Riverview Healthcare Center, Flandreau, SD

The Essentials

Summary

Across 10 inspections from February 2024 to August 2026, state surveyors documented 44 findings at Riverview Healthcare Center; 44 have a recorded correction; CMS lists 6 enforcement actions in the window.

Inspections: 10; 2024–2026, standard and complaint
Findings: 44; Deficiencies cited by state inspectors
Corrected: 44; Of 44 findings, with a recorded correction date
Penalties: 6; 6 fines; payment not published

Findings by Year

Findings
Of which, actual harm (level G or above)

* Partial year, through October 1, 2026.

Findings by year
Year	Inspections	Findings	Of which, actual harm (level G or above)
2024	2	3	1
2025	4	20	10
2026	4	21	4

What the Record Shows

44 of 44 findings have a recorded correction date.
CMS lists 6 enforcement actions in the window: 6 fines totaling $166,076, their payment not published.
9 visits in this window included a complaint investigation. CMS publishes what a complaint investigation cited, not what the complaint alleged.
The latest standard inspection, August 28, 2026, recorded 15 findings (most serious: Level G).

What to Ask About

Investigating Alleged Violations, Cited in Four Inspections
Protection From Abuse and Neglect, Cited in Three Inspections
Quality of Care, Cited in Three Inspections
Pressure Injury Care, Cited in Three Inspections
Accident Hazards and Supervision, Cited in Three Inspections
Infection Control, Cited in Three Inspections
Citation F583, Cited in Two Inspections
Reporting Suspected Abuse, Cited in Two Inspections
Citation F697, Cited in Two Inspections
Pharmacy Services, Cited in Two Inspections
Significant Medication Errors, Cited in Two Inspections
Kitchen and Food Safety, Cited in Two Inspections

Report at a Glance

Facility: Riverview Healthcare Center
Address: 611 East 2Nd Ave, Flandreau, SD 57028
CMS Certification Number: 435086
Provider Type: Skilled nursing facility and nursing facility
Certified Beds: 63
Ownership: For profit - Limited Liability company
Record Window: February 15, 2024 to October 1, 2026

Chronology

Inspection History

Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.

Aug 282026
Standard health inspection
15 findings
The same visit included a complaint investigation.
- F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Level GActual harmCorrected Sep 21, 2026
- F692Provide enough food/fluids to maintain a resident's health.Level GActual harmCorrected Sep 21, 2026
- F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Level ENo actual harm, potential for moreCorrected Sep 21, 2026
- F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Level ENo actual harm, potential for moreCorrected Sep 21, 2026
- F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Level ENo actual harm, potential for moreCorrected Sep 21, 2026
- F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Level DNo actual harm, potential for moreCorrected Sep 21, 2026
- F583Keep residents' personal and medical records private and confidential.Level DNo actual harm, potential for moreCorrected Sep 21, 2026
- F610Respond appropriately to all alleged violations.Level DNo actual harm, potential for moreCorrected Sep 21, 2026
- F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedLevel DNo actual harm, potential for moreCorrected Sep 21, 2026
- F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Level DNo actual harm, potential for moreCorrected Sep 21, 2026
- F732Post nurse staffing information every day.Level DNo actual harm, potential for moreCorrected Sep 21, 2026
- F759Ensure medication error rates are not 5 percent or greater.Level DNo actual harm, potential for moreCorrected Sep 21, 2026
- F760Ensure that residents are free from significant medication errors.Level DNo actual harm, potential for moreCorrected Sep 21, 2026
- F761Ensure 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.Level DNo actual harm, potential for moreCorrected Sep 21, 2026
- F880Provide and implement an infection prevention and control program.Level DNo actual harm, potential for moreCorrected Sep 21, 2026
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Jun 22026
Complaint investigation
1 finding
- F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Level DNo actual harm, potential for moreCorrected Jun 18, 2026
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Mar 252026
Complaint investigation
2 findings
- F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Level JImmediate jeopardyCorrected Mar 26, 2026
- F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Level GActual harmCorrected Apr 15, 2026
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Jan 282026
Complaint investigation
3 findings
- F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Level ENo actual harm, potential for moreCorrected Feb 14, 2026
- F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Level ENo actual harm, potential for moreCorrected Feb 14, 2026
- F610Respond appropriately to all alleged violations.Level DNo actual harm, potential for moreCorrected Feb 14, 2026
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Nov 182025
Complaint investigation
2 findings
- F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Level GActual harmCorrected Nov 25, 2025
- F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Level DNo actual harm, potential for moreCorrected Oct 9, 2025
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Sep 252025
Complaint investigation
4 findings
- F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Level GActual harmCorrected Sep 30, 2025
- F697Provide safe, appropriate pain management for a resident who requires such services.Level GActual harmCorrected Sep 30, 2025
- F760Ensure that residents are free from significant medication errors.Level GActual harmCorrected Sep 30, 2025
- F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Level ENo actual harm, potential for moreCorrected Sep 30, 2025
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Feb 272025
Standard health inspection
9 findings
- F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Level GActual harmCorrected Mar 27, 2025
- F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Level GActual harmCorrected Mar 27, 2025
- F697Provide safe, appropriate pain management for a resident who requires such services.Level GActual harmCorrected Mar 27, 2025
- F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Level FNo actual harm, potential for moreCorrected Apr 14, 2025
- F584Honor 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.Level ENo actual harm, potential for moreCorrected Mar 27, 2025
- F880Provide and implement an infection prevention and control program.Level ENo actual harm, potential for moreCorrected Apr 14, 2025
- F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Level DNo actual harm, potential for moreCorrected Mar 27, 2025
- F865Have a plan that describes the process for conducting QAPI and QAA activities.Level DNo actual harm, potential for moreCorrected Mar 27, 2025
- F908Keep all essential equipment working safely.Level DNo actual harm, potential for moreCorrected Mar 27, 2025
Enforcement Action
Civil money penalty, $65,520 imposed February 27, 2025. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of February 27, 2025, the nearest before the penalty date.
Enforcement Action
Civil money penalty, $36,414 imposed September 25, 2025. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of February 27, 2025, the nearest before the penalty date.
Enforcement Action
Civil money penalty, $15,807 imposed November 18, 2025. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of February 27, 2025, the nearest before the penalty date.
Enforcement Action
Civil money penalty, $20,476 imposed March 25, 2026. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of February 27, 2025, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Jan 82025
Complaint investigation
5 findings
- F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Level JImmediate jeopardyCorrected Jan 25, 2025
- F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Level JImmediate jeopardyCorrected Jan 25, 2025
- F610Respond appropriately to all alleged violations.Level JImmediate jeopardyCorrected Jan 25, 2025
- F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Level ENo actual harm, potential for moreCorrected Jan 25, 2025
- F583Keep residents' personal and medical records private and confidential.Level DNo actual harm, potential for moreCorrected Jan 25, 2025
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Oct 312024
Complaint investigation
1 finding
- F610Respond appropriately to all alleged violations.Level GActual harmCorrected Nov 26, 2024
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Feb 152024
Standard health inspection
2 findings
The same visit included a complaint investigation.
- F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Level FNo actual harm, potential for moreCorrected Mar 15, 2024
- F880Provide and implement an infection prevention and control program.Level ENo actual harm, potential for moreCorrected Mar 15, 2024
Enforcement Action
Civil money penalty, $12,529 imposed October 31, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of February 15, 2024, the nearest before the penalty date.
Enforcement Action
Civil money penalty, $15,330 imposed January 8, 2025. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of February 15, 2024, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.

