CCN 435086 · Moody County, South Dakota
Riverview Healthcare Center
611 East 2nd Ave, Flandreau, SD 57028
Riverview Healthcare Center is a 63-bed for-profit nursing home in Flandreau, South Dakota, first certified for Medicare or Medicaid in 1995. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 54.2 residents a day, about 86% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 63
- Average residents per day
- 54.2 (86.0% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Riverview SNF Operations, LLC
- Certified since
- Apr 1, 1995
- Chain or affiliated group
- Evergreen Healthcare Group (43 facilities, chain average 2.4 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | South Dakota median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 19 at 1, 22 at 2, 18 at 3, 16 at 4, 19 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 2 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.62 | 3.62 | 3.68 |
| RN hours per resident per day | 0.63 | 0.76 | 0.58 |
| Weekend nurse hours per resident per day | 3.20 | ||
| Nursing staff turnover | 66.7% | 46.6% | 44.9% |
| Occupancy (residents / beds) | 86.0% | 90.3% | 85.7% |
| Fines reported by CMS | 6 totaling $177,100 | ||
| Health deficiencies, latest standard survey | 21 (Feb 27, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Riverview Healthcare Center does not meet it today: overall rating 1, health inspection rating 1, the abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Pacific Northwest SNF Operations Holdings (Sd) LLCOrganization | Direct Ownership Interest | 100% | 08/31/2023 |
| Couve Financial Services LLCOrganization | Operational / Managerial Control | n/a | 08/31/2023 |
| Couve Healthcare Consulting LLCOrganization | Operational / Managerial Control | n/a | 08/31/2023 |
| Pacific Northwest Opco Management LLCOrganization | Operational / Managerial Control | n/a | 08/31/2023 |
| Riverview SNF Operations, LLCOrganization | Operational / Managerial Control | n/a | 08/31/2023 |
| South Dakota SNF Consulting LLCOrganization | Operational / Managerial Control | n/a | 08/31/2023 |
| Johnson, CharlesIndividual | Operational / Managerial Control | n/a | 08/31/2023 |
| Lowe, LeonorIndividual | Operational / Managerial Control | n/a | 08/31/2023 |
| Olson, BrennaIndividual | Operational / Managerial Control | n/a | 08/31/2023 |
| Peterson, ScottIndividual | Operational / Managerial Control | n/a | 08/31/2023 |
| Spielman, ShimonIndividual | Operational / Managerial Control | n/a | 08/31/2023 |
| Yenowitz, YitzchokIndividual | Operational / Managerial Control | n/a | 08/31/2023 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Aug 31, 2023 | Riverview SNF Operations, LLC | Empres at Flandreau LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
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