Skilled nursing · SISSETON, SD

TEKAKWITHA LIVING CENTER

6 E CHESTNUT, SISSETON, SD 57262

40 bedsNon profit - Corporation
0.6Clarity
Score history
Aug 20260.6 flagged
Jul 20260.6 flagged
Jun 20260.6 flagged

Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 21 Jul 2026

Read this record before you tour: CMS rates it 1 out of 5 stars overall and 1 for the health inspection that drives it, inspectors levied $37,079 in federal fines over the last 36 months, and antipsychotic use runs 1.8 times the national median. Every number below prints the same way for every facility, good or bad — these are the ones to ask about.

palmelle

Written by Palmelle from federal and state records. Last updated 21 Jul 2026. Not paid for or edited by the facility.

In their own words

No description from the operator yet. If you manage this facility, claim this listing to tell families your side — and respond to the record below. Claimed pages also stop showing nearby alternatives: the page becomes yours alone.

The record

CMS Care Compare · Jun 2026
Federal ratings
Overall★☆☆☆☆ 1 of 5
Health inspection★☆☆☆☆ 1 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★☆☆ 3 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailyhigher is better

This home
42 min
National
47 min

All nursing time with each resident, dailyhigher is better

This home
2 hr 47 min
National
3 hr 37 min

Nurses who quit each yearnot reported

This facility has not reported this measure to CMS.

Medication & safety · share of long-stay residents

On antipsychotic medicationlower is bettersee why ↓

This home
24.7%
National
14%

On sedatives / sleep medicationlower is better

This home
48.5%
National
15%

Falls causing major injurylower is bettersee why ↓

This home
2.9%
National
1.6%

Physically restrainedlower is better

This home
0%
National
1.1%
Penalties & citations · last 36 months
Federal fines$37,079 · 3 penalties
Abuse iconNone
Conflict flags in latest reconcile4

SD does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.

What the pattern says

Palmelle pattern checks · v1

Warehouse warning signs — read the findings below before touring.

  • Staffing below the line. Residents get 2 hr 47 min of nursing time a day against a national norm of 3 hr 37 min — thin staffing is the first warehouse warning sign.
  • A sedation pattern. Antipsychotic use (25%) and sleep-medication use (48%) are BOTH far above national norms — the pattern associated with medicating residents instead of staffing for them.
  • $37,079 in federal fines. 3 penalties in the last 36 months — the citation detail is in the record above.

These checks are computed the same way for every facility. Good patterns and bad ones both print.

Nearby & comparable

Same records, same rules

Questions families ask

What is the CMS rating for TEKAKWITHA LIVING CENTER?
TEKAKWITHA LIVING CENTER has an overall CMS Care Compare rating of 1 out of 5 stars.
Has TEKAKWITHA LIVING CENTER been cited for resident harm?
TEKAKWITHA LIVING CENTER has $37,079 in federal fines across 3 penalties in the last 36 months. Details appear in the record above.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.