Palisade Manor
Nursing Home Facility
920 4th St, Garretson, SD 57030
Palisade Manor is a senior care community located in Garretson, SD. It provides nursing home care and senior living for older adults in the Garretson area. To learn more or schedule a tour, call (605) 594-3466.
Operated by Evergreen Healthcare Group, which runs 38 communities in our directory.
With 55 beds, Palisade Manor is smaller than most nearby options, senior care communities in Minnehaha County average about 84 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.
Federal reporting puts occupancy at about 89% of its licensed beds.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Minnehaha County average about 2.4 stars. Its most recent standard health inspection was in August 2025 and recorded 12 deficiencies.
Residents receive about 3.2 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Communities in Minnehaha County average about 3.8 hours. Nursing staff turnover over the past year was about 60%, which is high and can affect continuity of care.
The community is located in Minnehaha County, SD.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 29 problems at Palisade Manor. 5 findings involved harm to a resident, including 1 that put residents in immediate danger. 12 came from investigating complaints by residents or families.
In the last three years Medicare fined this home 4 times, a total of $154,946.
Findings from the most recent inspection cycle
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Put residents in immediate danger, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Caused harm to a resident, a pattern
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Could cause more than minimal harm, a pattern
Environmental
Make sure that a working call system is available in each resident's bathroom and bathing area.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Could cause more than minimal harm, a pattern
Pharmacy Service
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.
Show 4 more
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Palisade Manor offers nursing home care and senior living.
Facility details
- Organization type Non profit - Corporation
- Beds / units 55
- Occupancy 89%
- Nursing hours per resident/day 3.2
- Annual staff turnover 60%
- Last health inspection August 2025
Resident & family reviews
No one has shared a review of Palisade Manor yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.