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Nursing HomeMedicaid Investigative

Tekakwitha Living Center

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

6 E Chestnut, Sisseton, SD 5726240 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 4 Google reviews

Tekakwitha Living Center Nursing Home in Sisseton, SD — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

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

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (13 vs median 5.0)

Bottom 25% in SD · $37,079 in fines

Source: Medicare data

What this means for your family

Given the reports of inconsistent care and communication regarding basic needs like meals, we strongly recommend conducting unannounced visits during different times of the day. Observe how staff interact with residents and ask specifically how the facility ensures residents are alerted for meals and assisted with daily hygiene routines.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.69hrs
92%
Registered nurses for medical care
Total Nursing
2.78hrs
68%
All nurses + aides combined

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
3/ 5
Better Than Avg

6

measures

Worse Than Avg

7

measures

Mixed Results

4

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility49.6%
Worse than Avg
Here
49.6%
US
19.5%
SD
17.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.3%
Better than Avg
Here
2.3%
US
12.1%
SD
5.3%

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

🩺

Residents with a long-term catheter

↓ Lower is better
This Facility9.2%
Worse than Avg
Here
9.2%
US
0.9%
SD
2.1%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility12.1%
Worse than Avg
Here
12.1%
US
5.3%
SD
5.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
SD
95.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility21.2%
Worse than Avg
Here
21.2%
US
15.3%
SD
20.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
SD
82.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility68.2%
Worse than Avg
Here
68.2%
US
79.8%
SD
78.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility12.2%
Worse than Avg
Here
12.2%
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

13deficiencies
3penalties
Well above state avg (6.8)
5 complaint-triggered
$37,079 in fines

This facility shows recurring problems across multiple care areas, with families filing at least 5 complaint reports that triggered federal investigations. The most persistent issues involve nutrition and dietary services, resident rights violations, and infection control failures that appear repeatedly across surveys from 2023 to 2026. While many deficiencies show correction dates, the pattern of recurring problems in core care areas suggests ongoing operational challenges that families should carefully consider before placement.

Jan 22, 2026Routine
15
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.

0851Potential for harm · WidespreadCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0576Potential for harm · PatternCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0882Potential for harm · PatternCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0211Potential for harm · PatternCorrected

Egress Deficiencies

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

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.

0689Potential for 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.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0801Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0004Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0233Minimal · Widespread

Egress Deficiencies

Install resident room doors of proper design and width.

0251Minimal · Widespread

Egress Deficiencies

Conform to length requirements for dead end corridors.

Jun 18, 2025Complaint
3
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

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.

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.

Jul 18, 2024Routine
12
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0882Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0233Minimal · Widespread

Egress Deficiencies

Install resident room doors of proper design and width.

0251Minimal · WidespreadCorrected

Egress Deficiencies

Conform to length requirements for dead end corridors.

Jan 10, 2024Complaint
2
0803Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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.

Jun 1, 2023Routine
9
0802Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0803Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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.

0758Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0233Minimal · Widespread

Egress Deficiencies

Install resident room doors of proper design and width.

0251Minimal · Widespread

Egress Deficiencies

Conform to length requirements for dead end corridors.

Federal Penalties

Fine

Jul 18, 2024

$30,729

Fine

Nov 13, 2023

$2,117

Fine

Oct 23, 2023

$4,233

Ownership & Operations

Who Operates This Facility

Owner / Operator

Tekakwitha Living Center

Organization Type

nonprofit

Ownership & Management

Owners

Coteau Des Prairies Hospital

Owner · Organization

100%

Key personnel

Cameron, ErinOfficer / DirectorGleason, DavidOfficer / DirectorGlynn, MatthewOfficer / DirectorHippen, YvonneOfficer / DirectorJaspers, TerryOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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