Avera Bormann Manor
501 North 4th Street · Parkston, SD · 57366 · 6059283384
50 certified beds Non profit - Corporation
Why this verdict
- Federal penalties on record: $44,875 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
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Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.53 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.09 | 0.55–0.75 |
| Weekend hours / resident-day | 2.85 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | 4 · $53,884 |
Inspection citations (15 in the current record)
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Potential for harm · E February 4, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 5, 2026 · Resident Rights
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Potential for harm · D February 4, 2026 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 5, 2026 · Resident Rights
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Potential for harm · D February 4, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 5, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 4, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 5, 2026 · Quality of Life and Care
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Potential for harm · D September 18, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected October 15, 2025 · Pharmacy Service
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Actual harm · G June 26, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 23, 2025 · Quality of Life and Care
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Immediate jeopardy · J March 31, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 28, 2025 · Quality of Life and Care
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Actual harm · G July 11, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected July 31, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 11, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 30, 2024 · Quality of Life and Care
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Potential for harm · D July 11, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected July 31, 2024 · Resident Rights
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Potential for harm · D July 11, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 31, 2024 · Quality of Life and Care
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Potential for harm · D July 11, 2024
Provide and implement an infection prevention and control program.
Corrected July 31, 2024 · Infection Control
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Actual harm · G January 30, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 30, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 21, 2024 · Resident Assessment and Care Planning
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Potential for harm · E June 8, 2023
Keep residents' personal and medical records private and confidential.
Corrected July 27, 2023 · Resident Rights
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 26, 2025 | Fine | $19,135 |
| March 31, 2025 | Fine | $14,901 |
| July 11, 2024 | Fine | $10,839 |
| January 30, 2024 | Fine | $9,009 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 43A137 · certified since July 1, 2011. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.