CCN 435097 · Charles Mix County, South Dakota
Lake Andes Senior Living
740 East Lake St, Lake Andes, SD 57356
Lake Andes Senior Living is a 43-bed for-profit nursing home in Lake Andes, South Dakota, first certified for Medicare or Medicaid in 1996. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 39.2 residents a day, about 91% of its certified beds. It has an active FHA-insured Section 232 loan: $1.1 million originally, at 2.93%, with $0.6 million outstanding as of September 30, 2026 and maturity in July 2038.
Facility facts
- Certified beds
- 43
- Average residents per day
- 39.2 (91.2% of beds)
- Ownership type
- For profit - Individual
- Certification
- Medicare and Medicaid
- Legal business name
- Lake Andes Health Care Center, Inc.
- Certified since
- Mar 1, 1996
- Chain or affiliated group
- Accura Healthcare (41 facilities, chain average 2.5 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 | 4 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.15 | 3.62 | 3.68 |
| RN hours per resident per day | 0.55 | 0.76 | 0.58 |
| Weekend nurse hours per resident per day | 2.99 | ||
| Nursing staff turnover | 38.2% | 46.6% | 44.9% |
| Occupancy (residents / beds) | 91.2% | 90.3% | 85.7% |
| Fines reported by CMS | 2 totaling $102,440 | ||
| Health deficiencies, latest standard survey | 3 (Aug 21, 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). Lake Andes Senior Living does not meet it today: overall rating 1, health inspection rating 1. 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 |
|---|---|---|---|
| Tealwood Enterprise IncOrganization | Direct Ownership Interest | n/a | 01/01/2012 |
| Groff, HowardIndividual | Indirect Ownership Interest | 50% | 09/03/2008 |
| Sheridan, GailIndividual | Indirect Ownership Interest | 50% | 08/29/2008 |
| American Healthcare Management Services LLCOrganization | Operational / Managerial Control | n/a | 10/01/2019 |
| Leneave, TedIndividual | Operational / Managerial Control | n/a | 10/01/2019 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jun 7, 2013 | 223(f) refinance or purchaseHUD project name: Lake Andes Healthcare Center, 42 beds. Lender at endorsement: Lument Real Estate Capital, LLC | $1,120,000 | Active: 2.93%, $631,800 balanceMatures Jul 1, 2038. Servicer: Lument Real Estate Capital | 09122030 |
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.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.