference point, not a CMS rating or a pass/fail line.

Inspections and citations

Health-inspection citations CMS reports for this facility. Individual records are in the technical appendix.

Citation profile

How many citations CMS reports, how severe, and when they occurred.

26
Citations on record
4
Higher severity (G–L)
9
From complaints
0
Infection control
Citations by inspection year
42023
112024
112025
Higher severity Standard

CMS-reported data · updated 2026-07-17

Methodology
Severity uses the CMS scope-and-severity letter (G–L count as higher severity). Counts are CMS-reported inspection findings, not a judgment about current conditions.

Federal records

Federal fines (CMPs) and payment-denial records CMS reports in the recent reporting period. These are distinct record types and are never merged.

Federal fines (CMP)

Fine records over time, sized by amount.

4 records · $154,946 total · Nov 26, 2024–Nov 19, 2025
  1. Nov 19, 2025$122,476
  2. Sep 17, 2025$8,608
  3. Aug 7, 2025$11,713
  4. Nov 26, 2024$12,149

CMS-reported data · updated 2026-07-17

Payment denials

Payment-denial records over time, sized by duration.

No payment-denial records are included in this data for this facility.

CMS-reported data · updated 2026-07-17

Methodology
CMS may deny Medicare/Medicaid payment for new admissions. This is a distinct record type from a civil monetary fine. Confirm current status on CMS Care Compare.

Staffing and care

Selected CMS care indicators for long-stay residents, with a typical level for context. The CMS staffing star rating appears in the rating profile above.

Selected care measures

How this facility's reported care indicators sit against a typical level.

3 of 3 care measures reported by CMS
On antipsychotic medication(lower is better)12.73%

Long-stay residents given antipsychotic medication.

With new/worsened pressure ulcers(lower is better)6.39%

Long-stay residents with new or worsened pressure ulcers.

Falls with major injury(lower is better)2.86%

Long-stay residents with one or more falls with major injury.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
The tick marks a typical level for context and is calculated from CMS records included in this dataset — not a CMS rating. Per-shift staffing hours are not part of this dataset. Missing values are shown as “Not reported”, never as zero.

Facilities and agencies grouped by CMS-reported ownership fields. A company appearing here does not by itself mean it controlled day-to-day care or did anything wrong.

Owner / organizationRole
Pacific Northwest SNF Operations Holdings (sd) LLC5% OR GREATER DIRECT OWNERSHIP INTEREST
Cheeks, DonaldMANAGING CONTROL - GOVERNING BODY
Evans, KaylaMANAGING CONTROL - GOVERNING BODY
Spielman, ShimonCORPORATE OFFICER
Yenowitz, YitzchokCORPORATE OFFICER
Couve Financial Services LLCOPERATIONAL/MANAGERIAL CONTROL
Couve Healthcare Consulting LLCOPERATIONAL/MANAGERIAL CONTROL
Pacific Northwest Opco Management LLCOPERATIONAL/MANAGERIAL CONTROL
Palisade SNF Operations, LLCOPERATIONAL/MANAGERIAL CONTROL
South Dakota SNF Consulting LLCOPERATIONAL/MANAGERIAL CONTROL
Cheeks, DonaldOPERATIONAL/MANAGERIAL CONTROL
Evans, KaylaOPERATIONAL/MANAGERIAL CONTROL
Parker, LourdesOPERATIONAL/MANAGERIAL CONTROL
Rees, JosephOPERATIONAL/MANAGERIAL CONTROL
Roby, BrittneyOPERATIONAL/MANAGERIAL CONTROL
Spielman, ShimonOPERATIONAL/MANAGERIAL CONTROL
Yenowitz, YitzchokOPERATIONAL/MANAGERIAL CONTROL
Yenowitz, YitzchokINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Ch Pacific Northwest Holdings LLCADP OF THE SNF
Couve Financial Services LLCADP OF THE SNF
Couve Healthcare Consulting LLCADP OF THE SNF
Pacific Northwest Opco Management LLCADP OF THE SNF
Palisade SNF Operations, LLCADP OF THE SNF
Palisade SNF Realty LLCADP OF THE SNF
South Dakota SNF Consulting LLCADP OF THE SNF
Witzcorp Global LLCADP OF THE SNF
Cheeks, DonaldADP OF THE SNF
Evans, KaylaADP OF THE SNF
Herzka, YisroelADP OF THE SNF
Parker, LourdesADP OF THE SNF
Rees, JosephADP OF THE SNF
Roby, BrittneyADP OF THE SNF
Spielman, ShimonADP OF THE SNF
Yenowitz, YitzchokADP OF THE SNF

Nearby facilities

Other CMS-certified nursing homes near Minnehaha County.

920 4th St, Garretson
Minnehaha County · SD · 57030
55 certified beds43.7173, -96.4960

Verify the current location and license with official sources.

