Palisade Healthcare Center
Nursing home in Garretson, South Dakota, CMS certification number 435115
920 4th St, Garretson, SD 57030 · Minnehaha County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 55
- Certified for
- Medicare and Medicaid
- Last standard inspection
- August 7, 2025
- Deficiencies at that inspection
- 10
- Fines in 3 years
- $249,546 (5)
Does Palisade Healthcare Center take Medicare and Medicaid?
Yes to both. Palisade Healthcare Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 3 of 5 |
Nurse staffing hours and turnover
These are the hours Palisade Healthcare Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.50
- Registered nurse hours
- 0.60
- Licensed practical nurse hours
- 0.62
- Nurse aide hours
- 2.28
- Weekend total hours
- 2.76
- Nursing staff turnover
- 63.8%
- Registered nurse turnover
- 50%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on August 7, 2025 and cited 10 deficiencies, plus 4 from complaint visits.
The visit before, on March 18, 2024, found 8.
CMS shows an abuse icon for Palisade Healthcare Center. That means inspectors cited it for abuse, neglect or exploitation in the past year or two.
It is a candidate for the CMS special focus program. CMS puts homes with a long record of serious problems on this list for extra inspections.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Palisade Healthcare Center 5 times in the past 3 years, for $249,546 in total.
Beds and residents
On an average day 48.6 residents live here, about 88% of its 55 certified beds.
- Certified beds
- 55
- Average residents per day
- 48.6
- Certified since
- October 1, 1998
- Resident or family council
- Resident
Who owns Palisade Healthcare Center
- Legal business name
- Palisade SNF Operations, LLC
- Ownership type
- For profit - Corporation
- Chain
- 43 homes nationally under Evergreen Healthcare Group, 2.3-star chain average
Other nursing homes near Palisade Healthcare Center
- Bethany Home - Brandon3012 E Aspen Blvd, Brandon 57005
- Dells Nursing and Rehab Center Inc1400 Thresher Dr, Dell Rapids 57022
- Good Samaritan Society Sioux Falls Center401 West Second Street, Sioux Falls 57104
- Dow Rummel Village1321 W Dow Rummel St, Sioux Falls 57104
- Avera Prince of Peace4513 South Prince Of Peace Place, Sioux Falls 57103
Who inspects nursing homes in South Dakota
South Dakota's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in South Dakota, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Palisade Healthcare Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Palisade Healthcare Center
What is the CMS star rating of Palisade Healthcare Center?
1 out of 5 stars overall.
Does Palisade Healthcare Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Palisade Healthcare Center?
10 cited at the last standard visit.
Who owns Palisade Healthcare Center?
Palisade SNF Operations, LLC, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.