MyLivingChoice

Palisade Healthcare

920 4th St

3(33 ratings)

Palisade Healthcare, photo 11 / 6

Quick Facts

Total units
55
Medicare rating
1 of 5

CMS Care Compare

Ownership
For profit, Corporation
Certified beds
55
Respite Care
Short-term respite stays with 24/7 nursing

What Families Think

The Good

  • On-site physical, occupational, and speech-language therapy
  • Dedicated memory care program for Alzheimer's and dementia
  • Respite stays for temporary or trial care
  • 24/7 skilled nursing available for respite patients
  • Home-like, personalized meal and activity options

The Bad

  • Google rating of 2.9 from 32 reviews suggests mixed experiences
  • No detailed reviews available to verify care quality claims

AI-generated from reviews and community data.

Palisade Healthcare is a senior living community in Garretson, South Dakota offering Memory Care and Skilled Nursing / Long Term Care. Amenities include Gathering / Activity Spaces, Social Activities and Housekeeping. Families rate it 3.0 out of 5 across 33 reviews.

About Palisade Healthcare

Palisade Healthcare Center in Garretson, South Dakota provides skilled nursing care and short-term rehabilitation as well as long-term care in a peaceful setting. The community offers patient-centered care designed to help individuals recover and regain their quality of life following illness, injury, or surgery.

The center's rehabilitation therapy services include physical therapy focused on improving strength, balance, and mobility while reducing pain and preventing falls; occupational therapy to help patients regain essential daily living skills such as dressing, grooming, and meal preparation; and speech-language pathology to support communication, cognitive function, and swallowing ability. Personalized therapy programs are designed to restore independence in a supportive, home-like environment.

Palisade Healthcare Center provides specialized care for patients with Alzheimer's and other dementia-related conditions. The memory care program offers a safe, structured, and nurturing environment with memory cues, familiar routines, and engaging activities designed to enhance well-being and preserve independence. The care team provides stability and personalized support to create a sense of comfort and security.

The community offers a Respite Stay program for families needing temporary care solutions, post-hospital recovery, or trial stays before making long-term care decisions. Skilled nursing care is available around the clock for respite patients. Personalized meal choices and engaging activities are tailored to each resident's preferences, and the facility is designed as a warm, welcoming, home-like setting.

Types of Care at Palisade Healthcare

Memory CareSkilled Nursing / Long Term Care

Amenities

Room Amenities

  • Emergency Call System
  • Private Bathroom
  • Private Rooms
  • Wheelchair Accessible

Meals & Dining

  • Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)

Community Amenities

  • 24-Hour Staff
  • Gathering / Activity Spaces
  • Housekeeping
  • Laundry Service
  • Medication Management
  • On-Site Nurse (RN)

Activities

  • Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)

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Reviews of Palisade Healthcare

3overall · 33 ratings combined

3★ on Google (33)

Baglady

Jul 2026

via Google

It a nursing home. With great homade food

Cj Lamb

Dec 2025

via Google

Transport at noon arrival... 3 hours later she fell ...called me only cuts on hand... arrived at noon next day ...PT was present for right arm ...she was not able to lift left arm or bend elbow.... heavily medicated unable to stand ...PT and myself determined more help was needed I opted to ambulance to Sanford instead of there idea follow your gut and heart...by the way director of nursing still has not contacted me after requesting by several calls

Melanie Bravo

Feb 2025

via Google

Such a clean facility with friendly staff!

danyel swartwout

Dec 2024

via Google

The Social Worker is rude and has zero empathy, facility is dark and dingy but the nurses are nice

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Government Inspection History

10 inspection visits in the last three years, 37 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

Apr 16, 2026Health Complaint3 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity H of L: actual harm, patternFound during a complaint inspectionCorrected May 6, 2026

  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 6, 2026

  • Provide and implement an infection prevention and control program.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 6, 2026

Nov 19, 2025Health Complaint1 citation
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Nov 20, 2025

Sep 17, 2025Health Complaint1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Sep 18, 2025

Aug 7, 2025Fire Safety StandardHealth ComplaintHealth Standard7 citations
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Severity G of L: actual harm, isolatedCorrected Aug 22, 2025

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 22, 2025

  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 22, 2025

  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 22, 2025

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 22, 2025

  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 22, 2025

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 25, 2025

Mar 12, 2025Health Complaint2 citations
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 28, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 28, 2025

Nov 26, 2024Health Complaint2 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Dec 16, 2024

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 16, 2024

Aug 7, 2024Health Complaint1 citation
  • Ensure that residents are free from significant medication errors.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 13, 2024

Mar 18, 2024Fire Safety StandardHealth Standard14 citations
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 11, 2024

  • 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.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 11, 2024

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 11, 2024

  • Provide safe and appropriate respiratory care for a resident when needed.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 11, 2024

  • Have an externally vented heating system.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 11, 2024

  • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 11, 2024

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 11, 2024

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 11, 2024

  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 11, 2024

  • Install an approved automatic sprinkler system.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 11, 2024

  • Install corridor and hallway doors that block smoke.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 11, 2024

  • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 11, 2024

  • Meet requirements for sections of health care facilities separated by fire resistive construction.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 15, 2024

  • Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 15, 2024

Dec 28, 2023Health Complaint1 citation
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 1, 2024

Mar 8, 2023Fire Safety StandardHealth Standard5 citations
  • Inspect, test, and maintain automatic sprinkler systems.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 27, 2023

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 14, 2023

  • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 14, 2023

  • Provide properly protected cooking facilities.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 28, 2023

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 14, 2023

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does Palisade Healthcare offer?

Palisade Healthcare offers Memory Care and Skilled Nursing / Long Term Care.

Where is Palisade Healthcare located?

Palisade Healthcare is located at 920 4th St in Garretson, South Dakota.

How did Palisade Healthcare do on recent health and safety inspections?

Palisade Healthcare had 10 government inspection visits in the last three years, with 37 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit Palisade Healthcare?

Submit the Request Information form on this page to connect with Palisade Healthcare and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

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