Context

Patterns Worth Examining

A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.

1
Investigating Alleged Violations, Cited in Four Inspections
Inspectors cited F610 in October 2024, January 2025, January 2026 and August 2026. This citation covers how the home responds to and investigates an allegation of abuse, neglect or mistreatment. The most serious of these was recorded at level J (immediate jeopardy). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
24242525252526262626F610 across all 10 inspections, oldest to newest
2
Protection From Abuse and Neglect, Cited in Three Inspections
Inspectors cited F600 in January 2025, September 2025 and March 2026. This citation covers whether residents are protected from abuse and neglect by anyone. The most serious of these was recorded at level J (immediate jeopardy). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
24242525252526262626F600 across all 10 inspections, oldest to newest
3
Quality of Care, Cited in Three Inspections
Inspectors cited F684 in February 2025, January 2026 and August 2026. This citation covers whether residents receive the treatment their orders, preferences and goals call for. The most serious of these was recorded at level G (actual harm). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
24242525252526262626F684 across all 10 inspections, oldest to newest
4
Pressure Injury Care, Cited in Three Inspections
Inspectors cited F686 in February 2025, November 2025 and August 2026. This citation covers how the home prevents and treats pressure injuries (bedsores). The most serious of these was recorded at level G (actual harm). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
24242525252526262626F686 across all 10 inspections, oldest to newest
5
Accident Hazards and Supervision, Cited in Three Inspections
Inspectors cited F689 in September 2025, November 2025 and March 2026. This citation covers whether residents are protected from accident hazards and supervised closely enough to prevent accidents, including falls. The most serious of these was recorded at level J (immediate jeopardy). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
24242525252526262626F689 across all 10 inspections, oldest to newest
6
Infection Control, Cited in Three Inspections
Inspectors cited F880 in February 2024, February 2025 and August 2026. This citation covers hand hygiene, isolation practice and the home’s infection-prevention program. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
24242525252526262626F880 across all 10 inspections, oldest to newest
7
Citation F583, Cited in Two Inspections
Inspectors cited F583 in January 2025 and August 2026. The agency describes it this way: Keep residents' personal and medical records private and confidential. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
24242525252526262626F583 across all 10 inspections, oldest to newest
8
Reporting Suspected Abuse, Cited in Two Inspections
Inspectors cited F609 in January 2025 and January 2026. This citation covers whether suspected abuse, neglect or theft is reported to the authorities on time, with the results of the home’s investigation. The most serious of these was recorded at level J (immediate jeopardy). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
24242525252526262626F609 across all 10 inspections, oldest to newest
9
Citation F697, Cited in Two Inspections
Inspectors cited F697 in February 2025 and September 2025. The agency describes it this way: Provide safe, appropriate pain management for a resident who requires such services. The most serious of these was recorded at level G (actual harm). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
24242525252526262626F697 across all 10 inspections, oldest to newest
10
Pharmacy Services, Cited in Two Inspections
Inspectors cited F755 in June 2026 and August 2026. This citation covers pharmacy services and the licensed pharmacist who oversees them. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
24242525252526262626F755 across all 10 inspections, oldest to newest
11
Significant Medication Errors, Cited in Two Inspections
Inspectors cited F760 in September 2025 and August 2026. This citation covers whether residents are free from significant medication errors. The most serious of these was recorded at level G (actual harm). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
24242525252526262626F760 across all 10 inspections, oldest to newest
12
Kitchen and Food Safety, Cited in Two Inspections
Inspectors cited F812 in February 2024 and February 2025. This citation covers how food is stored, prepared and served. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
24242525252526262626F812 across all 10 inspections, oldest to newest

