ElderGrade
D

48.6/100

Below average

Lake Andes Senior Living

740 East Lake St, Lake Andes, SD 57356

CMS 1/5 stars #2 of 2 in Charles Mix County (605) 487-7674
Certified beds
43
Occupancy
91%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 3 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $102,440 in federal fines

    CMS has fined this facility across 2 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

4.6/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 2 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -1.4 for 21 total citations against a national median of 17

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.77 total nurse hours per resident per day (national median 3.77)
  • 0.55 RN hours per resident per day
  • Weekend staffing drops 5% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 38% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

2/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $102,440 in federal fines across 2 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.15 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.55 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.99 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 38.20%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 21 citations

Last standard health inspection: August 21, 2025 (1 year ago).

E Aug 21, 2025 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

D Aug 21, 2025 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Aug 21, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

G Oct 16, 2024 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm to a resident

K Sep 5, 2024 F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy to resident health or safety

K Sep 5, 2024 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Immediate jeopardy to resident health or safety

F Sep 5, 2024 F0584

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

F Sep 5, 2024 F0727

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of ACCURA HEALTHCARE, which operates 43 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BERNDT, PAUL Individual W-2 MANAGING EMPLOYEE
WRIGHT, MOLLY Individual W-2 MANAGING EMPLOYEE
GROFF, HOWARD Individual CORPORATE OFFICER
LENEAVE, TED Individual CORPORATE OFFICER
SHERIDAN, GAIL Individual CORPORATE OFFICER
AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC Organization OPERATIONAL/MANAGERIAL CONTROL
LENEAVE, TED Individual OPERATIONAL/MANAGERIAL CONTROL
TEALWOOD ENTERPRISE INC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST
GROFF, HOWARD Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
SHERIDAN, GAIL Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST

What families say

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Common questions about Lake Andes Senior Living

What is the ElderGrade for Lake Andes Senior Living? +

Lake Andes Senior Living holds an ElderGrade of D (48.6 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Lake Andes Senior Living? +

Residents receive an average of 3.15 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Lake Andes Senior Living been cited for harming residents? +

Yes. 3 of the 21 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Lake Andes Senior Living accept Medicaid? +

Yes, Lake Andes Senior Living is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.