Tuff Memorial Home
Scout 96Hills, MN · 48 beds
5.0CMS rating
Skilled NursingModerate availability
One of Hills's top-rated skilled nursing communities.
Est. $8,570–$10,510/mo
View full evaluation →Skilled NursingCMS verified
Palisade Healthcare Center
920 4TH St, Garretson, SD 57030 · Minnehaha County
Evergreen Healthcare Group provides skilled nursing, rehabilitation therapy, long-term care, post-acute care, memory support, and assisted living services across the western United States. Our healthcare communities are committed to compassionate patient care, short-term rehabilitation, senior living support, and crea…
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Use CautionHaven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates use caution.Photos via google places.
Availability outlook● Fills quickly
Typically 86% full (47 of 55 beds occupied on an average day).
If this community is on your shortlist, checking current openings sooner rather than later genuinely matters here.
Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.
Our evaluation
An honest, data-grounded look at this community — every claim is drawn from public inspection data.
A low federal rating — review the details closely
Palisade Healthcare Center is a for-profit skilled nursing facility in Garretson, SD, with 55 certified beds and an average of about 47 residents per day. It operates as part of the Evergreen Healthcare Group network.
Medicare rates it 1 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 1/5 on health inspections, 3/5 on staffing, 3/5 on quality measures.
Staff provide about 3.41 total nurse hours per resident each day (0.56 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 58.2%, higher than the ~52% national average. On the safety record, CMS notes 12 health deficiencies at its most recent standard survey, and 4 federal fines totaling $154,946 in the recent record. Note: CMS has flagged this facility with an abuse icon. We strongly recommend reviewing the full inspection report and discussing it on any tour. This facility is in the CMS Special Focus Facility program, which targets homes with a history of serious quality problems.
Strengths
- ✓Full sprinkler system
- ✓Active resident & family council
Things to ask about
- •Below-average 1-star overall CMS rating
- •Below-average health-inspection rating
- •Below-average nurse staffing (3.41 hrs/resident/day)
- •12 deficiencies at last survey
- •$154,946 in federal fines
- •CMS abuse-citation flag — review carefully
Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated Garretson options — our advisors can help you compare.
At a glance
- Certified beds
- 55
- Avg. residents/day
- 47
- Ownership
- For profit - Corporation
- Part of a chain
- Evergreen Healthcare Group
- Continuing care
- No
- CMS provider #
- 435115
Federal quality ratings
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
Overall rating
Health inspections
Staffing
Quality measures
Pricing & cost
We publish transparent estimates and verify exact pricing on request. No surprises.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $8,570–$10,510/mo (median $9,290) | Local market estimate |
2024–2026 published survey medians, state median adjusted to local Sioux Falls prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs
Staffing & care
More nursing time per resident — and lower turnover — generally means more attentive care.
- Total nurse hrs / resident / day
- 3.41
- National avg ≈ 3.9
- RN hrs / resident / day
- 0.56
- National avg ≈ 0.75
- Nursing staff turnover
- 58.2%
- National avg ≈ 52%
Safety & inspection record
Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.
⚠️ This community carries a serious CMS flag (abuse citation) (Special Focus Facility). We recommend reviewing the full inspection report and raising it directly on any tour.
- Health deficiencies (last survey)
- 12
- Federal fines
- 4 ($154,946)
- Total penalties
- 4
- Last standard survey
- 2025-08-07
- Sprinkler system
- Yes
- Resident & family council
- Resident
What inspectors found
The most recent findings from federal health inspections (29 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.
2026-04-16Severity H — actual harmFrom a complaintFreedom 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.
2026-04-16Severity E — potential for harmFrom a complaintEnvironmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
2026-04-16Severity D — potential for harmFrom a complaintInfection Control Deficiencies
Provide and implement an infection prevention and control program.
2025-11-19Severity J — immediate jeopardyFrom a complaintQuality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-09-17Severity G — actual harmFrom a complaintQuality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-08-07Severity G — actual harmQuality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-08-07Severity E — potential for harmNursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
2025-08-07Severity E — potential for harmPharmacy 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, compar…
Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.
Penalty history
Federal fines and Medicare/Medicaid payment denials on record.
| Date | Type | Amount |
|---|---|---|
| 2025-11-19 | Fine | $122,476 |
| 2025-09-17 | Fine | $8,608 |
| 2025-08-07 | Fine | $11,713 |
| 2024-11-26 | Fine | $12,149 |
Services & amenities
- ✓ Full automatic sprinkler system
- ✓ Medicare & Medicaid certified
- ✓ 24-hour licensed nursing
- ✓ On-site rehabilitation therapy
- ✓ Physical therapy
- ✓ Occupational therapy
- ✓ Rehabilitation services
- ✓ Respite / short-term stays
- ✓ Daily activities & events
- ✓ 24/7 staff
Location
920 4TH St, Garretson, SD
- Monday: Open 24 hours
- Tuesday: Open 24 hours
- Wednesday: Open 24 hours
- Thursday: Open 24 hours
- Friday: Open 24 hours
- Saturday: Open 24 hours
- Sunday: Open 24 hours
Reviews & reputation
We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.
Verified family reviews
No verified family reviews yet for Palisade Healthcare Center.
Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.
Talk to an advisor about this communityCommon questions about Palisade Healthcare Center
How much does Palisade Healthcare Center cost?
Palisade Healthcare Center does not publish exact rates. Comparable skilled nursing in the Garretson, SD area typically runs $8,570–$10,510 per month (median $9,290, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.
What is Palisade Healthcare Center's Medicare rating?
Medicare (CMS) rates Palisade Healthcare Center 1 out of 5 stars overall, including 1/5 for health inspections, 3/5 for staffing, 3/5 for quality measures. The national average is about 3 stars.
How is the staffing at Palisade Healthcare Center?
Staff provide about 3.41 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 58.2% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
What did inspectors find at Palisade Healthcare Center?
Palisade Healthcare Center has 29 health citations on its recent federal inspection record (last standard survey: 2025-08-07). The full citation-by-citation detail, with severity levels, is published on this page.
Does Palisade Healthcare Center have availability?
Typically 86% full (47 of 55 beds occupied on an average day). Availability changes weekly — a Haven advisor can confirm current openings at no cost.
What types of care does Palisade Healthcare Center offer?
Palisade Healthcare Center in Garretson, SD offers skilled nursing and is licensed for 55 beds.
The best time to decide is before a crisis decides for you
Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.
- Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Sioux Falls.
- The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
- Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.
Your next steps — this week
- 1Confirm the fitCheck the inspection record and staffing data on this page against your loved one's needs.
- 2Get exact pricing & availabilityRequest current rates for Palisade Healthcare Center — takes one minute, answered same day.
- 3Tour 2–3 communitiesCompare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
- 4Hold a spotMost communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogleOfficial website
Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.
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