Palisade Healthcare Center

    920 4th St, Garretson, SD 57030
    • Assisted Living
    • Memory Care
    • Skilled Nursing
    2.8ยท32 reviews

    Attentive compassionate staff, excellent rehab

    I stayed at Palisades Manor and had a very positive experience - the staff were consistently attentive, compassionate, and professional; PT/OT, nursing, CNAs and techs gave excellent rehab and care, and management (Executive Director Lourdes) was responsive. The facility was spotless, offered home-cooked meals and activities, I gained strength and felt treated with dignity - I highly recommend it.

    Current/former resident
    Jul 2026

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    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

    Reviews

    2.81ยท(32)

    Overall rating

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

      3.2
    • Staff

      3.3
    • Meals

      2.8
    • Amenities

      2.0
    • Value

      1.0

    Pros

    • Compassionate nursing staff
    • Skilled physical and occupational therapy programs
    • Attentive and caring CNAs and therapy techs
    • Clean, well-maintained common areas
    • Home-style, comfort-focused meals
    • Engaging activities and rehabilitation programming
    • Professional care conferences involving families
    • Supportive leadership praised by some families
    • Demonstrated pandemic and COVID-care experience

    Cons

    • Medication-management lapses
    • Delays in emergency-response and hospital transfer processes
    • Inconsistent personal-care and hygiene assistance
    • Gaps in wound care and post-fall clinical follow-up
    • Family communication gaps and inconsistent updates
    • Variable management responsiveness and staff conduct tone
    • Understaffing and staffing variability
    • Inconsistent meal quality and missed meal service
    • Aging or outdated equipment in some care areas
    • Inadequate discharge planning and limited home-care guidance
    • Unclear emergency-fund and financial policies
    • Infection-control and sanitation-management gaps

    Summary of reviews

    Reviews of Palisade Healthcare Center present a mixed picture. Positive accounts emphasize strong clinical rehabilitation services, with multiple references to effective physical therapy and occupational therapy programs, attentive therapy techs, and meaningful gains in strength and mobility. Many families and former residents also praise direct care staff โ€” nursing assistants, techs, and some nurses โ€” as compassionate and attentive, and they note that the facilityโ€™s public areas are clean and well maintained. Home-style, comfort-oriented meals and an active calendar of activities and care conferences are additional strengths that reviewers commonly identify.

    At the same time, a distinct set of operational concerns appears across the reviews. Several accounts describe medication-management lapses and delays in emergency-response or hospital-transfer processes; these are operational patterns that reviewers linked to avoidable clinical escalation. Other recurring themes include inconsistent assistance with personal care and hygiene, and gaps in wound care and clinical follow-up after falls. Families also described missed meals or meal-timing problems in some instances, and noted aging equipment in certain care areas.

    Management and communication elicited polarized feedback. Some reviewers praised administrators and cited responsive leadership, while others reported difficulty getting timely, empathetic answers from management or human resources and described interactions with particular staff as condescending. These mixed impressions suggest variable management responsiveness and uneven staff conduct tone at different times or on different shifts. Reviewers also raised concerns about discharge planning and a lack of clear guidance for home care, as well as unclear emergency-fund or financial policies tied to certain situations.

    Taken together, the pattern is one of a facility with evident clinical and rehabilitative strengths but with operational inconsistencies that can affect safety and family confidence. Prospective residents and families should weigh the documented strengths in therapy and many direct-care interactions against the cited concerns in medication control, emergency response, personal-care consistency, and communication. A practical approach is to conduct a focused visit: observe staffing levels across shifts, ask about medication- and transfer-safety protocols, review discharge and infection-control procedures, request examples of family communication practices, and meet therapy staff to assess the rehab plan. This will help determine whether the facilityโ€™s strong elements align with the prospective residentโ€™s clinical needs and safety expectations.

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    Medicare Ratings

    1ยท/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Palisade Healthcare Center

    Palisade Healthcare Center is located at 920 4th St, Garretson, SD, 57030.

    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.

    People often ask...

    Palisade Healthcare Center offers assisted living, memory care, and skilled nursing.

    There are 1 photos of Palisade Healthcare Center on Mirador.

    The full address for this community is 920 4th St, Garretson, SD 57030.

    No, Palisade Healthcare Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Palisade Healthcare Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Palisade Healthcare Center directly. There is no cost for this service. We are compensated by the community you select.

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