CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 4350692026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Tieszen Memorial Home

312 East State St · Marion, SD 57043 · Turner County

CMS OVERALL RATING★★★★☆4/5CMS field—not our score or recommendation
Certified beds64CMS provider file
Recent citation rows15current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-05-2872026-05-281
Cycle 22024-12-1942024-12-191
Cycle 32023-08-2312023-08-231
02 / CITATION DETAIL

15 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-05-28 · HEALTHF0554Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

Correction field: Deficient, Provider has date of correction · 2026-07-12
2026-05-28 · HEALTHF0628Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Correction field: Deficient, Provider has date of correction · 2026-07-12
2026-05-28 · HEALTHF0700Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Correction field: Deficient, Provider has date of correction · 2026-07-12
2026-05-28 · HEALTHF0732Severity D · isolated; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Correction field: Deficient, Provider has date of correction · 2026-07-12
2026-05-28 · HEALTHF0804Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Correction field: Deficient, Provider has date of correction · 2026-07-12
2026-05-28 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2026-07-12
2026-05-28 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2026-07-12
2026-05-28 · FIREK0241Severity C · widespread; potential for minimal harm

Egress Deficiencies

Have correct number of accessible exits for each story.

Correction field: No revisit needed
2024-12-19 · HEALTHF0585Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Correction field: Deficient, Provider has date of correction · 2025-01-31
2024-12-19 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2025-01-31
2024-12-19 · HEALTHF0695Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Correction field: Deficient, Provider has date of correction · 2025-01-31
2024-12-19 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-01-31
2024-12-19 · FIREK0241Severity C · widespread; potential for minimal harm

Egress Deficiencies

Have correct number of accessible exits for each story.

Correction field: Deficient, Provider has no plan of correction
2023-08-23 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction field: Deficient, Provider has date of correction · 2023-09-25
2023-08-23 · FIREK0241Severity C · widespread; potential for minimal harm

Egress Deficiencies

Have correct number of accessible exits for each story.

Correction field: Deficient, Provider has no plan of correction
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • BERENS, RAVILAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 10/27/2009
  • GALL, DEANNAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 02/01/2021
  • JOHNSON, PAULIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 11/01/2009
  • JONES, JAMESIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 10/27/2009
  • LUKE, RICHARDIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 10/27/2009
  • PATTEN, ERINIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 06/18/2025
  • TIESZEN, ERICIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 02/17/2020
  • BERENS, RAVILAIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/20/2020
  • JOHNSON, PAULIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/20/2020
  • LUKE, RICHARDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/20/2020
  • AVEL ECARE MEDICAL GROUP, PCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/15/2021
  • REES, JOSEPHIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/15/2021
  • WILSON, LAURAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 10/27/2009
  • AVEL ECARE MEDICAL GROUP, PCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 04/01/2026
  • REES, JOSEPHIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 11/15/2021
  • WILSON, LAURAIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 05/29/2020

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.47per resident day
RN hours0.76per resident day
Weekend nurse hours3.01per resident day
Staff turnover50.0%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the South Dakota ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.