Riverview Healthcare Center: Staffing, Turnover, and Inspection Record
Riverview Healthcare Center is a 63-bed for-profit nursing home in Flandreau, South Dakota, part of Evergreen Healthcare Group. In the CMS August 2026 release it reported 2.26 nurse aide hours per resident per day, 10% below the South Dakota average of 2.52, and 66.7% nursing staff turnover (South Dakota average 48.2%).
Riverview Healthcare Center
611 East 2nd AveFlandreau, SD 57028
Moody County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
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 Riverview Healthcare Center, nurse aides logged 2.26 hours per resident per day, 10% below the South Dakota average. With about 54 residents a day, that works out to roughly 123 aide hours a day, or about 15 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.26 | 2.52 | 2.32 |
| Licensed practical nurses | 0.73 | 0.47 | 0.86 |
| Registered nurses | 0.63 | 0.80 | 0.69 |
| All nursing staff | 3.62 | 3.79 | 3.86 |
| All nursing staff, weekends | 3.20 | 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
66.7% of nursing staff at Riverview 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 61.5%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 27, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 21 health deficiencies (South Dakota average 6.9). CMS lists 6 fines totaling $176,867 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 25, 2026 | Fine | $31,500 |
| Nov 18, 2025 | Fine | $15,574 |
| Sep 25, 2025 | Fine | $36,414 |
| Feb 27, 2025 | Fine | $65,520 |
| Jan 8, 2025 | Fine | $15,330 |
| Oct 31, 2024 | Fine | $12,529 |
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. Riverview Healthcare Center holds 1 of 5 overall; the South Dakota average is 2.9.
About Riverview Healthcare Center
- Ownership: For profit - Limited Liability company
- Chain: Evergreen Healthcare Group, 44 homes
- Legal name: Riverview SNF Operations, LLC
- Medicare and Medicaid certified since: Apr 1, 1995
- Councils: resident council
- Area: rural
Nursing homes near Riverview Healthcare Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Flandreau Santee Sioux Tribe Care Center Flandreau | 1.0 | 42 | — | — | — | 3 | $27,967 |
| Good Samaritan Society - Pipestone Pipestone | 13.5 | 82 | 2.43 | 3.70 | 51.7% | 3 | $17,345 |
| Dells Nursing and Rehab Center Inc Dell Rapids | 16.2 | 50 | 2.17 | 3.00 | 41.5% | 4 | $173,010 |
| The Neighborhoods at Brookview Brookings | 19.8 | 79 | 3.49 | 4.60 | 53.6% | 5 | None |
| United Living Community Brookings | 20.9 | 67 | 3.62 | 4.78 | 50.0% | 2 | $33,027 |
| Palisade Healthcare Center Garretson · abuse citation | 23.4 | 55 | 1.99 | 3.16 | 60.0% | 1 | $154,946 |
| Edgebrook Care Center Edgerton | 25.3 | 54 | 1.70 | 2.45 | — | 1 | None |
| Bethel Lutheran Home Madison | 26.5 | 59 | 2.42 | 3.73 | 52.2% | 2 | $56,430 |
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.