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Nursing HomeMedicaid Investigative

Sanford Care Center Vermillion

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

125 S Walker Street, Vermillion, SD 5706966 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 6 Google reviews

5
4
3
2
1
Sanford Care Center Vermillion Nursing Home in Vermillion, SD — Street View
Street View

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2/ 10
low Risk

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

Source: Medicare data

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 details
FoodN/AStaff1.0CleanN/AActivitiesN/AMeds1.0MemoryN/AComms1.0ValueN/A

Strengths

  • Dedicated staff (historical mention)

Concerns

  • Serious allegations of neglect and physical injury to residents

Rating Trends

Tap a year to see what changed

2345.02019(2)1.02022(1)1.02024(2)5.02025(1)

Distribution · 6 analyzed

5
3
4
0
3
0
2
0
1
3

How They Respond to Reviews

0%response rate

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.

Spouse of patient · 2024☆☆☆☆

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.

Daughter of resident · 2024☆☆☆☆
Source: 6 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.78hrs
OK
Registered nurses for medical care
Total Nursing
3.45hrs
84%
All nurses + aides combined
Staff Turnover
46%
Lower is better (< 30% = good)
RN Turnover
0%
Lower is better (< 30% = good)

Total 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

Medicare Rating
3/ 5
Better Than Avg

8

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility26.6%
Worse than Avg
Here
26.6%
US
14.4%
SD
21.4%
Clay
14.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
SD
5.3%
Clay
11.7%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility26.8%
Worse than Avg
Here
26.8%
US
19.5%
SD
17.5%
Clay
19.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility24.5%
Worse than Avg
Here
24.5%
US
15.5%
SD
24.5%
Clay
17.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.7%
Worse than Avg
Here
26.7%
US
19.4%
SD
25.6%
Clay
18.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
SD
95.2%
Clay
96.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility91.7%
Better than Avg
Here
91.7%
US
81.8%
SD
82.7%
Clay
85.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
1penalties
Near state avg (6.8)
3 complaint-triggered
$44,577 in fines

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, 2026Complaint
2
0689Actual harm · 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.

0600Potential for 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.

Oct 2, 2025Routine
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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Jul 1, 2024Routine
6
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.

0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0838Potential for harm · WidespreadCorrected

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.

0578Potential for harm · IsolatedCorrected

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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 1, 2024Complaint
1
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

Jul 1, 2024

$44,577

Ownership & Operations

Who Operates This Facility

Owner / Operator

Sanford Care Center Vermillion

Organization Type

nonprofit

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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