Nursing Homes · Medicare certified
Palisade Healthcare Center
920 4th St · Garretson, SD 57030 · 55 certified beds
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About Palisade Healthcare Center
Palisade Healthcare Center is a nursing home in Garretson, South Dakota. Its capacity is 55 beds, below the Minnehaha County median of 60 for nursing homes. It is run by a for-profit operator and is part of Evergreen Healthcare Group. It is Medicare certified. Its public inspection record shows 29 citations, the most recent on April 16, 2026. CMS also lists 5 fines or payment denials against it. Nurse staffing averages 3.50 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Special Focus Facility candidate
CMS lists this nursing home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues. About the program.
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
2.0Quality measures
4.0CMS Care Compare, October 2026.
Inspection history (29)
Records from March 2023 to April 2026.
April 16, 2026
Tag F0919Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 6, 2026.
April 16, 2026
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity H: pattern, actual harm. Corrected May 6, 2026.
April 16, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 6, 2026.
November 19, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity J: isolated, immediate jeopardy. Corrected November 20, 2025.
September 17, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected September 18, 2025.
August 7, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 25, 2025.
August 7, 2025
Tag F0761Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 22, 2025.
August 7, 2025
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity G: isolated, actual harm. Corrected August 22, 2025.
August 7, 2025
Tag F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 22, 2025.
August 7, 2025
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 22, 2025.
August 7, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 22, 2025.
August 7, 2025
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 22, 2025.
March 12, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 28, 2025.
March 12, 2025
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 28, 2025.
November 26, 2024
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity G: isolated, actual harm. Corrected December 16, 2024.
November 26, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 16, 2024.
August 7, 2024
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 13, 2024.
March 18, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 11, 2024.
March 18, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 11, 2024.
March 18, 2024
Tag F0909Regularly 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 11, 2024.
Penalties (5)
Total fines: $154,946
April 16, 2026 · Fine
CMS recorded a civil money penalty of $94,600 against this nursing home on April 16, 2026.
November 19, 2025 · Fine
CMS recorded a civil money penalty of $122,476 against this nursing home on November 19, 2025.
September 17, 2025 · Fine
CMS recorded a civil money penalty of $8,608 against this nursing home on September 17, 2025.
August 7, 2025 · Fine
CMS recorded a civil money penalty of $11,713 against this nursing home on August 7, 2025.
November 26, 2024 · Fine
CMS recorded a civil money penalty of $12,149 against this nursing home on November 26, 2024.
Staffing
3.50 nurse hours per resident per day in Q2 2026, up from 3.41 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Evergreen Healthcare Group, a chain of 43 nursing homes.
Average CMS star ratings across the chain: 2.3 overall, 2.2 for health inspections, 3.3 for staffing, 2.9 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in South Dakota.
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