Nursing homeActive
United Living Community
405 First Ave, Brookings, SD 57006605692535167 certified beds · 65 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
22
● 0● 20● 2
Penalties · 3 yrs
$33,027
2 fines
Last survey
2025-12-04
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 4
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 |
|---|---|---|---|---|
| 2025-12-04 | Standard | 080 | CMS-2567 (Care Compare) | — |
| 2025-08-14 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-07-10 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2024-06-26 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2024-05-23 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2023-06-29 | Standard | 020 | 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.
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-18Record 435079-20251204-F550
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 2026-01-18Record 435079-20251204-F554
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-18Record 435079-20251204-F600
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-18Record 435079-20251204-F761
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-18Record 435079-20251204-F803
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-18Record 435079-20251204-F806
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-01-18Record 435079-20251204-F812
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-18Record 435079-20251204-F883
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-04Record 435079-20250814-F600
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-08-12Record 435079-20250710-F689
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-12Record 435079-20250710-F658
F825Provide or get specialized rehabilitative services as required for a resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-12Record 435079-20250710-F825
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-07-25Record 435079-20240626-F600
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 2024-07-25Record 435079-20240626-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-25Record 435079-20240626-F610
F625Notify 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-18Record 435079-20240523-F625
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-18Record 435079-20240523-F641
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-18Record 435079-20240523-F657
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 2024-07-18Record 435079-20240523-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 2024-07-18Record 435079-20240523-F880
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-01Record 435079-20230629-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 2023-08-01Record 435079-20230629-F812
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-07-10 | Civil money penalty | $20,332 | CMS · Penalties |
| 2024-05-23 | Civil money penalty | $12,695 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.59
Facility
South Dakota
National
South Dakota 0.80 · National 0.69
Total nurse hours per resident day4.78
Facility
South Dakota
National
South Dakota 3.79 · National 3.86
Weekend total nurse hours4.22
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 turnover69%
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 | 5.4% | 4.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 7.4% | 5.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 39.4% | 24.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.8% | 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 | 32.8% | 21.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.0% | 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 |
|---|---|---|---|---|
| United Retirement Center Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Avera Mckennan Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Baker, Joan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Bell, Julie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Brotsky, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gilkerson, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Harrison, Alice Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hight, Kaleb Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Johnson, Joshua Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Koolmo, Camille Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Lee, Mary Jo Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Nielsen, Helen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Schmieding, Rebecca Individual | CORPORATE DIRECTOR | 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 Brookings.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| The Neighborhoods At Brookview Brookings | 2.0 mi | 2025-11-21 | 050 |
| Flandreau Santee Sioux Tribe Care Center Flandreau | 21.1 mi | 2025-09-30 | 063 |
| Riverview Healthcare Center Flandreau | 20.9 mi | 2026-06-02 | 01913 |
| Estelline Nursing and Care Center Estelline | 22.9 mi | 2026-06-25 | 011 |
| Hendricks Community Hospital Hendricks | 23.4 mi | 2026-06-25 | 0260 |
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 |