PALISADE HEALTHCARE CENTER
PALISADE HEALTHCARE CENTER is a 55-bed nursing home in GARRETSON, South Dakota. CMS has certified it for Medicare and Medicaid since 1998-10-01. It averages 49.0 residents a day.
What harm was found in the violations cited at PALISADE HEALTHCARE CENTER?
CMS lists 29 health-inspection deficiencies for PALISADE HEALTHCARE CENTER since 2023-03-08, 26 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-04-16.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-16 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | H |
| 2026-04-16 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| 2026-04-16 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2025-11-19 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2025-09-17 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-08-07 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2025-08-07 | F0725, F0761, F0804, F0880 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program. | E |
| 2025-08-07 | F0582, F0609 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-03-12 | F0657, F0689 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-11-26 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2024-11-26 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2024-08-07 | F0760 | Ensure that residents are free from significant medication errors. | D |
| 2024-03-18 | F0584, F0812 | Honor 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-03-18 | F0695, F0880 | Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program. | E |
| 2024-03-18 | F0550, F0578, F0658, F0909 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Ensure services provided by the nursing facility meet professional standards of quality. / Regularly 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. | D |
| 2023-12-28 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2023-03-08 | F0657, F0678 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E |
| 2023-03-08 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
Why was PALISADE HEALTHCARE CENTER fined 4 times?
| Date | Type | Amount |
|---|---|---|
| 2025-11-19 | Fine | $122,476 |
| 2025-09-17 | Fine | $8,608 |
| 2025-08-07 | Fine | $11,713 |
| 2024-11-26 | Fine | $12,149 |
How is PALISADE HEALTHCARE CENTER staffed relative to the SD average?
| Measure | This facility | SD average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.16401 | 3.78948 |
| Total nursing staff turnover (%) | 60.0 | 48.2 |
| Average number of residents per day | 49.0 | 52.1 |
Who owns PALISADE HEALTHCARE CENTER, and what chain is it in?
PALISADE HEALTHCARE CENTER is registered with CMS as For profit - Corporation, operates under the legal business name PALISADE SNF OPERATIONS, LLC and belongs to the EVERGREEN HEALTHCARE GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC | since 08/31/2023 |
| MANAGING CONTROL - GOVERNING BODY | CHEEKS, DONALD, EVANS, KAYLA | since 08/31/2023 |
| CORPORATE OFFICER | SPIELMAN, SHIMON, YENOWITZ, YITZCHOK | since 08/31/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | COUVE FINANCIAL SERVICES LLC, COUVE HEALTHCARE CONSULTING LLC, PACIFIC NORTHWEST OPCO MANAGEMENT LLC, PALISADE SNF OPERATIONS, LLC, SOUTH DAKOTA SNF CONSULTING LLC, CHEEKS, DONALD, EVANS, KAYLA, PARKER, LOURDES, REES, JOSEPH, ROBY, BRITTNEY, SPIELMAN, SHIMON, YENOWITZ, YITZCHOK | since 08/31/2023 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | YENOWITZ, YITZCHOK | since 06/02/2025 |
| ADP OF THE SNF | CH PACIFIC NORTHWEST HOLDINGS LLC, COUVE FINANCIAL SERVICES LLC, COUVE HEALTHCARE CONSULTING LLC, PACIFIC NORTHWEST OPCO MANAGEMENT LLC, PALISADE SNF OPERATIONS, LLC, PALISADE SNF REALTY LLC, SOUTH DAKOTA SNF CONSULTING LLC, WITZCORP GLOBAL LLC, CHEEKS, DONALD, EVANS, KAYLA, HERZKA, YISROEL, PARKER, LOURDES, REES, JOSEPH, ROBY, BRITTNEY, SPIELMAN, SHIMON, YENOWITZ, YITZCHOK | since 05/12/2025 |
Were you or a family member harmed at PALISADE HEALTHCARE CENTER?