Michael J Fitzmaurice South Dakota Veterans Home
2500 Minnekahta Avenue · Hot Springs, SD · 57747 · 6057455127
78 certified beds Government - State
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 7.07 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.35 | 0.55–0.75 |
| Weekend hours / resident-day | 5.84 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $39,293 |
Inspection citations (15 in the current record)
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Actual harm · G May 1, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 27, 2025 · Quality of Life and Care
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Actual harm · G May 1, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 1, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 1, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 27, 2025 · Quality of Life and Care
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Potential for harm · F May 1, 2025
Provide and implement an infection prevention and control program.
Corrected July 31, 2025 · Infection Control
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Potential for harm · E May 1, 2025
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 June 27, 2025 · Environmental
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Potential for harm · D February 15, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 31, 2024 · Resident Rights
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Potential for harm · D February 15, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected March 31, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 15, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 31, 2024 · Quality of Life and Care
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Potential for harm · E February 15, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 31, 2024 · Quality of Life and Care
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Potential for harm · D February 15, 2024
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected March 31, 2024 · Nutrition and Dietary
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Potential for harm · E February 15, 2024
Provide and implement an infection prevention and control program.
Corrected March 31, 2024 · Infection Control
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Potential for harm · D February 16, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 13, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 16, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 13, 2023 · Resident Assessment and Care Planning
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Potential for harm · E February 16, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 13, 2023 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 1, 2025 | Fine | $39,293 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 43A136 · certified since February 11, 2011. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.