Flandreau Santee Sioux Tribe Care Center is a 42-bed nonprofit nursing home in Flandreau, SD. Medicare rates it 3 out of 5 stars overall (average); the average in South Dakota is 2.9.
Inspections: 3 problems at its last full inspection (Aug 2025), fewer than the South Dakota average of 6.7. 1 recent citation was for residents being harmed or put in immediate danger.
Fines: $27,967 in federal fines in the last three years.
Stands out: 1.2% of long-term residents lost too much weight, compared with 5.2% nationally.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Key details
Facility nameFlandreau Santee Sioux Tribe Care Center
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Overall rating3 of 5Average
Health inspections3 of 5Average
Quality measures3 of 5Average
Not yet ratedStaff RatingNot available
Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
Serious health citations1 for actual harmCitations where inspectors found residents were harmed or put in immediate danger, most recently in Sep 2025 (about 1 year ago). All 1 were later corrected.
Ask about this
Fines and penalties3 fines totaling $27,967Federal penalties from the last three years, most recently in Sep 2025 (about 1 year ago). The national average is $30,972 per home.
Worth asking about
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the South Dakota average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
★★★★★ Medicare quality rating: 3 of 5 (average)
Falls with a major injury9.5%State average: 5.5%
Worse than average
Pressure sores (bedsores)7.7%State average: 4.6%
Worse than average
Given antipsychotic drugs39.3%State average: 24.6%
Worse than average
Source: Medicare (CMS) quality measures, compared with the South Dakota average. Lower is better for every rate shown.
What a stay may cost
Medicare: this home isn’t certified for Medicare, so Medicare won’t pay for a stay here.
Medicaid: this home is certified for Medicaid, which pays for most long-term care once savings run low. Ask whether a Medicaid bed is available. Medicaid rules in South Dakota →
Medicare amounts from Medicare.gov. Prices vary with room type and care needs, so always confirm with the home.
Ratings over time
Its overall Medicare rating is 3 stars now, the same as 3 stars in May 2024. It has ranged from 2 to 5 stars and changed 6 times.
Overall rating3★
Health inspections3★
Staffing4★
Quality of care3★
Nurse hours per resident per day7.6
202420252026
Show the values by year
Month
Overall
Inspections
Staffing
Quality
Nurse hours
May 2024
3
4
1
–
9.2
Feb 2025
4
3
5
4
6.0
Feb 2026
3
3
4
4
7.2
Sep 2026
3
3
–
3
–
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
All inspection citations
Every health and fire-safety citation from this home’s recent state inspections, combined, and how serious CMS rated each one. The “Health citations at last inspection” figure above counts only health citations from the most recent inspection.
Fire safety citation detail
Violations found during this facility's separate fire and life-safety inspection - things like sprinklers, exits, and emergency plans.
Deficiencies by category
How this facility's citations break down by type, so you can see whether problems concentrate in clinical care or in the building itself.
Care & clinical
Fire safety & building
Staffing detail
Reported nursing hours per resident per day, with state and national averages where available.
Resident outcome measures (this facility's actual rates)
This facility's own rates on things like falls, pressure ulcers, and hospital readmissions, based on real resident assessment data CMS collects.
Claims-based quality measures
Outcomes calculated from Medicare claims data rather than the facility's own reporting, including hospitalizations and ER visits.
Medicare Value-Based Purchasing performance
How this facility scored in Medicare's pay-for-performance program, which raises or lowers its Medicare payments based on hospital readmission rates.
Full comparison — state & national context
How this facility's key metrics stack up against state and national averages, side by side.
How health inspection ratings are scored
State-specific deficiency point thresholds for the health inspection rating.
Facility classifications
No flags on record
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