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Nursing HomeMedicaid Investigative

United Living Community

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

405 First Ave, Brookings, SD 5700667 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.6/5

based on 16 Google reviews

5
4
3
2
1
United Living Community Nursing Home in Brookings, SD — Street View
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6/ 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 (12 vs median 5.0)
  • High RN turnover (75%)

Below average in SD · Below recommended RN staffing · Above recommended total nurse staffing · $12,695 in fines · Abuse citation

Source: Medicare data

What this means for your family

While the facility was historically praised for its cleanliness, recent reports suggest serious issues with management and clinical oversight. Families should be cautious and conduct a thorough tour, specifically asking about current staffing stability and how wound care and medical documentation are managed.

Google Reviews

Google Reviews

16 reviews on Google
United Living Community currently faces significant criticism regarding management practices and staff treatment, with recent reviews highlighting concerns about wound care documentation and workplace culture. While older reviews from 2019 praised the facility for its cleanliness and friendly staff, the most recent feedback from 2025 and 2026 indicates a sharp decline in satisfaction.

Quality Themes

Tap a score for details
FoodN/AStaff3.0Clean8.0ActivitiesN/AMeds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Clean and modern facility
  • Friendly staff interactions

Concerns

  • Poor management and toxic workplace culture (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.72018(3)3.02019(3)5.02021(1)1.02024(1)1.02025(4)2.02026(4)

Distribution · 16 analyzed

5
5
4
1
3
1
2
0
1
9

How They Respond to Reviews

44%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1We noticed your team is very active in responding to feedback online; how does the management team use resident and family input to improve daily operations?
  • 2Could you walk us through your specific protocols for medication administration and how you ensure accuracy for every resident?
  • 3With the staff being a noted strength here, how do you ensure consistent communication between the nursing team and family members regarding health updates?
  • 4What is the process for handling medical emergencies or sudden changes in a resident's condition during the overnight hours?
  • 5What kind of daily activities or social programs do you have planned to keep residents engaged and connected with one another?
  • 6How does the facility work to maintain the cleanliness and modern feel of the resident rooms and common areas?

Personalized based on this facility's data


Key Review Excerpts

It is always clean and the workers are friendly.

Local Guide · 2019★★★☆☆

Wound care orders not followed due to lack of supplies. Upper management lunches biweekly. False documentation of pressure wounds or no documentation.

Family member · 2025☆☆☆☆

I am absolutely disgusted and appalled by the way they treat their employees at this place. While visiting my grandfather earlier this week, I overheard one of the upper supervisor/managers scolding one of their employees for not being able to bend over and wipe something off of the floor.

Grandchild of resident · 2025☆☆☆☆
Source: 16 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.59hrs
79%
Registered nurses for medical care
Total Nursing
4.64hrs
OK
All nurses + aides combined
Staff Turnover
52%
Lower is better (< 30% = good)
RN Turnover
75%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

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

10

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility36.3%
Worse than Avg
Here
36.3%
US
15.5%
SD
24.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility30.8%
Worse than Avg
Here
30.8%
US
14.4%
SD
21.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
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 Facility26.0%
Worse than Avg
Here
26.0%
US
15.3%
SD
20.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.1%
Better than Avg
Here
10.1%
US
19.5%
SD
17.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility28.7%
Worse than Avg
Here
28.7%
US
19.4%
SD
25.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility31.8%
Worse than Avg
Here
31.8%
US
79.8%
SD
78.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility74.7%
Worse than Avg
Here
74.7%
US
81.8%
SD
82.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
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

12deficiencies
2penalties
Well above state avg (6.8)
8 complaint-triggered
$12,695 in fines

This facility has concerning patterns with recurring safety and protection issues, with families filing multiple complaints about resident abuse and neglect across several surveys. The most frequent problems involve food safety and meal quality, protection from abuse and neglect, and resident rights violations. While all deficiencies have correction dates, the repeated nature of abuse-related violations and ongoing family complaints warrant careful scrutiny during any visit.

Dec 4, 2025Routine
7
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.

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.

0803Potential for harm · PatternCorrected

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.

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.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Dec 4, 2025Complaint
1
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.

Aug 14, 2025Complaint
1
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.

Jul 10, 2025Complaint
3
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.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

Jun 26, 2024Complaint
3
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.

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.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

May 23, 2024Routine
6
0625Potential for harm · PatternCorrected

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 · PatternCorrected

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.

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0353Minimal · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Federal Penalties

Fine

Jul 10, 2025

$31,280

Fine

May 23, 2024

$12,695

Ownership & Operations

Who Operates This Facility

Owner / Operator

United Living Community

Organization Type

nonprofit

Ownership & Management

Owners

United Retirement Center

Owner · Organization

100%

Key personnel

Hight, KalebContracted Managing EmployeeBaker, JoanOfficer / DirectorBell, JulieOfficer / DirectorBrotsky, RobertOfficer / DirectorGilkerson, JamesOfficer / Director
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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