Hearth Record

Riverview Healthcare Center

A nursing home in Flandreau, South Dakota 57028

611 East 2nd Ave, Flandreau, South Dakota 57028. (605) 997-2481.

  • A candidate for CMS’s special focus list
  • Cited for abuse (CMS flag)
CMS’s own record, on Care Compare

Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.

The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 44 citations in 10 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (J). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy
CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

23 health citations at the latest inspection cycle

The South Dakota average is 6.3.

Last standard inspection Aug 28, 2026.

Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Mar 25, 2026

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

44 citations in 10 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.

44 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 44 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 27 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Aug 28, 2026: standard inspection7 citations

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. G: actual harm. Correction date, as CMS recorded it: Sep 21, 2026.

  • Provide enough food/fluids to maintain a resident’s health.

    Rule F0692. G: actual harm. Correction date, as CMS recorded it: Sep 21, 2026.

  • Keep residents’ personal and medical records private and confidential.

    Rule F0583. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 21, 2026.

  • Post nurse staffing information every day.

    Rule F0732. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 21, 2026.

  • Ensure medication error rates are not 5 percent or greater.

    Rule F0759. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 21, 2026.

  • 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 21, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 21, 2026.

Aug 28, 2026: standard and complaint inspection6 citations

  • Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Rule F0561. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 21, 2026.

  • Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

    Rule F0655. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 21, 2026.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 21, 2026.

  • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.

    Rule F0726. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 21, 2026.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 21, 2026.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 21, 2026.

Aug 28, 2026: complaint inspection2 citations

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 21, 2026.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 21, 2026.

Jun 2, 2026: complaint inspection1 citation

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 18, 2026.

Mar 25, 2026: complaint inspection2 citations

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Mar 26, 2026.

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. G: actual harm. From a complaint. Correction date, as CMS recorded it: Apr 15, 2026.

Jan 28, 2026: complaint inspection3 citations

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 14, 2026.

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 14, 2026.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 14, 2026.

Nov 18, 2025: complaint inspection2 citations

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. G: actual harm. From a complaint. Correction date, as CMS recorded it: Nov 25, 2025.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 9, 2025.

Sep 25, 2025: complaint inspection4 citations

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. G: actual harm. From a complaint. Correction date, as CMS recorded it: Sep 30, 2025.

  • Provide safe, appropriate pain management for a resident who requires such services.

    Rule F0697. G: actual harm. From a complaint. Correction date, as CMS recorded it: Sep 30, 2025.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. G: actual harm. From a complaint. Correction date, as CMS recorded it: Sep 30, 2025.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 30, 2025.

Feb 27, 2025: standard inspection9 citations

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. G: actual harm. Correction date, as CMS recorded it: Mar 27, 2025.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. G: actual harm. Correction date, as CMS recorded it: Mar 27, 2025.

  • Provide safe, appropriate pain management for a resident who requires such services.

    Rule F0697. G: actual harm. Correction date, as CMS recorded it: Mar 27, 2025.

  • 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.

    Rule F0584. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 27, 2025.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 27, 2025.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 14, 2025.

  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Rule F0865. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 27, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 14, 2025.

  • Keep all essential equipment working safely.

    Rule F0908. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 27, 2025.

Jan 8, 2025: complaint inspection5 citations

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Jan 25, 2025.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Jan 25, 2025.

  • Respond appropriately to all alleged violations.

    Rule F0610. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Jan 25, 2025.

  • Keep residents’ personal and medical records private and confidential.

    Rule F0583. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 25, 2025.

  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Rule F0835. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 25, 2025.

Oct 31, 2024: complaint inspection1 citation

  • Respond appropriately to all alleged violations.

    Rule F0610. G: actual harm. From a complaint. Correction date, as CMS recorded it: Nov 26, 2024.

Feb 15, 2024: standard inspection1 citation

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 15, 2024.

Feb 15, 2024: standard and complaint inspection1 citation

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 15, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Apr 1, 1995.
  • A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
  • CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, limited liability company.
  • 63 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 6 fines in the last three years, $166,076 in all.
  • No Medicare payment denials in the last three years.
  • 27 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Mar 25, 2026Fine$20,476
Nov 18, 2025Fine$15,807
Sep 25, 2025Fine$36,414
Feb 27, 2025Fine$65,520
Jan 8, 2025Fine$15,330
Oct 31, 2024Fine$12,529

Who does the caring?

3.45 nurse hours per resident per day

The South Dakota average is 3.86.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeSouth Dakota average
Nurse hours per resident per day3.453.86
Of which registered nurses0.730.78
At weekends3.113.28
Nursing staff turnover67.2%48.6%
Registered nurse turnover60%37.5%
Administrators who left1Not given

Who owns it?

