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Nursing homeFAID #11719

Palisade Healthcare Community

920 4TH ST, GARRETSON, SD, 57030
(605) 594-3466
55 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
55
CMS facility ID
435115
Care type
Nursing home
County
Minnehaha
Facility name
Palisade Healthcare Community
Legal entity
Palisade Healthcare Center
Street address
920 4TH ST
City / state / ZIP
Garretson, SD 57030
Phone
(605) 594-3466

About this facility — Palisade Healthcare Community

Palisade Healthcare Community is a Medicare/Medicaid-certified skilled nursing facility in Garretson, South Dakota. It is licensed for 55 beds — close to the median for skilled nursing facilities in South Dakota (52 beds).

It is one of 1 senior care facility in Garretson and 96 skilled nursing facilities across South Dakota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Palisade Healthcare Community 37 times across 14 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $154,946 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner
Meredith Fisher
Parent company
Evergreen Healthcare Group
Ownership type
For profit - Corporation

Registered owners & officers

Pacific Northwest Snf Operations Holdings (sd) Llc
Direct owner — 100% stake — since 2023
Ch Pacific Northwest Holdings Llc
Additional disclosable party — since 2023
Cheeks, Donald
Governing body · Operational control · Additional disclosable party — since 2023
Couve Financial Services Llc
Operational control · Additional disclosable party — since 2023
Couve Healthcare Consulting Llc
Operational control · Additional disclosable party — since 2023
Evans, Kayla
Governing body · Operational control · Additional disclosable party — since 2023
Herzka, Yisroel
Additional disclosable party — since 2023
Pacific Northwest Opco Management Llc
Operational control · Additional disclosable party — since 2023
Palisade Snf Operations, Llc
Operational control · Additional disclosable party — since 2023
Palisade Snf Realty Llc
Additional disclosable party — since 2025
Parker, Lourdes
Operational control · Additional disclosable party — since 2023
Rees, Joseph
Operational control · Additional disclosable party — since 2023
Roby, Brittney
Operational control · Additional disclosable party — since 2023
South Dakota Snf Consulting Llc
Operational control · Additional disclosable party — since 2023
Spielman, Shimon
Officer · Operational control · Additional disclosable party — since 2023
Witzcorp Global Llc
Additional disclosable party — since 2023
Yenowitz, Yitzchok
Officer · Operational control · Owner of a disclosable party · Additional disclosable party — since 2023

Regulatory standing

Licensed / certified since
1998-10-01
CMS overall rating
1 of 5 stars
Health deficiencies
12 at the last standard inspection
Federal fines
$154,946 total
Last standard inspection
2025-08-07
Nurse staffing
3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$420 per day (≈ $12,770/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
48% Medicaid · 14% Medicare · 38% private/other
Occupancy
87% (fiscal year 2023)
Vs. state median
2% above the SD median of $412/day — full state cost breakdown

Services & coverage

Licensed beds
55
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-04-16Health inspectionComplaint-triggered3 citations
F-0600
H · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-05-06
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-05-06
F-0919
E · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2026-05-06
2025-11-19Health inspectionComplaint-triggered1 citation
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-11-20
10 earlier / fire-safety inspections (33 citations)
2025-09-17Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-18
2025-08-07Health inspectionComplaint-triggered7 citations
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-08-22
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-25
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-22
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-08-22
F-0761
E · No harm found
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.
Corrected 2025-08-22
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-08-22
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-08-22
2025-03-12Health inspectionComplaint-triggered2 citations
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-03-28
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-28
2024-11-26Health inspectionComplaint-triggered2 citations
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-16
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-12-16
2024-08-07Health inspectionComplaint-triggered1 citation
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-09-13
2024-03-18Health inspection8 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-04-11
F-0578
D · No harm found
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.
Corrected 2024-04-11
F-0584
F · No harm found
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.
Corrected 2024-04-11
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-11
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-11
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-11
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-04-11
F-0909
D · No harm found
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2024-04-11
2023-12-28Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-01
2023-03-08Health inspection3 citations
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-04-14
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-04-14
F-0678
E · No harm found
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2023-04-14
2024-03-18Fire-safety inspection6 citations
K-0131
D · No harm found
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2024-08-15
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-08-15
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-04-11
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2024-04-11
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-04-11
K-0522
D · No harm found
Have an externally vented heating system.
Corrected 2024-04-11
2023-03-08Fire-safety inspection2 citations
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2023-03-28
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-27

Federal penalties

2025-11-19Fine$122,476
2025-09-17Fine$8,608
2025-08-07Fine$11,713
2024-11-26Fine$12,149
Total fines$154,946
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 435115.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 37 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Federal NPI Registry (NPPES)
NPI 1922107887
Monthly federal file
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered