See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Michael J Fitzmaurice South Dakota Veterans Home

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2500 Minnekahta Avenue, Hot Springs, SD 5774778 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 1 Google review

Watch Michael J Fitzmaurice South Dakota Veterans Home

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (2/5 stars)
  • Above-median deficiencies (6 vs median 5.0)

Below average in SD · Meets national RN staffing standard · Above recommended total nurse staffing · $39,293 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.35hrs
OK
Registered nurses for medical care
Total Nursing
7.07hrs
OK
All nurses + aides combined

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility27.3%
Worse than Avg
Here
27.3%
US
15.5%
SD
24.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
12.1%
SD
5.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility11.7%
Better than Avg
Here
11.7%
US
15.3%
SD
20.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility17.7%
Better than Avg
Here
17.7%
US
19.4%
SD
25.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.1%
Worse than Avg
Here
22.1%
US
14.4%
SD
21.4%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility11.4%
Worse than Avg
Here
11.4%
US
5.3%
SD
5.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility85.7%
Better than Avg
Here
85.7%
US
81.8%
SD
82.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
1penalties
Near state avg (6.8)
1 complaint-triggered
$39,293 in fines

This facility has faced significant challenges including a family-filed complaint about resident protection from abuse, with recurring problems in infection control and pressure ulcer care appearing across multiple surveys. The most frequent issues involve wound care management, infection prevention, and safety oversight, with all deficiencies reportedly corrected by the facility but patterns persisting over time.

May 1, 2025Routine
6
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0909Potential for harm · PatternCorrected

Environmental Deficiencies

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0004Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

May 1, 2025Complaint
1
0600Actual harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Feb 15, 2024Routine
6
0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0800Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Feb 16, 2023Routine
3
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Federal Penalties

Fine

May 1, 2025

$39,293

Ownership & Operations

Who Operates This Facility

Owner / Operator

Michael J Fitzmaurice South Dakota Veterans Home

Organization Type

government

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Call