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Nursing home

Tekakwitha Living Center

Sisseton, South Dakota · Roberts County

  • 6 E Chestnut, Sisseton, SD 57262 · Directions
  • (605) 698‑7693
  • Medicare overall rating: 2 of 5 starsMedicare overall rating
  • Ownership: Non-profit – corporation
  • 31 health citations in its last 3 inspection cycles (most serious: level G), $37,079 in fines. See the inspection record

Summary

Tekakwitha Living Center is a Medicare-certified nursing home in Sisseton, South Dakota, with 40 certified beds. Medicare overall rating: 2 of 5 stars. Most recent standard health inspection: 2026-01-22, with 13 health deficiencies. Medicare lists 3 fines. Ownership: non-profit – corporation. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 2 of 5 starsMedicare overall rating
40Certified beds
Health inspections: 2 of 5 starsHealth inspections

Quick answers

Where is Tekakwitha Living Center?
6 E Chestnut, Sisseton, SD 57262, in Roberts County, South Dakota.
What is the phone number of Tekakwitha Living Center?
(605) 698-7693, as listed by Medicare (CMS).
What is the Medicare star rating of Tekakwitha Living Center?
Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
Has Tekakwitha Living Center been fined?
Medicare lists 3 fines totaling $37,079.
What did inspectors find at Tekakwitha Living Center?
In its last three inspection cycles (June 1, 2023 to July 29, 2026), Medicare lists 31 health citations; the most serious was level G. 2 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 2 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 2 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 2 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 2 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 3 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 2 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (June 1, 2023 to July 29, 2026), Tekakwitha Living Center had 31 health citations; the most serious was level G (actual harm to residents). 2 of them were level G or higher (actual harm or immediate jeopardy). It was fined $37,079 in total (3 fines, the latest on July 18, 2024). Nurse staffing is 2.86 hours per resident per day; the South Dakota average is 3.86 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: January 22, 2026 — 13 health citations

Inspections in this cycle: January 22, 2026 (standard health inspection); July 29, 2026 (complaint investigation).

Show 13 citations (levels A to F, no actual harm)
  • F0812 Level F January 22, 2026 · corrected March 8, 2026

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0851 Level F January 22, 2026 · corrected March 8, 2026

    “Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.”

  • F0812 Level E July 29, 2026 · from a complaint · corrected September 12, 2026

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0576 Level E January 22, 2026 · corrected March 8, 2026

    “Ensure residents have reasonable access to and privacy in their use of communication methods.”

  • F0761 Level E January 22, 2026 · corrected March 8, 2026

    “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.”

  • F0880 Level E January 22, 2026 · corrected March 8, 2026

    “Provide and implement an infection prevention and control program.”

  • F0882 Level E January 22, 2026 · corrected March 8, 2026

    “Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.”

  • F0609 Level D July 29, 2026 · from a complaint · corrected September 12, 2026

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

  • F0610 Level D July 29, 2026 · from a complaint · corrected September 12, 2026

    “Respond appropriately to all alleged violations.”

  • F0578 Level D January 22, 2026 · corrected March 8, 2026

    “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.”

  • F0689 Level D January 22, 2026 · corrected March 8, 2026

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

  • F0699 Level D January 22, 2026 · corrected March 8, 2026

    “Provide care or services that was trauma informed and/or culturally competent.”

  • F0801 Level D January 22, 2026 · corrected March 8, 2026

    “Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.”

Previous cycle: July 18, 2024 — 11 health citations

Inspections in this cycle: July 18, 2024 (standard health inspection); June 18, 2025 (complaint investigation).

  • F0686 Level G July 18, 2024 · corrected August 14, 2024

    “Provide appropriate pressure ulcer care and prevent new ulcers from developing.”

    actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies

  • F0689 Level G July 18, 2024 · corrected August 14, 2024

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

    actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies

Show 9 less serious citations (levels A to F)
  • F0882 Level F July 18, 2024 · corrected August 14, 2024

    “Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.”

  • F0550 Level E June 18, 2025 · from a complaint · corrected August 2, 2025

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

  • F0584 Level E June 18, 2025 · from a complaint · corrected August 2, 2025

    “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.”

  • F0761 Level E July 18, 2024 · corrected August 14, 2024

    “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.”

  • F0812 Level E July 18, 2024 · corrected August 14, 2024

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0880 Level E July 18, 2024 · corrected August 14, 2024

    “Provide and implement an infection prevention and control program.”

