Palisade Healthcare Center

    920 4th St, Garretson, SD, 57030
    2.9 · 29 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Compassionate staff but dangerous lapses

    I had a mixed experience at Palisades Manor. The facility is clean and many nurses, CNAs and therapists were compassionate, helpful and helped my loved one regain strength, but I also saw serious lapses - understaffing, missed meds/meals, poor hygiene/wound care, delayed emergency transfers and weak post-discharge follow-up. Management and social work felt dismissive at times, so I'd research and visit in person before sending a loved one.

    Pricing

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.93 · 29 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.3
    • Staff

      3.4
    • Meals

      2.8
    • Amenities

      2.0
    • Value

      1.0

    Pros

    • Excellent rehabilitation services (PT and OT)
    • Caring, compassionate CNAs and therapists
    • Friendly and attentive nursing and tech staff
    • Clean/spotless facility in many reports
    • Professional staff and perceived strong leadership (in some reviews)
    • Home-cooked, comforting meal options reported by some
    • Good care during COVID/pandemic response noted
    • Engaging activities and patient helpers
    • Therapy-driven strength gains and positive rehab outcomes
    • Helpful and supportive staff for families with disabilities and illnesses

    Cons

    • Allegations of staff negligence and multiple resident falls
    • Poor personal hygiene care (hair washing, teeth brushing)
    • Neglect of wounds and injuries (scrapes, bruising, swelling)
    • Medication misadministration by night staff
    • Reports of neglect ignored and unresponsive HR/management
    • Delayed or inadequate response to emergencies and delayed hospital transfers
    • Questionable emergency fund policy and poor family communication
    • Risk of hospitalization and serious adverse outcomes reported, including death in one report
    • Inconsistent food quality; missed breakfasts and dinners reported
    • Understaffing concerns and inconsistent follow-up after discharge
    • Variable management behavior (rude/condescending or praised executives)
    • Old/outdated equipment and some descriptions of facility as dark/dingy
    • Infection risk concerns tied to the facility in some reviews
    • Negative media coverage and community skepticism

    Summary review

    Overall sentiment across the reviews for Palisade Healthcare Center is highly mixed and polarized. A substantial subset of reviewers praise the facility for strong rehabilitation services, compassionate direct care, and a clean environment. Those positive accounts frequently highlight excellent physical and occupational therapy, attentive and gentle caregivers, and nursing/tech staff who helped residents regain strength and enjoy their stay. Several reviewers specifically commend individual leaders (for example, an executive director named Lourdes) and note good pandemic-era care, suggesting that parts of the facility operate at a high clinical and interpersonal standard. Activities, patient helpers, and a sense of pride among some staff are repeatedly cited as positive aspects that contribute to recovery and resident satisfaction.

    However, an equally prominent and serious set of reviews describes significant quality and safety concerns. Multiple reports allege staff negligence resulting in falls, untreated wounds, and poor personal hygiene (including missed hair washing and tooth brushing). There are explicit accusations of medication misadministration by night staff and accounts that neglect reports were ignored by on-site staff and HR or management. Several reviewers recount delayed ambulance calls, long waits for hospital transfer, and inadequate emergency response; at least a few narratives tie these delays to worsened outcomes or hospitalization. Family communication problems, questionable financial/emergency fund policies, and poor discharge follow-up are additional themes that contribute to family distress and distrust.

    Management and culture are described in contradictory terms across the reviews. Some reviewers praise leadership, calling the administration compassionate and responsive, and credit named administrators for good performance. Other reviewers characterize leadership as rude, condescending, or dismissive (mentions include a critical reference to a director of nursing named Meghan and a rude social worker). This variability suggests inconsistent management behaviors and a facility culture that may differ by unit, shift, or time — leading to widely different resident and family experiences.

    Facility and operations details likewise show mixed signals. Many reviewers report a clean, well-kept environment and positive impressions of therapy spaces and staff professionalism. Conversely, other commenters describe the facility as dark, dingy, or using old/outdated equipment. Dining receives polarized feedback: some reviews praise "home-cooked" comfort food while others report poor food quality and even missed meals (breakfasts and dinners). Understaffing is raised as a contributing factor to missed care, rushed shifts, and diminished attention to hygiene and wound care in some reports.

    Patterns and notable risks to consider: the most serious and recurrent concerns are patient safety issues (falls, wound neglect, medication errors), delays in emergency response and hospital transfers, and inconsistent communication with families. These issues have led multiple reviewers to issue strong warnings about sending loved ones to the facility. At the same time, the facility's rehabilitation and therapy programs are a clear strength repeatedly singled out for producing measurable improvement in patients. The coexistence of strong therapy services and alleged basic caregiving failures suggests variability in staffing, training, or oversight across disciplines and shifts.

    In summary, Palisade Healthcare Center elicits both strong praise and severe criticisms. Strengths include highly rated rehabilitation therapy, many caring and professional frontline caregivers, and reports of cleanliness and positive leadership from some families. Major red flags in the reviews include alleged negligence, medication errors, ignored incident reports, emergency response delays, inconsistent management responsiveness, and variable food and facility conditions. Prospective residents and families should weigh the positive rehab and therapy reports against the safety and communication concerns, seek specifics about staffing levels and incident protocols, visit in person, and ask direct questions about fall prevention, wound care, medication administration practices (including night shifts), emergency transfer procedures, and recent quality-improvement actions taken by management.

    Location

    Map showing location of Palisade Healthcare Center

    About Palisade Healthcare Center

    Palisade Healthcare Center provides skilled nursing care, rehabilitation, and memory care in a safe setting, mostly for older adults and people with Alzheimer's disease or other memory problems. The center offers both short-term rehab for people who need to recover between hospital and home, and long-term care for those who need more help every day. You'll find private and semiprivate rooms, a dementia unit, internet, and even a barbershop here, along with some independent living apartments. The staff includes nurses like CNAs, LPNs, and RNs, and the team's experienced with caring for very frail people who depend on nursing care. The facility is a nonprofit and part of the EmpRes group, and they're licensed as a nursing home, plus they accept Medicaid, and are certified by both Medicare and Medicaid.

    There are services for physical, occupational, and speech therapy, including inpatient and outpatient support and restorative therapy, and they can handle peritoneal dialysis. The center also offers palliative and hospice care. Folks with dementia benefit from memory care in a home-like place where staff aim to meet both physical and emotional needs, with care plans tailored for each resident. Palisade Healthcare Center operates as a Continuing Care Retirement Community, so people can choose assisted living, independent living, nursing home care, home care, respite care, or adult day care, depending on what's needed. Activities and outings run through the recreation department, and you'll see regular social events and an online newsletter to keep everyone connected, with opening hours from 7:00 am to 5:00 pm daily, and people are welcome to schedule tours to get a feel for things and meet the staff and other residents.

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