FacilityLocationOverallHealthStaffingCMS abuse iconFederal penalties
Prairie Heights Healthcare
CCN 435004
Aberdeen, SD542Not shown$0
Avantara Milbank
CCN 435009
Milbank, SD222Not shown$55,361
Avantara Huron
CCN 435020
Huron, SD112Shown$8,338
Avera Rosebud Country Care Center
CCN 435029
Gregory, SD444Not shown$0
Westhills Village Health Care Facility
CCN 435033
Rapid City, SD443Not shown$13,520
Avera Maryhouse Long Term Care
CCN 435034
Pierre, SD555Not shown$0

Related research

Frequently asked questions

What is Palisade Healthcare Center's CMS rating?

Palisade Healthcare Center has a 1-star CMS overall rating (out of 5) in the current dataset, with CMS component ratings of 1 for health inspections, 3 for staffing, and 3 for quality measures. A star rating is a CMS summary of past data, not a judgment about current conditions.

Where is Palisade Healthcare Center located?

Palisade Healthcare Center is located at 920 4th St, Garretson, SD, 57030 in Minnehaha County, and CMS lists 55 certified beds.

Does Palisade Healthcare Center have federal penalties or payment denials on record?

The CMS data includes $154,946 in federal fine amounts and 0 payment-denial records for Palisade Healthcare Center over roughly the past three years. These are CMS-reported records; see CMS Care Compare for the details and context.

How does Palisade Healthcare Center's rating compare to nearby facilities?

Palisade Healthcare Center's CMS overall rating is 1 of 5. For comparison, the average CMS overall rating is 2.33 across 10 facilities in Minnehaha County, and 2.81 across South Dakota. Averages exclude facilities CMS has not rated, and a star rating is a CMS summary, not a judgment about any individual facility.

How can I verify Palisade Healthcare Center's current information?

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Confirm Palisade Healthcare Center's current ratings, inspection reports, and license status on the official CMS Care Compare site and with your state survey agency.

Technical appendix

Record identifiers

CMS provider number (CCN)
435115
Ownership type
For profit - Corporation
Certified beds
55
Data snapshot
2026-07-17
All 26 citation records
DateCMS tagSeverityTypeCMS deficiency statusCorrection date
Nov 19, 20250684JComplaintDeficient, Provider has date of correctionNov 20, 2025
Sep 17, 20250689GComplaintDeficient, Provider has date of correctionSep 18, 2025
Aug 7, 20250609DComplaintPast Non-ComplianceApr 25, 2025
Aug 7, 20250582DStandardDeficient, Provider has date of correctionAug 22, 2025
Aug 7, 20250686GStandardDeficient, Provider has date of correctionAug 22, 2025
Aug 7, 20250725EStandardDeficient, Provider has date of correctionAug 22, 2025
Aug 7, 20250761EStandardDeficient, Provider has date of correctionAug 22, 2025
Aug 7, 20250804EStandardDeficient, Provider has date of correctionAug 22, 2025
Aug 7, 20250880EStandardDeficient, Provider has date of correctionAug 22, 2025
Mar 12, 20250657DComplaintDeficient, Provider has date of correctionMar 28, 2025
Mar 12, 20250689DComplaintDeficient, Provider has date of correctionMar 28, 2025
Nov 26, 20240600GComplaintDeficient, Provider has date of correctionDec 16, 2024
Nov 26, 20240657DComplaintDeficient, Provider has date of correctionDec 16, 2024
Aug 7, 20240760DComplaintDeficient, Provider has date of correctionSep 13, 2024
Mar 18, 20240550DStandardDeficient, Provider has date of correctionApr 11, 2024
Mar 18, 20240578DStandardDeficient, Provider has date of correctionApr 11, 2024
Mar 18, 20240584FStandardDeficient, Provider has date of correctionApr 11, 2024
Mar 18, 20240658DStandardDeficient, Provider has date of correctionApr 11, 2024
Mar 18, 20240695EStandardDeficient, Provider has date of correctionApr 11, 2024
Mar 18, 20240812FStandardDeficient, Provider has date of correctionApr 11, 2024
Mar 18, 20240880EStandardDeficient, Provider has date of correctionApr 11, 2024
Mar 18, 20240909DStandardDeficient, Provider has date of correctionApr 11, 2024
Dec 28, 20230658DComplaintDeficient, Provider has date of correctionFeb 1, 2024
Mar 8, 20230657EStandardDeficient, Provider has date of correctionApr 14, 2023
Mar 8, 20230658DStandardDeficient, Provider has date of correctionApr 14, 2023
Showing the 25 most recent of 26 citations.

How to verify this data

  • The current CMS profile on Medicare’s Care Compare
  • Your state survey agency’s latest inspection reports
  • Any recent complaint investigations
  • Current ownership and license status

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Ratings and records are CMS-reported summaries of past data, not a judgment about current conditions. See methodology.

SeniorCareRating.com summarizes public CMS data. It is not affiliated with CMS, Medicare.gov, or any nursing home. Data may lag current conditions. This is not medical, legal, or care-placement advice — always verify with official sources and qualified professionals.