Riverview Healthcare Center
611 East 2Nd Ave, Flandreau, SD, 57028
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Evergreen Healthcare Group
- Certified beds
- 63 · avg 53 residents/day
- Total nursing staff turnover
- 65.2% — higher than most South Dakota nursing homesSouth Dakota avg: 49.0% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 50% — higher than most South Dakota nursing homesSouth Dakota avg: 37.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 2 departed — near the South Dakota averageSouth Dakota avg: 0.3 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 6 fines · $204,860 total
Medicare certification
- CMS Certification Number
- 435086
- Certified beds
- 63 beds · avg 53 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Riverview Snf Operations, Llc
- Chain affiliation
- Evergreen Healthcare Group
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Evergreen Healthcare Group chain — 43 facilities across 6 states. Chain-wide average overall rating 2.4 / 5.
Parent entity
Pacific Northwest Snf Operations Holdings (sd) Llc
Disclosed owners (23 on record)
- Riverview Snf Operations, Llc
Adp of The Snf · since 2025
- Riverview Snf Realty Llc
Adp of The Snf · since 2025
- Couve Financial Services Llc
Adp of The Snf · since 2025
- Couve Healthcare Consulting Llc
Adp of The Snf · since 2025
- Pacific Northwest Opco Management Llc
Adp of The Snf · since 2025
- South Dakota Snf Consulting Llc
Adp of The Snf · since 2025
+ 17 additional owners on the federal record.
Recent change of ownership
August 2023 (2 years ago) · acquired from Riverview Healthcare Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 35)
- J0689·Mar 25, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- G0600·Mar 25, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E0684·Jan 28, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0610·Jan 28, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- E0609·Jan 28, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0689·Nov 18, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- G0686·Nov 18, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- G0760·Sep 25, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Federal penalties
By year
- 20261 fine · $32K
- 20254 fines · $161K
- 20241 fine · $13K
Most recent events
- Mar 25, 2026Fine · $32K
- Nov 18, 2025Fine · $24K
- Sep 25, 2025Fine · $56K
- Feb 27, 2025Fine · $66K
- Jan 8, 2025Fine · $15K
- Oct 31, 2024Fine · $13K
Largest single fine on record: $66K.
Fire-safety citations
23 Life-Safety-Code citations on file. Most recent: Feb 27, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Riverview Healthcare Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.