  • F0812 Level D June 18, 2025 · from a complaint · corrected August 2, 2025

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0625 Level D July 18, 2024 · corrected August 14, 2024

    “Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.”

  • F0657 Level D July 18, 2024 · corrected August 14, 2024

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

Earlier cycle: June 1, 2023 — 7 health citations

Inspections in this cycle: June 1, 2023 (standard health inspection); January 10, 2024 (complaint investigation).

Show 7 citations (levels A to F, no actual harm)
  • F0803 Level F January 10, 2024 · from a complaint · corrected February 24, 2024

    “Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.”

  • F0802 Level F June 1, 2023 · corrected July 16, 2023

    “Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.”

  • F0803 Level F June 1, 2023 · corrected July 16, 2023

    “Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.”

  • F0812 Level F June 1, 2023 · corrected July 16, 2023

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0758 Level E June 1, 2023 · corrected July 16, 2023

    “Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.”

  • F0604 Level D January 10, 2024 · from a complaint · corrected February 24, 2024

    “Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”

  • F0684 Level D June 1, 2023 · corrected July 16, 2023

    “Provide appropriate treatment and care according to orders, resident’s preferences and goals.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (13)
  • K0211 Level E January 22, 2026 · corrected March 8, 2026

    “Keep aisles, corridors, and exits free of obstruction in case of emergency.”

  • E0004 Level D January 22, 2026 · corrected March 1, 2026

    “Develop and maintain an Emergency Preparedness Program (EP).”

  • K0712 Level D January 22, 2026 · corrected March 8, 2026

    “Have simulated fire drills held at unexpected times.”

  • K0233 Level C January 22, 2026 · no revisit needed (January 22, 2026)

    “Install resident room doors of proper design and width.”

  • K0251 Level C January 22, 2026 · no revisit needed (January 22, 2026)

    “Conform to length requirements for dead end corridors.”

  • K0712 Level E July 18, 2024 · corrected August 15, 2024

    “Have simulated fire drills held at unexpected times.”

  • K0363 Level D July 18, 2024 · corrected August 15, 2024

    “Install corridor and hallway doors that block smoke.”

  • K0233 Level C July 18, 2024 · fire safety evaluation survey (August 15, 2024)

    “Install resident room doors of proper design and width.”

  • K0251 Level C July 18, 2024 · corrected August 15, 2024

    “Conform to length requirements for dead end corridors.”

  • K0321 Level D June 1, 2023 · corrected June 1, 2023

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

  • K0923 Level D June 1, 2023 · corrected June 1, 2023

    “Have proper medical gas storage and administration areas.”

  • K0233 Level C June 1, 2023 · fire safety evaluation survey (June 1, 2023)

    “Install resident room doors of proper design and width.”

  • K0251 Level C June 1, 2023 · fire safety evaluation survey (June 1, 2023)

    “Conform to length requirements for dead end corridors.”

Fines and payment denials

Total fines over about the last three years: $37,079 (3 fines). A payment denial means Medicare stopped paying for new admissions for a time.

DatePenaltyAmount or length
July 18, 2024Fine$30,729
November 13, 2023Fine$2,117
October 23, 2023Fine$4,233

Source: Medicare (CMS) Penalties file, data updated October 1, 2026.

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeSouth DakotaNational
Registered nurse (RN) hours per resident per day0.660.780.69
Licensed practical nurse (LPN) hours per resident per day0.520.500.86
Nurse aide hours per resident per day1.682.582.35
Total nurse staff hours per resident per day2.863.863.90
Total nurse staff hours per resident per day on the weekend2.383.283.43
RN hours per resident per day on the weekend0.520.490.48

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Legal business name: Tekakwitha Nursing Center Inc.

Owners and managers Medicare lists (2)
NameRoleShareSince
Coteau Des Prairies HospitalDirect owner100%January 1, 2016
Coteau Des Prairies HospitalManagement company (operational or managerial control)NOT APPLICABLEJanuary 1, 2016

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds40
Average residents per day40.3
Takes part inMedicare and Medicaid
OwnershipNon-profit – corporation
Legal business nameTekakwitha Nursing Center Inc
First approved by Medicare/Medicaid1988-10-07
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address6 E Chestnut, Sisseton, SD 57262
CountyRoberts County
StateSouth Dakota
Phone(605) 698‑7693
CMS Certification Number435038
Name in Medicare recordsTEKAKWITHA LIVING CENTER
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13