RIVERVIEW HEALTHCARE CENTER

611 EAST 2ND AVE, FLANDREAU, SD 57028 · CCN 435086 · 63 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing3 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 4 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

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Serious inspection findings

2026-03-25 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2026-03-25 — ACTUAL HARM (tag F0600, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2025-11-18 — ACTUAL HARM (tag F0686, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2025-09-25 — ACTUAL HARM (tag F0600, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2025-09-25 — ACTUAL HARM (tag F0697, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide safe, appropriate pain management for a resident who requires such services.

2025-09-25 — ACTUAL HARM (tag F0760, severity G)

Pharmacy Service Deficiencies · correction not recorded in CMS data

Ensure that residents are free from significant medication errors.

2025-02-27 — ACTUAL HARM (tag F0686, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2025-02-27 — ACTUAL HARM (tag F0684, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

3.00

state median 2.96

Weekend staffing gap

−5%

fewer nursing hours on weekends · state median −10%

RN hours / resident / day

0.53

registered nurses only

Contract (agency) staff

32%

share of all nursing hours

Nursing staff turnover

67%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

6 enforcement action(s), totaling $176,867 in fines.

Date	Type	Amount
2026-03-25	Fine	$31,500
2025-11-18	Fine	$15,574
2025-09-25	Fine	$36,414
2025-02-27	Fine	$65,520
2025-01-08	Fine	$15,330
2024-10-31	Fine	$12,529

Ownership

Ownership type: For profit - Limited Liability company. Part of the EVERGREEN HEALTHCARE GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

MISSOULA HEALTH & REHABILITATION CENTER (MISSOULA, MT) — CMS overall4 of 5
LIVINGSTON HEALTH & REHABILITATION CENTER (LIVINGSTON, MT) — CMS overall2 of 5
POLSON HEALTH & REHABILITATION CENTER (POLSON, MT) — CMS overall4 of 5
HOT SPRINGS HEALTH & REHABILITATION CENTER (HOT SPRINGS, MT) — CMS overall4 of 5
LAUREL HEALTH & REHABILITATION CENTER (LAUREL, MT) — CMS overall1 of 5
ASPEN MEADOWS HEALTH AND REHABILITATION CENTER (BILLINGS, MT) — CMS overall2 of 5
EL JEN SKILLED CARE (LAS VEGAS, NV) — CMS overall1 of 5
ORMSBY POST ACUTE REHABILITATION (CARSON CITY, NV) — CMS overallnot rated

Full citation history

By severity: Actual harm: 10 · Potential for more than minimal harm: 21 · Immediate jeopardy: 4

Survey date	Tag	Category	Severity	Corrected
2026-03-25	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2026-03-25	F0689	Quality of Life and Care Deficiencies	J	not recorded
2026-01-28	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2026-01-28	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-01-28	F0684	Quality of Life and Care Deficiencies	E	not recorded
2025-11-18	F0686	Quality of Life and Care Deficiencies	G	not recorded
2025-11-18	F0689	Quality of Life and Care Deficiencies	D	not recorded
2025-09-25	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2025-09-25	F0689	Quality of Life and Care Deficiencies	E	not recorded
2025-09-25	F0697	Quality of Life and Care Deficiencies	G	not recorded
2025-09-25	F0760	Pharmacy Service Deficiencies	G	not recorded
2025-02-27	F0584	Resident Rights Deficiencies	E	not recorded
2025-02-27	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-02-27	F0684	Quality of Life and Care Deficiencies	G	not recorded
2025-02-27	F0686	Quality of Life and Care Deficiencies	G	not recorded
2025-02-27	F0697	Quality of Life and Care Deficiencies	G	not recorded
2025-02-27	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2025-02-27	F0865	Administration Deficiencies	D	not recorded
2025-02-27	F0880	Infection Control Deficiencies	E	not recorded
2025-02-27	F0908	Environmental Deficiencies	D	not recorded
2025-01-08	F0583	Resident Rights Deficiencies	D	not recorded
2025-01-08	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2025-01-08	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2025-01-08	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2025-01-08	F0835	Administration Deficiencies	E	not recorded
2024-10-31	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2024-02-15	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2024-02-15	F0880	Infection Control Deficiencies	E	not recorded
2023-09-06	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-09-06	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-09-06	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-02-16	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-02-16	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-02-16	F0686	Quality of Life and Care Deficiencies	G	not recorded
2023-02-16	F0812	Nutrition and Dietary Deficiencies	F	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “RIVERVIEW HEALTHCARE CENTER, FLANDREAU” at medicare.gov/care-compare.