Riverview Healthcare Center
Flandreau, Moody County, South Dakota · CCN 435086 · For-profit (LLC) · part of Evergreen Healthcare Group (44 facilities, chain average 2.5 stars)
CMS rates Riverview Healthcare Center 1 of 5 overall as of August 2026. 63 certified beds, 54 residents a day on average. 36 citations on record from the current inspection cycles, 4 at immediate jeopardy; 6 fines totalling $176,867.
On record
- Abuse icon. CMS marks this facility for a citation of abuse that led to harm, or a repeated potential for it, within the recent inspection cycles.
- Special Focus Facility candidate. On CMS’s list of facilities that qualify for the program but are not yet in it.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 2 / 3 of 5 |
Staffing
| Total nurse staffing | 3.61858 hours per resident per day |
|---|---|
| Registered nurses | 0.62993 hours per resident per day |
| Weekend total | 3.1951 hours per resident per day |
| Nursing staff turnover | 66.7% (registered nurses 61.5%) |
| Administrators who left | 2 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-06-02 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-06-18 |
| 2026-03-25 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2026-03-26 |
| 2026-03-25 complaint survey |
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 · tag F0600 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-04-15 |
| 2026-01-28 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-02-14 |
| 2026-01-28 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-02-14 |
| 2026-01-28 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-14 |
| 2025-11-18 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-11-25 |
| 2025-11-18 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2025-10-09 |
| 2025-09-25 complaint survey |
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 · tag F0600 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-09-30 |
| 2025-09-25 complaint survey |
Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-09-30 |
| 2025-09-25 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-09-30 |
| 2025-09-25 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-09-30 |
| 2025-02-27 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-03-27 |
| 2025-02-27 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-03-27 |
| 2025-02-27 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-03-27 |
| 2025-02-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-04-14 |
| 2025-02-27 | 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 · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-03-27 |
| 2025-02-27 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-04-14 |
| 2025-02-27 | 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 · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-27 |
| 2025-02-27 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · tag F0865 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-27 |
| 2025-02-27 | Keep all essential equipment working safely. Environmental Deficiencies · tag F0908 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-27 |
| 2025-01-08 complaint survey |
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 · tag F0600 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-01-25 |
| 2025-01-08 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-01-25 |
| 2025-01-08 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-01-25 |
| 2025-01-08 complaint survey |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · tag F0835 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-01-25 |
| 2025-01-08 complaint survey |
Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-25 |
| 2024-10-31 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-11-26 |
| 2024-02-15 complaint survey |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-03-15 |
| 2024-02-15 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-15 |
| 2023-09-06 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-15 |
| 2023-09-06 complaint survey |
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 · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-15 |
| 2023-09-06 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-15 |
| 2023-02-16 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2023-03-16 |
| 2023-02-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-03-16 |
| 2023-02-16 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-16 |
| 2023-02-16 | 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 · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-16 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-25 | Fine | $31,500 |
| 2025-11-18 | Fine | $15,574 |
| 2025-09-25 | Fine | $36,414 |
| 2025-02-27 | Fine | $65,520 |
| 2025-01-08 | Fine | $15,330 |
| 2024-10-31 | Fine | $12,529 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Pacific Northwest Snf Operations Holdings (Sd) LLC Organization | 5% or greater direct ownership interest | 100% | 2023-08-31 |
| Ch Pacific Northwest Holdings LLC Organization | adp of the snf | — | 2023-08-31 |
| Couve Financial Services LLC Organization | adp of the snf | — | 2025-05-16 |
| Couve Healthcare Consulting LLC Organization | adp of the snf | — | 2025-05-16 |
| Pacific Northwest Opco Management LLC Organization | adp of the snf | — | 2025-05-16 |
| Riverview Snf Operations, LLC Organization | adp of the snf | — | 2025-10-30 |
| Riverview Snf Realty LLC Organization | adp of the snf | — | 2025-09-02 |
| South Dakota Snf Consulting LLC Organization | adp of the snf | — | 2025-05-16 |
| Witzcorp Global LLC Organization | adp of the snf | — | 2023-08-31 |
| Riverview Snf Operations, LLC Organization | direct ownership interest | — | 2023-08-31 |
| Ch Pacific Northwest Holdings LLC Organization | indirect ownership interest | — | 2023-08-31 |
| Couve Financial Services LLC Organization | indirect ownership interest | — | 2023-08-31 |
| Couve Healthcare Consulting LLC Organization | indirect ownership interest | — | 2023-08-31 |
| Pacific Northwest Opco Management LLC Organization | indirect ownership interest | — | 2023-08-31 |
| South Dakota Snf Consulting LLC Organization | indirect ownership interest | — | 2023-08-31 |
| Couve Financial Services LLC Organization | operational/managerial control | — | 2023-08-31 |
| Couve Healthcare Consulting LLC Organization | operational/managerial control | — | 2023-08-31 |
| Pacific Northwest Opco Management LLC Organization | operational/managerial control | — | 2023-08-31 |
| Riverview Snf Operations, LLC Organization | operational/managerial control | — | 2023-08-31 |
| South Dakota Snf Consulting LLC Organization | operational/managerial control | — | 2023-08-31 |
| Herzka, Yisroel Individual | adp of the snf | — | 2023-08-31 |
| Johnson, Charles Individual | adp of the snf | — | 2023-08-31 |
| Lowe, Leonor Individual | adp of the snf | — | 2023-08-31 |
| Olson, Brenna Individual | adp of the snf | — | 2023-08-31 |
| Peterson, Scott Individual | adp of the snf | — | 2023-08-31 |
| Spielman, Shimon Individual | adp of the snf | — | 2023-08-31 |
| Yenowitz, Yitzchok Individual | adp of the snf | — | 2023-08-31 |
| Spielman, Shimon Individual | corporate officer | — | 2023-08-31 |
| Yenowitz, Yitzchok Individual | corporate officer | — | 2023-08-31 |
| Herzka, Yisroel Individual | indirect ownership interest | — | 2023-08-31 |
| Johnson, Charles Individual | indirect ownership interest | — | 2023-08-31 |
| Olson, Brenna Individual | indirect ownership interest | — | 2023-08-31 |
| Yenowitz, Yitzchok Individual | indirect ownership interest | — | 2023-08-31 |
| Lowe, Leonor Individual | managing control - governing body | — | 2023-08-31 |
| Johnson, Charles Individual | operational/managerial control | — | 2023-08-31 |
| Lowe, Leonor Individual | operational/managerial control | — | 2023-08-31 |
| Olson, Brenna Individual | operational/managerial control | — | 2023-08-31 |
| Peterson, Scott Individual | operational/managerial control | — | 2023-08-31 |
| Spielman, Shimon Individual | operational/managerial control | — | 2023-08-31 |
| Yenowitz, Yitzchok Individual | operational/managerial control | — | 2023-08-31 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Riverview Healthcare Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Moody County.