DBelow average · score 29/100 · #83 of 94 in South Dakota
Palisade Healthcare Center
920 4Th St, Garretson, SD 57030 · 55 certified beds · For profit - Corporation
Staffing 3.2 nurse hours per resident-daybottom quarter in South Dakota
12 health deficiencies at the last standard survey (CMS severity score 207)bottom quarter
$154,946 in fines in 3 years
Why Palisade Healthcare Center is graded D
Each metric below is percentile-ranked against South Dakota nursing homes in the same size band (small, 55 beds), then weighted. The score is the weighted sum; A ≥ 72, B ≥ 58, C ≥ 42, D ≥ 28, F below. Nothing here can be edited or paid for.
Palisade Healthcare Center at a Glance
D
29/100
Nurse staffing · weight 30Total nurse hours per resident per day, as reported to CMS (PBJ). Raw: 3.16 h.
22<small style="font-size:12px;color:var(--muted)">th pct</small>Health inspections · weight 30Health deficiencies cited at the last standard survey and complaint surveys, weighted by severity. Raw: 207.
8<small style="font-size:12px;color:var(--muted)">th pct</small>Quality measures · weight 25CMS quality-measure rating: falls, pressure ulcers, rehospitalisation, antipsychotic use. Raw: 4.
78<small style="font-size:12px;color:var(--muted)">th pct</small>Penalties · weight 15Fines and payment denials in the last three years. Raw: $154,946 fines, 0 denials.
3<small style="font-size:12px;color:var(--muted)">th pct</small>CMS overall star ratingMedicare's own 1–5 rating, shown for reference; not part of our grade.
1/5Data: CMS Care Compare, as of Aug 1, 2026 · graded Sep 11, 2026 · peer group: South Dakota, small facilities · CMS record 435115 · How we grade.
Facility details
Address920 4Th St, Garretson, SD 57030
Phone6055943466
CountyMinnehaha
OwnershipFor profit - Corporation
Certified beds55
AcceptsMedicare Medicaid
Special Focus FacilityNo
Higher-graded nursing homes nearby
1
Avera Maryhouse Long Term Care - Pierre, SD · 80 beds
- Staffing 4.6 nurse hours per resident-day — top quarter in South Dakota
- 2 health deficiencies at the last standard survey (CMS severity score 8) — top 10%
1
White River Health Care Center - White River, SD · 52 beds
- Staffing 5.5 nurse hours per resident-day — top 10% in South Dakota
- No health deficiencies at the last standard survey — top 10%
1
Avera Brady Health And Rehab - Mitchell, SD · 84 beds
- Staffing 4.4 nurse hours per resident-day — top quarter in South Dakota
- 3 health deficiencies at the last standard survey (CMS severity score 12) — top 10%
A grade is a shortlist tool, not medical or legal advice. Visit the facility, ask for the latest survey report, and talk to residents' families before choosing.