Avera Oahe Manor

700 E Garfield · Gettysburg, SD · 57442 · 6057652461

53 certified beds Non profit - Corporation

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • 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

Inspection record 30% of score 62
Serious harm & abuse 20% 100
Staffing 20% 75
Federal penalties 15% 100
Trend 10% 30
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.823.48 min · 4.1 strong
RN hours / resident-day0.700.55–0.75
Weekend hours / resident-day3.35≈ weekday level
Nursing turnover / year41%median 45%
Fines (3-yr window)none

Inspection citations (9 in the current record)

  • Potential for harm · D September 4, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected October 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E July 31, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected August 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 31, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected September 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 31, 2025

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

    Corrected August 28, 2025 · Quality of Life and Care

  • Potential for harm · F July 31, 2025

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected August 28, 2025 · Nursing and Physician Services

  • Potential for harm · E July 31, 2025

    Provide and implement an infection prevention and control program.

    Corrected September 2, 2025 · Infection Control

  • Potential for harm · D January 25, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected March 10, 2024 · Resident Rights

  • Potential for harm · E January 25, 2024

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected March 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E January 25, 2024

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    Corrected March 10, 2024 · Environmental

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 43A113 · certified since July 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.