FLANDREAU SANTEE SIOUX TRIBE CARE CENTER

FLANDREAU, SD

CMS provider ID 43A139CMS source updated July 29, 2026

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CMS overview

CMS rating overview

CMS overall

3 of 5 CMS stars

Health inspection

3 of 5 CMS stars

Staffing

Not reported in this CMS release

Quality-measure

3 of 5 CMS stars

No proprietary TrustHub score. These ratings are published separately by CMS.

How CMS describes these ratings
CMS overall rating
The CMS overall rating summarizes health inspections, staffing, and quality measures within Medicare's Five-Star system.
Health inspection rating
The CMS health inspection rating reflects findings from standard and complaint inspections used in Medicare's Five-Star system.
Staffing rating
The CMS staffing rating reflects staffing levels and related measures used in Medicare's Five-Star system.
Quality-measure rating
The CMS quality-measure rating summarizes selected resident assessment and claims-based measures used in Medicare's Five-Star system.
CMS certified beds
42
Ownership descriptor
Non profit - Other
Medicare participation
No
Medicaid participation
Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone
6055732100Verified public information · checked Aug 2026

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a staffing rating that is not reported for this facility.

RN staffing was 2.21 hours per resident day in 2025Q4, calculated from CMS PBJ records.

View staffing evidence
Enforcement record

CMS records show a $9,110 fine in the loaded enforcement dataset.

View enforcement evidence →

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type
Non profit - OtherCMS

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records
0
Organizations shown
0
Individuals shown
0
Latest ownership source update
Not reported

CMS-published ownership and control parties

No matched current ownership party records were found in the loaded CMS sources.

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date
Sep 30, 2025
Survey type
Health Complaint
Linked findings
1
Highest linked CMS classification
G — Isolated; Actual harm that is not immediate jeopardy
View source details
Dataset
Inspection Dates
CMS dataset ID
svdt-c123
CMS source updated
Jul 1, 2026
CMS provider ID
43A139
Source record locator
csv-row:115008:ccn:43A139
View official CMS source
Sep 30, 2025Health Complaint 1 linked finding
  • F0689Quality of Life and Care Deficiencies

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

    CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Oct 25, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    43A139
    Source record locator
    csv-row:319134:ccn:43A139
    View official CMS source
Aug 7, 2025Fire Safety Standard 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Aug 7, 2025Health Complaint 1 linked finding
  • F0689Quality of Life and Care Deficiencies

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

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Past Non-Compliance (Jul 9, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    43A139
    Source record locator
    csv-row:319136:ccn:43A139
    View official CMS source
Aug 7, 2025Health Standard 2 linked findings
  • F0755Pharmacy Service Deficiencies

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

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Sep 12, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    43A139
    Source record locator
    csv-row:319137:ccn:43A139
    View official CMS source
  • F0812Nutrition and Dietary Deficiencies

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

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Sep 12, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    43A139
    Source record locator
    csv-row:319135:ccn:43A139
    View official CMS source
Dec 31, 2024Health Complaint 1 linked finding
  • F0689Quality of Life and Care Deficiencies

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

    CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jan 29, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    43A139
    Source record locator
    csv-row:319138:ccn:43A139
    View official CMS source
Oct 22, 2024Health Complaint 1 linked finding
  • F0689Quality of Life and Care Deficiencies

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

    CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.

    Correction status: Past Non-Compliance (Oct 18, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    43A139
    Source record locator
    csv-row:319139:ccn:43A139
    View official CMS source
Aug 6, 2024Health Complaint 1 linked finding
  • F0656Resident Assessment and Care Planning Deficiencies

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Aug 29, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    43A139
    Source record locator
    csv-row:319140:ccn:43A139
    View official CMS source
Apr 4, 2024Fire Safety Standard 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Apr 4, 2024Health Standard 2 linked findings
  • F0604Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Apr 28, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    43A139
    Source record locator
    csv-row:319142:ccn:43A139
    View official CMS source
  • F0812Nutrition and Dietary Deficiencies

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

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Apr 28, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    43A139
    Source record locator
    csv-row:319141:ccn:43A139
    View official CMS source
Apr 5, 2023Fire Safety Standard 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Apr 5, 2023Health Standard 1 linked finding
  • F0658Resident Assessment and Care Planning Deficiencies

    Ensure services provided by the nursing facility meet professional standards of quality.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (May 5, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    43A139
    Source record locator
    csv-row:319143:ccn:43A139
    View official CMS source

Tags appearing across inspections

  • F0689 appears in 4 linked inspections.
  • F0812 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

  • FineSep 30, 2025

    Published fine amount: $9,110.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    43A139
    Source record locator
    csv-row:12233:ccn:43A139
    View official CMS source
  • FineDec 31, 2024

    Published fine amount: $10,839.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    43A139
    Source record locator
    csv-row:12234:ccn:43A139
    View official CMS source
  • FineOct 22, 2024

    Published fine amount: $8,018.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    43A139
    Source record locator
    csv-row:12232:ccn:43A139
    View official CMS source

Questions to ask

Questions generated from the evidence above

  • CMS records show F0689 in 4 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0812 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show a monetary penalty dated Sep 30, 2025. What changes were made after that enforcement action?

