Riverview Healthcare: Accident Hazard Failures - SD
The inspection, completed November 18, 2025, was triggered by a complaint. Inspectors cited the facility under F0686, a deficiency tag reserved for pressure injury prevention and wound care, and rated the level of harm as actual harm, meaning at least one resident suffered a real injury, not just a risk of one.
The facility's own written policy described in detail what nurses were required to do. When a wound appeared after admission, a nurse was supposed to start alert charting, notify the medical provider, loop in the director of nursing for any Stage II or greater pressure ulcer, and have the wound measured and evaluated every week. If the wound wasn't improving after two weeks, the resident's representative had to be told.
None of that, inspectors found, was happening reliably.
The failures touched nearly every step in the chain. Measurements weren't being taken. Notifications weren't going out. Care plans weren't being updated. The dietitian wasn't being told when a wound was worsening, even though nutritional status directly affects whether a wound heals or continues to deteriorate.
Riverview Healthcare Center sits on East 2nd Avenue in Flandreau, a small city of roughly 2,400 people in Moody County. For residents there, many of them elderly and with limited mobility, a pressure wound that goes unmonitored for weeks doesn't stay a minor problem. It can deepen through layers of tissue, become infected, and require hospitalization or surgery. The inspection record doesn't describe what happened to the specific residents affected. It says only that few were affected, and that the harm was real.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Riverview Healthcare Center from 2025-11-18 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 4, 2026 · Our methodology
RIVERVIEW HEALTHCARE CENTER in FLANDREAU, SD was cited for violations during a health inspection on November 18, 2025.
The inspection, completed November 18, 2025, was triggered by a complaint.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.