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Nursing HomeMedicaid Investigative

Riverview Healthcare Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

611 East 2nd Ave, Flandreau, SD 5702863 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.7/5

based on 12 Google reviews

5
4
3
2
1
Riverview Healthcare Center Nursing Home in Flandreau, SD — Street View
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9/ 10
critical Risk

Quality Concerns Identified

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

  • Special Focus Facility (under heightened CMS scrutiny)
  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Above-median deficiencies (18 vs median 5.0)
  • High staff turnover (68%)

Bottom 25% in SD · Below recommended RN staffing · Worst in EVERGREEN HEALTHCARE GROUP chain · $93,379 in fines · Special Focus Facility (CMS) · Abuse citation

Source: Medicare data

What this means for your family

While some families appreciate the friendly staff and home-like environment, the facility faces serious allegations regarding cleanliness and responsiveness. If you are considering this center, we strongly advise conducting an unannounced visit to inspect the condition of the rooms and linens, and to observe how quickly staff respond to call lights.

Google Reviews

Google Reviews

12 reviews on Google
Riverview Healthcare Center receives highly polarized feedback, with some families praising the friendly staff and homey atmosphere, while others report severe neglect and poor facility conditions. Critical concerns include hygiene issues, inadequate assistance with basic needs like restroom use, and failures in medication management. Families should be aware that while some find the staff caring, the aging infrastructure and reports of inconsistent care are significant points of contention.

Quality Themes

Tap a score for details
Food6.0Staff5.0Clean2.0ActivitiesN/AMeds1.0MemoryN/ACommsN/AValueN/A

Strengths

  • Friendly and caring nursing staff
  • Homey, community-oriented atmosphere
  • Generally well-received food quality

Concerns

  • Poor facility maintenance and cleanliness (mentioned by 3 reviewers)
  • Inadequate staffing leading to slow response times (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02018(1)1.02019(2)2.52022(2)2.02024(4)2.02025(1)3.72026(3)

Distribution · 13 analyzed

5
4
4
1
3
0
2
1
1
7

How They Respond to Reviews

83%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve the daily experience for residents?
  • 2With 63 residents here, how do you ensure that staff are able to respond promptly to call lights and individual requests throughout the day?
  • 3What is your current plan for facility upgrades or deep-cleaning schedules to ensure the environment remains comfortable and well-maintained for my loved one?
  • 4Given the recent focus on health inspection standards, what specific steps is the leadership team taking to improve clinical oversight and medication management processes?
  • 5Since many families appreciate the homey, community-oriented atmosphere here, what are some of the most popular daily activities that help residents connect with one another?
  • 6How do you coordinate with local medical providers to ensure that any urgent health changes are addressed quickly and communicated clearly to our family?

Personalized based on this facility's data


Key Review Excerpts

Anytime I have been there the nurses and aids have been so friendly and caring and it's hard to keep everyone happy with so many people with different problems

Visitor · 2024★★★★★

This is the worst nursing home I have ever been to. No air-conditioning, dirty floors, the sheets and bedspread had huge holes in them.

Friend of resident · 2024☆☆☆☆

My Dad recovered for 2.5 weeks there. Felt like family, food was good, staff was caring and friendly.

Rehab patient's family · 2022★★★★★
Source: 12 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.60hrs
80%
Registered nurses for medical care
Total Nursing
3.36hrs
82%
All nurses + aides combined
Staff Turnover
65%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

6

measures

Worse Than Avg

9

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility35.2%
Worse than Avg
Here
35.2%
US
15.3%
SD
20.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility82.7%
Worse than Avg
Here
82.7%
US
93.4%
SD
95.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility8.0%
Better than Avg
Here
8.0%
US
19.5%
SD
17.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.8%
Better than Avg
Here
4.8%
US
12.1%
SD
5.3%

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

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.5%
Worse than Avg
Here
21.5%
US
14.4%
SD
21.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility18.4%
Mixed vs Avgs
Here
18.4%
US
15.5%
SD
24.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility54.2%
Worse than Avg
Here
54.2%
US
81.8%
SD
82.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility65.1%
Worse than Avg
Here
65.1%
US
79.8%
SD
78.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.1%
Worse than Avg
Here
4.1%
US
1.6%
SD
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

20deficiencies
6penalties
Well above state avg (6.8)
21 complaint-triggered
$93,379 in fines

Recent complaints filed by families have triggered concerns about resident protection from abuse and neglect, with multiple violations persisting across surveys including failure to properly investigate and report incidents. The facility shows recurring problems with wound care, pain management, medication errors, and basic safety protocols. While all deficiencies have correction plans, the pattern of repeated violations in critical care areas suggests ongoing systemic issues that families should carefully consider.

Mar 25, 2026Complaint
2
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0600Actual harm · IsolatedCorrected

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.

Jan 28, 2026Complaint
3
0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Nov 18, 2025Complaint
2
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Sep 25, 2025Complaint
4
0600Actual harm · IsolatedCorrected

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.

0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0760Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

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.

Feb 27, 2025Routine
21
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

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.

0865Potential for harm · IsolatedCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0100Potential for harm · IsolatedCorrected

Construction Deficiencies

Meet other general requirements.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0004Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0039Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0271Minimal · WidespreadCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0222Minimal · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Jan 8, 2025Complaint
5
0600Immediate jeopardy · IsolatedCorrected

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.

0609Immediate jeopardy · 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.

0610Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0835Potential for harm · PatternCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Federal Penalties

Fine

Mar 25, 2026

$31,500

Fine

Nov 18, 2025

$23,960

Fine

Sep 25, 2025

$56,021

Fine

Feb 27, 2025

$65,520

Fine

Jan 8, 2025

$15,330

Fine

Oct 31, 2024

$12,529

Ownership & Operations

Who Operates This Facility

Owner / Operator

Riverview Healthcare Center

Organization Type

for profit

Chain Affiliation

Chain Name

Evergreen Healthcare Group

Chain Size

43 facilities nationwide

Chain avg rating: 2.3/5 · Rank 40 of 41 (Worst)

Ownership & Management

Owners

Pacific Northwest Snf Operations Holdings (sd) LLC

Owner · Organization

100%

Riverview Snf Operations, LLC

Owner · Organization

Ch Pacific Northwest Holdings LLC

Owner (parent company) · Organization

Couve Financial Services LLC

Owner (parent company) · Organization

Couve Healthcare Consulting LLC

Owner (parent company) · Organization

Pacific Northwest Opco Management LLC

Owner (parent company) · Organization

South Dakota Snf Consulting LLC

Owner (parent company) · Organization

Herzka, Yisroel

Owner (parent company)

Johnson, Charles

Owner (parent company)

Olson, Brenna

Owner (parent company)

Yenowitz, Yitzchok

Owner (parent company)

Key personnel

Lowe, LeonorManaging Control - Governing BodySpielman, ShimonOfficer / DirectorYenowitz, YitzchokOfficer / DirectorCouve Financial Services LLCManagerCouve Healthcare Consulting LLCManager
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.

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