Sanford Care Center Vermillion
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 6 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
Below average in SD · Meets national RN staffing standard · $44,577 in fines
What this means for your family
The recent reviews for this facility are deeply concerning, citing allegations of physical injury and significant failures in medical response. Families should exercise extreme caution and conduct thorough, in-person investigations or seek alternative facilities given the severity of the reported incidents.
Google Reviews
Google Reviews
6 reviews on Google“Sanford Care Center Vermillion faces severe allegations regarding patient safety, neglect, and administrative misconduct. Recent reviews from late 2024 describe traumatic experiences involving lack of medical urgency and serious, unexplained injuries to residents.”
Quality Themes
Tap a score for detailsStrengths
- Dedicated staff (historical mention)
Concerns
- Serious allegations of neglect and physical injury to residents
Rating Trends
Tap a year to see what changed
Distribution · 6 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the recent focus on improving communication, what is your standard process for keeping families updated on changes in a resident's daily health or care plan?
- 2How does your nursing team coordinate medication management to ensure accuracy and consistency for residents?
- 3With the current staffing rating being a strength, how do you ensure that staff members have the time and support to provide personalized, attentive care to each resident?
- 4What specific safety protocols and staff training measures are in place to ensure the physical well-being and protection of residents at all times?
- 5Could you walk me through the daily activity schedule and how you encourage residents to participate and stay engaged with one another?
- 6In the event of a medical emergency, what is your facility's protocol for stabilizing a resident and notifying their family members?
Personalized based on this facility's data
Key Review Excerpts
“After telling them multiple times we just need Ivy fluids, nausuae meds and pain meds they keep asking the same question and took 45mins before they could do anything.”
“My Sister and I went to move our mother from this facility and the lady administrator was mad we we’re taking her and the next day our non verbal mother had a head injury that they denied her care for and she had a severe Bumb on her forehead and a black eye.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 15 measures
8
measures
5
measures
2
measures
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed complaints leading to citations for resident safety hazards and abuse prevention failures, with the most recent complaint in January 2026 still under correction. The facility shows recurring problems with safety supervision, food handling, and daily care assistance across multiple surveys. While most deficiencies have been corrected, the pattern of complaints and repeated safety issues in different areas suggests ongoing care quality concerns that warrant careful consideration.
Jan 29, 2026Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Oct 2, 2025Routine3
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Jul 1, 2024Routine6
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 1, 2024Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Federal Penalties
Fine
Jul 1, 2024
$44,577
Ownership & Operations
Who Operates This Facility
Sanford Care Center Vermillion
nonprofit
Ownership & Management
Owners
Undisclosed
Ownership Data Not Available · Organization
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
6 reviews from families & visitors
Official Website
Visit sanfordhealth.org
Medicare data downloads
Original nursing home datasets
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