Nursing homeActive
Tieszen Memorial Home
312 East State St, Marion, SD 57043605648361164 certified beds · 58 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
12
● 0● 12● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-05-28
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 5
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · South Dakota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-28 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2024-12-19 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2023-08-23 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · South Dakota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-12Record 435069-20260528-F554
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-12Record 435069-20260528-F628
F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-12Record 435069-20260528-F700
F732Post nurse staffing information every day.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-12Record 435069-20260528-F732
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-12Record 435069-20260528-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-12Record 435069-20260528-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-12Record 435069-20260528-F880
F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 435069-20241219-F585
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 435069-20241219-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 435069-20241219-F695
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 435069-20241219-F880
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-25Record 435069-20230823-F609
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.76
Facility
South Dakota
National
South Dakota 0.80 · National 0.69
Total nurse hours per resident day3.47
Facility
South Dakota
National
South Dakota 3.79 · National 3.86
Weekend total nurse hours3.01
Facility
South Dakota
National
South Dakota 3.26 · National 3.42
Total nursing staff turnover50%
Facility
South Dakota
National
South Dakota 48% · National 46%
Registered nurse turnover33%
Facility
South Dakota
National
South Dakota 35% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | South Dakota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 8.3% | 4.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 7.0% | 5.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 19.9% | 24.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.4% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 15.4% | 21.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.5% | 5.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 9.0% | 17.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Avel Ecare Medical Group, PC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rees, Joseph Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wilson, Laura Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Avel Ecare Medical Group, PC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Berens, Ravila Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Berens, Ravila Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gall, Deanna Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Johnson, Paul Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Johnson, Paul Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Jones, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Luke, Richard Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Luke, Richard Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Patten, Erin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Rees, Joseph Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Tieszen, Eric Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wilson, Laura Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or South Dakota.
No county cost figures on file for Turner.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Good Samaritan Society Canistota Canistota | 12.0 mi | 2026-03-24 | 0112 |
| Oakview Terrace Freeman | 10.4 mi | 2025-06-26 | 091 |
| Diamond Care Center Bridgewater | 15.3 mi | 2025-09-11 | 0222 |
| Pioneer Memorial Nursing Home Viborg | 19.5 mi | 2026-06-11 | 012 |
| Sunset Manor Avera Health Irene | 24.3 mi | 2026-05-05 | 0124 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |