Riverview Healthcare Center, Flandreau, South Dakota
- 36
- Citations from health inspectionsSouth Dakota average: 17 a home
- 14
- Residents harmed or put in dangerSouth Dakota average: 2.5 a home
- $177,100
- Fines from the federal governmentSouth Dakota average: $40,815 a home
- 1 out of 5
- Overall rating in starsSouth Dakota average: 2.9
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
11 inspection visits produced 36 citations. Residents were in immediate danger in four findings. Residents were found hurt in 10 cases. Federal fines came to $177,100 (six fines).
A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
Are you worried about the way someone was treated at this home?
Call 1-833-892-8135Calls go to a law firm that advertises on Nursing Home Violations.Quick Look at the Record
- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 3 out of 5
- Rating for quality of care
- 2 out of 5
- Nurse time for each resident
- 3.62 hours each dayThe South Dakota average is 3.79 hours
- Time from registered nurses
- 0.63 hours each dayThe South Dakota average is 0.80 hours
- Nursing staff who left during one year
- 66.7%against the South Dakota average of 48.2%
- Beds that are certified
- 63
- Ownership
- Limited Liability company (for profit)
- Chain
- Evergreen Healthcare Group, with 43 homes
- Street address
- 611 East 2nd Ave, Flandreau, South Dakota 57028
- County
- Moody
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
One citation dated June 2, 2026
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated March 25, 2026
Three citations dated Jan. 28, 2026
- F684 Quality of Care: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Two citations dated Nov. 18, 2025
Four citations dated Sept. 25, 2025
- F760 Significant Medication Errors: residents were harmed, one or a few residents, found on a complaint visit.
- F697 Pain Management: residents were harmed, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
Nine citations dated Feb. 27, 2025
- F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, one or a few residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F865 Written Quality Improvement Plan: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F697 Pain Management: residents were harmed, one or a few residents.
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents.
- F684 Quality of Care: residents were harmed, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
Five citations dated Jan. 8, 2025
- F835 Run the Facility Effectively: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F610 Investigating Abuse Allegations: immediate danger to residents, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: immediate danger to residents, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
- F583 Keep Resident Records Private: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Oct. 31, 2024
- F610 Investigating Abuse Allegations: residents were harmed, one or a few residents, found on a complaint visit.
Two citations dated Feb. 15, 2024
Three citations dated Sept. 6, 2023
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Four citations dated Feb. 16, 2023
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| March 25, 2026 | Fine | $31,500 |
| Nov. 18, 2025 | Fine | $15,807 |
| Sept. 25, 2025 | Fine | $36,414 |
| Feb. 27, 2025 | Fine | $65,520 |
| Jan. 8, 2025 | Fine | $15,330 |
| Oct. 31, 2024 | Fine | $12,529 |
Ownership and Management of the Home
- The home is run by Couve Financial Services LLC (operational or managerial control).
- The home is run by Couve Healthcare Consulting LLC (operational or managerial control).
- The home is run by Pacific Northwest Opco Management LLC (operational or managerial control).
- The home is run by Riverview SNF Operations, LLC (operational or managerial control).
- The home is run by South Dakota SNF Consulting LLC (operational or managerial control).
- The direct 100% owner is Pacific Northwest SNF Operations Holdings (Sd) LLC.
- The direct owner is Riverview SNF Operations, LLC.
- Owns a share through another company: Ch Pacific Northwest Holdings LLC.
Four additional companies have a stake or a management role, according to CMS.
Four people with an ownership stake are also listed by CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 435086. Other homes in South Dakota.