Nursing homes across Turner County, South Dakota, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Tieszen Memorial Home in Marion runs on thin nurse coverage, 3.47 hours per resident day against a national average of 3.86, and weekends dip about 13% below what the home itself staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and when falls and infections don't check the calendar. Half the nursing staff turned over in the past year, above the 45.8% national figure, which means new faces are still learning residents' routines. The inspection record is cleaner: seven deficiencies, none at harm or jeopardy level, though two are abuse-related, and the last survey was December 2024.
Pioneer Memorial runs a tight ship on paper: 3.91 nurse hours per resident day, a hair above the national average, and its quality measure and staffing ratings both land at 4 out of 5. But the weekend number matters. Staffing drops about 6% below weekday levels, and with turnover at 52%, well above the national 45.8%, you're looking at a workforce that cycles through fast and thins out on Saturdays and Sundays. The bigger concern sits on the inspection record: three deficiencies, two serious enough to involve harm or jeopardy, and two tied to abuse. A $32,536 fine followed the February 2025 inspection. Nonprofit ownership doesn't erase those findings.
Centerville Care and Rehab runs 42 certified beds under corporate ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86. Weekends thin out further, running about 18% below the home's own weekday coverage, which matters when you're thinking about who's on hand on a Saturday night.
The inspection record shows 19 deficiencies, including one at the harm or jeopardy level and two tied to abuse. One fine totaling $55,059 has been levied. Staff turnover comes in at 43.9%, slightly better than the national 45.8%, and the most recent inspection was May 2025. The staffing and quality measure ratings both land at 2 out of 5.