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    TEKAKWITHA LIVING CENTER

    6 E CHESTNUT, SISSETON, SD 57262

    40 beds · Non profit - Corporation

    CMS Provider #435038

    Data updated: March 1, 2026

    24
    IQ ScoreA composite score from 0–100 combining federal ratings, staffing, inspections, penalties, and complaint history.

    Overall Rating

    ★★★★

    Health Rating

    ★★★★

    Staffing Rating

    ★★★★

    Quality Rating

    ★★★★★

    Daily nursing care

    0.7 hrs/resident

    Getting worse

    Inspection findings

    13

    More issues

    Ownership changes

    0

    Non-profit corporation owned by Coteau Des Prairies Hospital.

    Complaint trend

    More complaints

    Five complaint-related inspection findings recorded across the two most recent cycles.

    Facility vs. South Dakota Averages

    Overall Rating

    Facility★★★★
    State Avg★★★★★
    Below State Avg

    Health Inspection

    Facility★★★★
    State Avg★★★★★
    Below State Avg

    Staffing Rating

    Facility★★★★
    State Avg★★★★
    Below State Avg

    Quality Rating

    Facility★★★★★
    State Avg★★★★★
    At State Avg
    State staffing benchmarks:Nursing hours/resident/day 3.9RN hours/resident/day 0.8

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    NursingHomeIQ Analysis

    Summary

    The facility currently maintains a one-star federal rating with a significant downward trend in reported nursing hours and an increase in health inspection findings.

    Detailed Analysis

    Records from the Centers for Medicare and Medicaid Services indicate a significant decline in data transparency and staffing levels. The facility currently holds the lowest possible federal rating of one out of five stars for both health inspections and staffing. Data tracking shows that total nursing hours per resident per day decreased by approximately 74% over a 21-month period, falling from 2.84 hours to 0.73 hours. The most recent inspection report found that the facility failed to submit the required payroll-based staffing data to federal regulators, which resulted in a forced one-star staffing rating.

    The inspection history reflects an increase in regulatory issues, with 13 findings in the most recent survey compared to 10 in the previous cycle. These findings included failures to designate a qualified infection preventionist and failures to keep emergency exit corridors free of obstructions. Quality measures for long-stay residents are currently rated at three out of five stars, aligned with state averages, though the overall facility profile is impacted by a health deficiency score of 100, which is substantially higher than typical regional records. Ownership has remained stable under a non-profit hospital corporation, but financial penalties totaling over $37,000 suggest ongoing challenges with regulatory compliance.

    Key Findings

    The facility was cited for failing to electronically submit complete and accurate direct care staffing information based on payroll data.

    Recent health inspections identified 13 deficiencies, nearly double the South Dakota state average of 6.8 per cycle.

    Federal regulators imposed three financial penalties totaling $37,079 between 2023 and 2024.

    Performance Trends (24 months)

    This shows how the facility's federal ratings have changed over the past 24 months. Consistent high ratings suggest stable quality, while declining trends may warrant further investigation.

    CategoryApr 24Jun 24Aug 24Oct 24Dec 24Mar 25May 25Jul 25Nov 25Jan 26Mar 26Trend
    Overall1★1★1★1★1★1★1★1★1★1★1★
    Staffing2★2★2★2★2★1★1★1★1★1★1★
    Health1★1★1★1★1★2★2★2★2★2★1★
    4-5 Stars 3 Stars 1-2 Stars

    Location & Neighborhood

    A facility's location matters — nearby hospitals, pharmacies, and public transit can make visits easier and ensure quick access to emergency care.

    Walk Score

    47

    Car-Dependent

    Neighborhood Demographics (57262)

    Median Income

    $49,125

    Median Home Value

    $116,900

    Poverty Rate

    23.5%

    Age 65+

    16.9%

    Median Age

    33

    Pop. Density

    5,389/mi²

    Median Rent

    $584

    Google Reviews

    Google reviews provide firsthand accounts from residents' families and visitors.

    3

    ★★★★★

    4 reviews

    Mom Of five5/17/2019

    "Residents are neglected! The guy in the suit puts his pocketbook in front of the care of the residents as well as in front of the morale for the staff. My aunt is a resident and has been out to bed with what she wore all day as well as her shoes, she has also not been told when it was meal time several times, other people’s families have went and gotten her for meals as well as other residents. The residents also miss seeing the daycare children and staff. Several residents have told us that management has favorite staff and residents and that is what determines how they are treated. Floor staff are understaffed and working 10x as hard as those behind the desk."