For Your Next Visit

Questions to Ask on Your Visit

Bring these to the tour. Each one comes from something in the record; the reason is under the question.

01
When an allegation is made, who investigates it, and how are residents protected in the meantime?
Investigating Alleged Violations: cited in four inspections, most seriously at level J.
02
What happened after the abuse or neglect citation, and what changed in training or supervision?
Protection From Abuse and Neglect: cited in three inspections, most seriously at level J.
03
How do nurses make sure a doctor’s orders are carried out, and how are families told when something is missed?
Quality of Care: cited in three inspections, most seriously at level G.
04
How often are residents checked for pressure injuries and repositioned, and who is responsible for it?
Pressure Injury Care: cited in three inspections, most seriously at level G.
05
What changed in fall prevention and supervision after the last citation, and how do you check that it is still working?
Accident Hazards and Supervision: cited in three inspections, most seriously at level J.
06
Who leads infection control here, and how often are hand-hygiene and isolation practices audited?
Infection Control: cited in three inspections, most seriously at level E.
07
What changed after F583 was cited, and how do you check it now?
Citation F583: cited in two inspections, most seriously at level D.
08
How are staff trained to report suspected abuse or neglect, and who reports it to the state?
Reporting Suspected Abuse: cited in two inspections, most seriously at level J.
09
What changed after F697 was cited, and how do you check it now?
Citation F697: cited in two inspections, most seriously at level G.
10
How often does the consultant pharmacist review each resident’s medications?
Pharmacy Services: cited in two inspections, most seriously at level E.
11
What happened after the medication error citation, and how are high-risk drugs double-checked?
Significant Medication Errors: cited in two inspections, most seriously at level G.
12
May we see the kitchen, and what do your own sanitation checks look like week to week?
Kitchen and Food Safety: cited in two inspections, most seriously at level F.
13
How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?
No staffing citation appears in this window. Staffing levels are published separately by CMS and are worth asking about directly.
14
What led to the 2026 fine, and has it been paid?
A $20,476 civil money penalty was imposed March 25, 2026. CMS publishes the fine, not whether it has been paid. The record holds six enforcement actions in the window.

The Evidence

Sources and Coverage

Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the South Dakota state survey agency.

Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
South Dakota state survey agency
Inspection Feb 15, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
South Dakota state survey agency
Inspection Oct 31, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
South Dakota state survey agency
Inspection Jan 8, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
South Dakota state survey agency
Inspection Feb 27, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
South Dakota state survey agency
Inspection Sep 25, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
South Dakota state survey agency
Inspection Nov 18, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
South Dakota state survey agency
Inspection Jan 28, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
South Dakota state survey agency
Inspection Mar 25, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
South Dakota state survey agency
Inspection Jun 2, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
South Dakota state survey agency
Inspection Aug 28, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Penalties, Provider Data Catalog
Centers for Medicare & Medicaid Services
Published Oct 1, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Provider Information, Provider Data Catalog
Centers for Medicare & Medicaid Services · 435086
Published Oct 1, 2026 · Retrieved Nov 1, 2026
View Dataset ↗

Coverage

Record windowFebruary 15, 2024 – October 1, 2026

CMS publishes about three inspection cycles; inspections before February 2024 are not in this release.
CMS refreshes these files monthly, after statements of deficiencies are processed, so an inspection from the last two months may not appear yet.

What This Report Cannot Tell You

Complaints not investigated onsite: Allegations screened out by the state before an onsite visit are not published.
Complaint allegations: CMS publishes the deficiencies a complaint survey cited, not the allegation itself.
Facility-reported incidents: Self-reported incidents appear only if they led to an inspection.
Follow-up visits: CMS's files list standard, complaint and infection control surveys, not revisits; a correction date is the one CMS records.
Fire safety inspections: Published by CMS separately and not included in this record yet.
Staffing levels and ownership history: Published by CMS separately and not included in this record.
Whether fines were paid: CMS publishes the fines imposed, not whether or when they were paid.

Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.

Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.