Palisade Healthcare Center
920 4Th St, Garretson, SD, 57030
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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 - Corporation · Chain: Evergreen Healthcare Group
- Certified beds
- 55 · avg 47 residents/day
- Total nursing staff turnover
- 58.2% — higher than most South Dakota nursing homesSouth Dakota avg: 49.0% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 33.3% — near the South Dakota averageSouth Dakota avg: 37.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the South Dakota averageSouth Dakota avg: 0.3 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 4 fines · $154,946 total
Medicare certification
- CMS Certification Number
- 435115
- Certified beds
- 55 beds · avg 47 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Palisade 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 (24 on record)
- Palisade Snf Operations, 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
- Palisade Snf Realty Llc
Adp of The Snf · since 2025
- South Dakota Snf Consulting Llc
Adp of The Snf · since 2025
+ 18 additional owners on the federal record.
Recent change of ownership
August 2023 (2 years ago) · acquired from Palisade 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 29)
- E0919·Apr 16, 2026Complaint
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- H0600·Apr 16, 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.
- D0880·Apr 16, 2026Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- J0684·Nov 19, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- G0689·Sep 17, 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.
- E0880·Aug 7, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0804·Aug 7, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0761·Aug 7, 2025
Pharmacy Service Deficiencies
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.
Federal penalties
By year
- 20253 fines · $143K
- 20241 fine · $12K
Most recent events
- Nov 19, 2025Fine · $122K
- Sep 17, 2025Fine · $8,608
- Aug 7, 2025Fine · $12K
- Nov 26, 2024Fine · $12K
Largest single fine on record: $122K.
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Mar 18, 2024. 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 Palisade 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.