United Living Community
About United Living Community
United Living Community is a 67-bed nonprofit nursing home in Brookings, SD. Medicare rates it 2 out of 5 stars overall (below average); the average in South Dakota is 2.9. At its last full inspection (Dec 2025), inspectors found 8 problems, close to the South Dakota average of 6.7. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 47 min a day with each resident, more than the South Dakota average of 3 hr 47 min. About 50% of its nursing staff left in the past year. Medicare fined it $33,027 in the last three years. Its quality ratings are similar for short-term rehab (3 of 5) and long-term care (2 of 5).
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
2 strengths and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Dec 2025.Strength
- Nurse staffing per resident4 hr 47 min a daySouth Dakota average: 3 hr 47 minStrength
About average
- Health citations at last inspection8 (Dec 2025)South Dakota average: 6.7. Most citations are minor and corrected within weeks.About average
- Nursing staff turnover50% a yearSouth Dakota average: 48%About average
Things to ask about
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- Abuse citationOn recordMedicare shows this icon when a home was cited for abuse, neglect or exploitation in recent inspections. Ask what happened and what changed.Ask about this
- Fines and penalties2 fines totaling $33,027Federal penalties from the last three years, most recently in Jul 2025 (about 1 year ago). The national average is $30,972 per home.Ask about this
- Registered nurse time per resident36 min a daySouth Dakota average: 48 minWorse than state average
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.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital4.0%State average: 19.9%Better than average
- Needed an emergency room visit6.3%State average: 12.0%Better than average
- Newly given antipsychotic drugs2.1%State average: 2.0%About average
Physical therapist time: about 0 minutes per resident a day. That is less than the state average of 3 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury7.4%State average: 5.5%Worse than average
- Pressure sores (bedsores)5.4%State average: 4.6%About average
- Given antipsychotic drugs39.4%State average: 24.6%Worse than average
- Hospital stays per 1,000 resident days1.2State average: 1.5Better than average
Source: Medicare (CMS) quality measures, compared with the South Dakota average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In South Dakota, Medicaid pays for 54% of resident days at a typical home.
- 89% Medicaid
- 8% Medicare
- 3% Private pay, insurance and other
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 2 stars now, down from 5 stars in January 2019. It has ranged from 2 to 5 stars and changed 11 times.
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 5 | 4 | 5 | 3.4 |
| Jan 2020 | 4 | 3 | 4 | 2 | 3.7 |
| Jan 2021 | 4 | 3 | 4 | 3 | 3.9 |
| Jan 2022 | 3 | 3 | 4 | 1 | 4.2 |
| Jan 2023 | 4 | 4 | 4 | 3 | 4.1 |
| Jan 2024 | 4 | 4 | 4 | 4 | 4.3 |
| Feb 2025 | 2 | 2 | 3 | 2 | 4.2 |
| Feb 2026 | 2 | 2 | 4 | 3 | 4.7 |
| Sep 2026 | 2 | 2 | 4 | 2 | 4.8 |
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.
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.
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See all nearby homes →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.