Avera Maryhouse Long Term Care
717 East Dakota · Pierre, SD · 57501 · 6052243163
80 certified beds Non profit - Corporation Chain: Avera Health Hospital-based
- Cleaner inspection record than most facilities nationally.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 5 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.50 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.02 | 0.55–0.75 |
| Weekend hours / resident-day | 3.94 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (9 in the current record)
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Potential for harm · D September 11, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected October 24, 2025 · Resident Rights
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Potential for harm · D September 11, 2025
Provide and implement an infection prevention and control program.
Corrected October 24, 2025 · Infection Control
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Potential for harm · D July 2, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 21, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 6, 2024 · Quality of Life and Care
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Potential for harm · E March 21, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 6, 2024 · Nutrition and Dietary
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Potential for harm · D March 21, 2024
Provide and implement an infection prevention and control program.
Corrected May 6, 2024 · Infection Control
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Potential for harm · D March 16, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 4, 2023 · Resident Assessment and Care Planning
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Potential for harm · D March 16, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 4, 2023 · Quality of Life and Care
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Potential for harm · D March 16, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 4, 2023 · Nutrition and Dietary
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435034 · certified since August 26, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.