146 North Sycamore, Sioux Falls, SD 57110
For more information about senior living options: (866) 208-4318
Overall Review of Meadows On Sycamore III
Pros
There are a few aides who genuinely care.- Most staff are pleasant.
- The residents have become like family to their loved ones, and the staff care for them.
- It is an amazing place that cares and treats loved ones like their own.
- The people care.
Cons
The nursing care is unacceptable.- Management doesn't communicate well.
- The facility is very short-staffed.
- There aren’t any housekeepers; the facility is understaffed.
- The place is infested with bed bugs and dirty.
- There is not enough staff to work with residents.
- There are medication errors, and the staff do not maintain professional standards to ensure resident safety.
- One medication aide handles medications for 50+ residents.
Review
Meadows On Sycamore III in Sioux Falls is best suited for families that prize a warm, relationship-driven environment and can tolerate uneven care quality in exchange for staff who, in some cases, genuinely care and stay familiar with residents over time. This community can work for a loved one who is somewhat independent day-to-day but needs regular assistance and social engagement, and for families willing to stay actively involved, advocate for their relative, and push for consistent attention to both daily living and safety concerns. The strongest case is made where long-tenured staff create a sense of family and continuity, turning a facility into a familiar, reassuring home rather than a clinical hub. Those seeking flawless operations or a consistently pristine setting should not assume Meadows On Sycamore III will deliver on those fronts.
That said, there are clear reasons to consider alternatives. The most persistent red flags are around staffing, communication, and overall environment. Several reviews describe nursing care as unacceptable and management as slow to communicate. Under-staffing surfaces repeatedly, with aides stretched thin and med aides handling a heavy load of medications; the downstream risk is increased for errors and delays in attention. Cleanliness and upkeep are also cited as major concerns, including reports of pests and a lack of housekeeping, making the environment feel neglected. For families prioritizing predictable medical oversight, rigorous housekeeping, and proactive management, these gaps can outweigh any personal warmth already present.
On the positive side, the facility does feature pockets of genuine care. A number of reviewers note that some staff are pleasant and that residents and families can form meaningful relationships with caregivers who show up consistently. In cases where a resident settles into a familiar routine and staff become extended family, Meadows On Sycamore III can provide emotional comfort and daily companionship that are hard to replace. When this senior living value aligns with the resident’s needs, the day-to-day experience can be heartfelt and supportive, counterbalancing some operational flaws for those who do not require high-acuity medical intervention.
Those positives, however, do not fully offset the core cons. The recurring themes, severe understaffing, limited housekeeping, and unresolved facility conditions, directly impact safety, cleanliness, and the quality of medical oversight. Incidents cited across reviews include bed bugs and dirty conditions, with multiple accounts suggesting that the environment did not meet basic sanitary standards. Medication administration is described as overburdened, which raises concerns about accuracy and timeliness. In short, the care experience can feel inconsistent: when staff are present and attentive, the environment shines in personal connection; when they are not, risks to health, safety, and dignity quickly emerge.
For families weighing the decision, practical steps are essential. Schedule a thorough in-person tour and speak with current residents and their families about daily routines, responsiveness, and how often housekeeping is performed. Request a clear statement of staffing levels by shift, including the number of nurses versus aides and typical coverage for weekends. Ask about pest control, cleaning schedules, and what concrete remediation plans are in place for any infestations or sanitation concerns. Inquire how medication errors are tracked and corrected, and what processes exist to ensure timely, appropriate nurse oversight. Finally, assess whether the facility’s leadership demonstrates transparent, proactive communication and a credible plan to stabilize operations.
The bottom line is pragmatic: Meadows On Sycamore III can be a viable option for those who value a genuine, affectionate staff culture and can actively supervise care to compensate for episodic staffing gaps. It is less suitable for families needing reliable, high-level nursing care, a consistently clean environment, and strong, communicative management. Those criteria point decisively toward looking at alternatives in the Sioux Falls area that offer steadier staffing patterns, rigorous housekeeping, and documented quality controls. If choosing Meadows On Sycamore III, go in with clear expectations, a plan for regular oversight, and preparedness to address concerns head-on through direct dialogue with administration.
45 resident community capacity
Assisted Living
Beauty salon
Cable or satellite TV
Dining room
Fully furnished
Garden
Housekeeping services
Kitchenette
Move-in coordination
Outdoor space
Telephone
Wi-Fi/high-speed internet available
Joe Foss (4 miles away)
24-hour call system
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Diabetes diet
Meal preparation and service
Medication management
Mental wellness program
Special dietary restrictions
Transportation arrangement (medical)
Transportation to doctors appointments
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