Avera Prince of Peace
4513 South Prince of Peace Place · Sioux Falls, SD · 57103 · 6053225600
126 certified beds Non profit - Church related Chain: Avera Health Part of a CCRC Hospital-based
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
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: 2 of 5 Staffing: 5 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 5.56 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.47 | 0.55–0.75 |
| Weekend hours / resident-day | 5.19 | ≈ weekday level |
| Nursing turnover / year | 27% | median 45% |
| Fines (3-yr window) | 1 · $12,735 |
Inspection citations (17 in the current record)
-
Potential for harm · D November 6, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected January 22, 2026 · Resident Rights
-
Potential for harm · D November 6, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected January 22, 2026 · Resident Rights
-
Potential for harm · E August 21, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected October 4, 2025 · Resident Rights
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Potential for harm · E August 21, 2025
Keep residents' personal and medical records private and confidential.
Corrected October 4, 2025 · Resident Rights
-
Potential for harm · E August 21, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D August 21, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected October 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D August 21, 2025
Ensure each resident receives an accurate assessment.
Corrected October 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 21, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected October 4, 2025 · Pharmacy Service
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Potential for harm · E August 21, 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 4, 2025 · Pharmacy Service
-
Potential for harm · E August 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 4, 2025 · Nutrition and Dietary
-
Potential for harm · E August 21, 2025
Provide and implement an infection prevention and control program.
Corrected October 4, 2025 · Infection Control
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Actual harm · G July 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 5, 2025 · Quality of Life and Care
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Potential for harm · D July 3, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected August 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 14, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 14, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 30, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 14, 2023 · Nutrition and Dietary
-
Potential for harm · D March 30, 2023
Provide and implement an infection prevention and control program.
Corrected April 28, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 2, 2025 | Fine | $12,735 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435066 · certified since October 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.