  • Pacific Northwest SNF Operations Holdings (SD) LLC owns 100% directly since Aug 31, 2023; Riverview SNF Operations, LLC owns 0% directly since Aug 31, 2023.
  • Couve Healthcare Consulting LLC and Riverview SNF Operations, LLC and Couve Financial Services LLC and Pacific Northwest Opco Management LLC and South Dakota SNF Consulting LLC run it.
  • 24 owners or officers are people: Yitzchok Yenowitz (runs it (operational or managerial control), 100%); Yisroel E Herzka (owns 5% or more through other companies, 66.5%); Yisroel E Herzka (owns a share through other companies, 66.5%); Yitzchok Yenowitz (owns 5% or more through other companies, 25%); Yitzchok Yenowitz (owns a share through other companies, 25%); A person CMS lists without a name (owns a share through other companies, 3%); A person CMS lists without a name (owns a share through other companies, 1%); Scott N Peterson (runs it (operational or managerial control)); Scott N Peterson (additional disclosable party (controls, leases property to, or provides services to the home)); Charles Johnson (runs it (operational or managerial control)); Charles Johnson (additional disclosable party (controls, leases property to, or provides services to the home)); Charles Johnson (owns a share through other companies, 0%); Leonor Lowe (runs it (operational or managerial control)); Leonor Lowe (on the governing body (managing control)); Leonor Lowe (additional disclosable party (controls, leases property to, or provides services to the home)); Brenna Olson (runs it (operational or managerial control)); Brenna Olson (additional disclosable party (controls, leases property to, or provides services to the home)); Brenna Olson (owns a share through other companies, 0%); Yitzchok Yenowitz (corporate officer); Yitzchok Yenowitz (additional disclosable party (controls, leases property to, or provides services to the home)); Yisroel E Herzka (additional disclosable party (controls, leases property to, or provides services to the home)); Shimon Spielman (corporate officer); Shimon Spielman (runs it (operational or managerial control)); Shimon Spielman (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Evergreen Healthcare Group (43 homes in CMS’s data).
  • A private-equity firm is among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Pacific Northwest SNF Operations Holdings LLCOwns 5% or more through other companies100%Aug 31, 2023
Pacific Northwest SNF Operations Holdings (SD) LLCOwns 5% or more directly100%Aug 31, 2023
Ch Pacific Northwest Holdings LLCOwns 5% or more through other companies66.5%Aug 31, 2023
Ch Pacific Northwest Holdings LLCOwns a share through other companies66.5%Aug 31, 2023
Witzcorp Global LLCOwns 5% or more through other companies25%Aug 31, 2023
An organisation CMS lists without a nameOwns a share through other companies3%Aug 31, 2023
An organisation CMS lists without a nameOwns a share through other companies2.25%Aug 31, 2023
An organisation CMS lists without a nameOwns a share through other companies2.25%Aug 31, 2023
An organisation CMS lists without a nameOwns a share through other companies1%Aug 31, 2023
Witzcorp Global LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 31, 2023
Couve Healthcare Consulting LLCRuns it (operational or managerial control)Aug 31, 2023
Couve Healthcare Consulting LLCAdditional disclosable party (controls, leases property to, or provides services to the home)May 16, 2025
Couve Healthcare Consulting LLCOwns a share through other companies0%Aug 31, 2023
Riverview SNF Operations, LLCRuns it (operational or managerial control)Aug 31, 2023
Riverview SNF Operations, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 30, 2025
Riverview SNF Operations, LLCOwns a share directly0%Aug 31, 2023
Couve Financial Services LLCRuns it (operational or managerial control)Aug 31, 2023
Couve Financial Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)May 16, 2025
Couve Financial Services LLCOwns a share through other companies0%Aug 31, 2023
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 31, 2023
Pacific Northwest Opco Management LLCRuns it (operational or managerial control)Aug 31, 2023
Pacific Northwest Opco Management LLCAdditional disclosable party (controls, leases property to, or provides services to the home)May 16, 2025
Pacific Northwest Opco Management LLCOwns a share through other companies0%Aug 31, 2023
South Dakota SNF Consulting LLCRuns it (operational or managerial control)Aug 31, 2023
South Dakota SNF Consulting LLCAdditional disclosable party (controls, leases property to, or provides services to the home)May 16, 2025
South Dakota SNF Consulting LLCOwns a share through other companies0%Aug 31, 2023
Riverview SNF Realty LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 2, 2025
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 31, 2023
Ch Pacific Northwest Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 31, 2023

How do residents fare?

  • CMS rates its quality measures 1 of 5 (South Dakota average 2.7).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections1 of 5
Staffing3 of 5
Quality measures1 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 32.3 miles, this one had the 1st most health citations at the latest inspection cycle (23; the middle value was 6).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Riverview Healthcare Center This nursing home23
Flandreau Santee Sioux Tribe Care Center1.02
Good Samaritan Society - Pipestone13.56
Dells Nursing and Rehab Center Inc.16.23
The Neighborhoods at Brookview19.82
United Living Community20.98
Palisade Healthcare Center23.410
Edgebrook Care Center25.36
Bethel Lutheran Home26.57
Avera Sunrise Manor27.40
Bethany Home - Brandon32.014
MN Veterans Home-Luverne32.32

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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