Facility history

Facility History

14 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

  • Total nurse staffing increasedTotal nurse staffing increased from 7.16 to 7.59 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
  • Complaint inspection recorded1 deficiencies were recorded. That includes 1 higher-severity deficiency.
  • Civil monetary penalty recordedCMS recorded a $9,110 civil monetary penalty.

2025

  1. Total nurse staffing increased

    Total nurse staffing increased from 7.16 to 7.59 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.

    7.167.59

    CMS · Reported in a source release · View related evidence

  2. RN staffing increased

    RN staffing increased from 1.78 to 2.21 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.

    1.782.21

    CMS · Reported in a source release · View related evidence

  3. Complaint inspection recorded

    1 deficiencies were recorded. That includes 1 higher-severity deficiency.

    CMS · Recorded event date · View related evidence

  4. Civil monetary penalty recorded

    CMS recorded a $9,110 civil monetary penalty.

    CMS · Recorded event date · View related evidence

  5. RN staffing decreased

    RN staffing decreased from 2.32 to 1.78 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.

    2.321.78

    CMS · Reported in a source release · View related evidence

  6. Health inspection completed

    2 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

  7. Complaint inspection recorded

    1 deficiency was recorded.

    CMS · Recorded event date · View related evidence

2024

  1. Complaint inspection recorded

    1 deficiencies were recorded. That includes 1 higher-severity deficiency.

    CMS · Recorded event date · View related evidence

  2. Civil monetary penalty recorded

    CMS recorded a $10,839 civil monetary penalty.

    CMS · Recorded event date · View related evidence

  3. Complaint inspection recorded

    1 deficiencies were recorded. That includes 1 higher-severity deficiency.

    CMS · Recorded event date · View related evidence

  4. Civil monetary penalty recorded

    CMS recorded a $8,018 civil monetary penalty.

    CMS · Recorded event date · View related evidence

  5. Complaint inspection recorded

    1 deficiency was recorded.

    CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: not reported. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2025Q4 (current source quarter).

Inspect a PBJ quarter
Total nursing
7.589
reported hours per resident day
RN categories
2.211
reported hours per resident day
LPN/LVN categories
0.369
reported hours per resident day
CNA
4.089
reported hours per resident day

Weekday and weekend calculations

2025Q4 reported hours per resident day
MeasureMonday–FridaySaturday–Sunday
Total nursing7.9746.613
RN categories2.4111.707

Contract staff accounted for 21.3% of reported nursing hours included in this quarter calculation.

PBJ reports zero combined RN-category hours on 1 day with a positive MDS census in this quarter.

Reported RN-category hours per resident day were 0.434 higher than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
QuarterTotal nursingRN categoriesLPN/LVNCNAContract shareDays
2025Q27.1662.3250.0884.37934.1%91
2025Q37.1571.7770.4574.03437.3%92
2025Q47.5892.2110.3694.08921.3%92

Questions to ask

  • PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
  • PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?
Staffing source and calculation details
Source
Centers for Medicare & Medicaid Services (CMS)
Dataset
Payroll Based Journal Daily Nurse Staffing
CMS dataset ID
7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter
2025Q4
Coverage
Oct 1, 2025Dec 31, 2025
Days represented
92 (92 with positive MDS census)
CMS source updated
Apr 29, 2026
Calculation version
pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

  • CMS reports a 3-star overall rating.
  • CMS reports a 3-star health inspection rating.
  • CMS did not publish a staffing star rating for this provider in this release.
  • CMS reports a 3-star quality-measure rating.

Planned evidence layers

Additional public-source research

These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.

  • Chain / portfolio intelligence

Trust participation

See something that needs correction?

Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.

How corrections work

Source register

See where this record came from

Provider Information
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
4pq5-n9py
Source updated
Jul 29, 2026
Retrieved
Aug 14, 2026
Supports
Overview, facility facts, and CMS ratings
View official CMS source
Inspection Dates
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
svdt-c123
Source updated
Jul 1, 2026
Retrieved
Aug 14, 2026
Supports
Inspections and facility history
View official CMS source
Health Deficiencies
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
r5ix-sfxw
Source updated
Jul 1, 2026
Retrieved
Aug 14, 2026
Supports
Health deficiencies and facility history
View official CMS source
Penalties
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
g6vv-u9sr
Source updated
Jul 1, 2026
Retrieved
Aug 14, 2026
Supports
Penalties, enforcement, and facility history
View official CMS source
Payroll Based Journal Daily Nurse Staffing
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage
Apr 1, 2025–Dec 31, 2025
Source updated
Apr 29, 2026
Retrieved
Aug 15, 2026
Supports
PBJ staffing cards, history, and transparent calculations
View official CMS source
Verified public facility information
Source organization
Public facility listing
Dataset identifier
commercial-corroboration:public-listing
Source updated
Aug 18, 2026
Retrieved
Aug 18, 2026
Supports
Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.
How sources work

No paid placements. Facilities cannot pay to rank higher. We cite. You decide.