    Harold Hejtmanek★★★★6/4/2023

    ""

    Alexis Kelly - Hill★★★★★7/7/2019

    ""

    Debbie Abraham★★4/19/2019

    ""

    Inspection & Deficiency History

    Federal and state inspectors conduct regular surveys of every nursing home. Deficiencies listed here are problems found during those inspections.

    DateTagCategoryDescriptionSeverityCorrectedTypeIC
    1/22/20260882Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    Actual harm
    3/8/2026Standard
    1/22/20260812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Actual harm
    3/8/2026Standard
    1/22/20260851Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    Actual harm
    3/8/2026Standard
    1/22/20260880Infection Control DeficienciesProvide and implement an infection prevention and control program.
    Actual harm
    3/8/2026Standard
    1/22/20260576Resident Rights DeficienciesEnsure residents have reasonable access to and privacy in their use of communication methods.
    Actual harm
    3/8/2026Standard
    1/22/20260578Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    Minimal harm
    3/8/2026Standard
    1/22/20260689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Minimal harm
    3/8/2026Standard
    1/22/20260699Quality of Life and Care DeficienciesProvide care or services that was trauma informed and/or culturally competent.
    Minimal harm
    3/8/2026Standard
    1/22/20260761Pharmacy Service DeficienciesEnsure 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.
    Actual harm
    3/8/2026Standard
    1/22/20260801Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    Minimal harm
    3/8/2026Standard
    Page 1 of 3

    Penalties & Fines

    When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.

    Total Penalties

    3

    Total Fines

    $37,079

    DateTypeFine AmountPayment Denial
    7/18/2024Fine$30,729
    11/13/2023Fine$2,117
    10/23/2023Fine$4,233

    Ownership Records

    Ownership structure and changes can affect facility quality.

    Years Operating

    37

    Owner NameTypeRoleOwnership %Association Date
    COTEAU DES PRAIRIES HOSPITALOrganization100%1/1/2016
    COTEAU DES PRAIRIES HOSPITALOrganization1/1/2016
    HENDRICKSON, LESLIEIndividual1/1/2016
    WEAVER, GREGORYIndividual1/1/2016
    CAMERON, ERINIndividual1/1/2016
    GLEASON, DAVIDIndividual1/1/2016
    GLYNN, MATTHEWIndividual1/1/2016
    HIPPEN, YVONNEIndividual1/1/2016
    JASPERS, TERRYIndividual1/1/2016
    JOHNSTON, FAYEIndividual1/1/2016
    MCCLEEREY, STEVENIndividual1/1/2016
    OPSAL, GERALDINEIndividual1/1/2016
    STROSCHEIN, CHADIndividual5/16/2018
    HENDRICKSON, LESLIEIndividual1/1/2016
    STROSCHEIN, CHADIndividual5/16/2018
    WEAVER, GREGORYIndividual1/1/2016
    COTEAU DES PRAIRIES HOSPITALOrganization100%1/1/2016
    COTEAU DES PRAIRIES HOSPITALOrganization1/1/2016
    HENDRICKSON, LESLIEIndividual1/1/2016
    WEAVER, GREGORYIndividual1/1/2016
    CAMERON, ERINIndividual1/1/2016
    GLEASON, DAVIDIndividual1/1/2016
    GLYNN, MATTHEWIndividual1/1/2016
    HIPPEN, YVONNEIndividual1/1/2016
    JASPERS, TERRYIndividual1/1/2016
    JOHNSTON, FAYEIndividual1/1/2016
    MCCLEEREY, STEVENIndividual1/1/2016
    OPSAL, GERALDINEIndividual1/1/2016
    STROSCHEIN, CHADIndividual5/16/2018
    HENDRICKSON, LESLIEIndividual1/1/2016
    STROSCHEIN, CHADIndividual5/16/2018
    WEAVER, GREGORYIndividual1/1/2016

    News & Media

    Recent news articles, lawsuits, and media coverage mentioning this facility.

    No recent news coverage found for this facility.

    Data updated: March 1, 2026 · CMS, OSCAR, state inspection records

    NursingHomeIQ provides informational synthesis to help families make informed decisions. This does not constitute legal, financial, or medical advice.

    NursingHomeIQ

    Data sourced from CMS, OSCAR, and state inspection records. Not affiliated with the U.S. government.

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