Riverview Healthcare Center
611 EAST 2ND AVE, Flandreau, SD, 57028
Yes. Federal inspectors cited 20 deficiencies against Riverview Healthcare Center in Flandreau, South Dakota at its most recent standard inspection on 2025-02-27, 11 of them arising from complaints. 4 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 6 times, totalling $176,867. CMS currently flags this home for abuse. Medicare rates it 1 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2026-03-25 · from a complaint · Immediate jeopardy to resident health or safety
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2026-03-25 · from a complaint · Actual harm to a resident
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2026-01-28 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2026-01-28 · from a complaint · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2026-01-28 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2025-11-18 · from a complaint · Actual harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-11-18 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2025-09-25 · from a complaint · Actual harm to a resident
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · F0697 · 2025-09-25 · from a complaint · Actual harm to a resident
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2025-09-25 · from a complaint · Actual harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-09-25 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-02-27 · standard survey · Actual harm to a resident
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2025-02-27 · standard survey · Actual harm to a resident
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · F0697 · 2025-02-27 · standard survey · Actual harm to a resident
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0584 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · F0865 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
Keep all essential equipment working safely.
Environmental Deficiencies · F0908 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns Riverview Healthcare Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC | Organization | 100% | since 08/31/2023 |
| RIVERVIEW SNF OPERATIONS, LLC | Organization | NOT APPLICABLE | since 08/31/2023 |
| CH PACIFIC NORTHWEST HOLDINGS LLC | Organization | NOT APPLICABLE | since 08/31/2023 |
| COUVE FINANCIAL SERVICES LLC | Organization | NOT APPLICABLE | since 08/31/2023 |
| COUVE HEALTHCARE CONSULTING LLC | Organization | NOT APPLICABLE | since 08/31/2023 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | Organization | NOT APPLICABLE | since 08/31/2023 |
| SOUTH DAKOTA SNF CONSULTING LLC | Organization | NOT APPLICABLE | since 08/31/2023 |
| HERZKA, YISROEL | Individual | NOT APPLICABLE | since 08/31/2023 |
| JOHNSON, CHARLES | Individual | NOT APPLICABLE | since 08/31/2023 |
| OLSON, BRENNA | Individual | NOT APPLICABLE | since 08/31/2023 |
| YENOWITZ, YITZCHOK | Individual | NOT APPLICABLE | since 08/31/2023 |
| LOWE, LEONOR | Individual | NOT APPLICABLE | since 08/31/2023 |
Part of the EVERGREEN HEALTHCARE GROUP group.
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 435086.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction