Palisade Healthcare Center: Staffing, Turnover, and Inspection Record
Palisade Healthcare Center is a 55-bed for-profit nursing home in Garretson, South Dakota, part of Evergreen Healthcare Group. In the CMS August 2026 release it reported 1.99 nurse aide hours per resident per day, 21% below the South Dakota average of 2.52, and 60.0% nursing staff turnover (South Dakota average 48.2%).
Palisade Healthcare Center
920 4th StGarretson, SD 57030
Minnehaha County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Palisade Healthcare Center, nurse aides logged 1.99 hours per resident per day, 21% below the South Dakota average. With about 49 residents a day, that works out to roughly 97 aide hours a day, or about 12 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 17% below the all-days figure.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.99 | 2.52 | 2.32 |
| Licensed practical nurses | 0.63 | 0.47 | 0.86 |
| Registered nurses | 0.54 | 0.80 | 0.69 |
| All nursing staff | 3.16 | 3.79 | 3.86 |
| All nursing staff, weekends | 2.64 | 3.26 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
60.0% of nursing staff at Palisade Healthcare Center left over the year CMS measured, against a South Dakota average of 48.2% and a US average of 45.8%. Registered nurse turnover was 40.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 7, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 12 health deficiencies (South Dakota average 6.9). CMS lists 4 fines totaling $154,946 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 19, 2025 | Fine | $122,476 |
| Sep 17, 2025 | Fine | $8,608 |
| Aug 7, 2025 | Fine | $11,713 |
| Nov 26, 2024 | Fine | $12,149 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Palisade Healthcare Center holds 1 of 5 overall; the South Dakota average is 2.9.
About Palisade Healthcare Center
- Ownership: For profit - Corporation
- Chain: Evergreen Healthcare Group, 44 homes
- Legal name: Palisade SNF Operations, LLC
- Medicare and Medicaid certified since: Oct 1, 1998
- Councils: resident council
- Area: urban
Nursing homes near Palisade Healthcare Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Bethany Home - Brandon Brandon · abuse citation | 9.3 | 60 | 3.53 | 4.66 | 54.0% | 1 | $51,350 |
| Dells Nursing and Rehab Center Inc Dell Rapids | 13.4 | 50 | 2.17 | 3.00 | 41.5% | 4 | $173,010 |
| Good Samaritan Society - Mary Jane Brown Luverne | 14.3 | 51 | 2.40 | 3.88 | 60.0% | 1 | $57,045 |
| MN Veterans Home-Luverne Luverne | 14.5 | 85 | 3.10 | 5.24 | 20.9% | 5 | None |
| Tuff Memorial Home Hills · staffing data not validated | 15.0 | 48 | — | — | 39.5% | 4 | $40,240 |
| Good Samaritan Society Sioux Falls Center Sioux Falls · abuse citation | 16.2 | 98 | 2.10 | 3.58 | 44.2% | 2 | $54,936 |
| Dow Rummel Village Sioux Falls | 16.6 | 50 | 3.57 | 5.10 | 31.5% | 3 | $71,373 |
| Avera Prince of Peace Sioux Falls | 17.5 | 126 | 3.59 | 5.74 | 25.0% | 4 | $8,278 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.