Deficiency Index

Aurora Brule Nursing Home Inc

White Lake, South Dakota · CCN 435132

14 surveys since 2014, 4 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
65
Surveys
14
Harm or worse
4
Immediate jeopardy
0
The record, 2014–2026
’14’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse4

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file8/14

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
44
Ownership
For profit - Corporation
Chain
Independent
County
Aurora · rural
Medicare-certified since
2014

CMS ratings

Overall
3
Health inspection
3
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 18 for-profit facilities with fewer than 66 beds in South Dakota.

Last survey on record

Jul 29, 2026

103 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.293.20
Registered-nurse hours per resident day0.47—

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$17,928 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG14.0%H—I—
No harm, potential for more than minimalD1248.0%E1040.0%F—
No harm, potential for minimalA—B28.0%C—
CMS’s current file: 25 of the 65 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6894×

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

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6102×

    Respond appropriately to all alleged violations.

  • F6572×

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

  • F7612×

    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.

In the surveyor’s words

From the most serious findings on record at Aurora Brule Nursing Home Inc, in the surveyor’s own words.

  • Actual harm, patternF684Aug 5, 2021

    Based on observation, interview, and record review, the provider failed to perform routine assessments, revise care plans, and provide interventions for residents who were at risk for developing skin integrity issues for 8 of 8 sampled residents (9, 10, 13, 18, 20, 22, 23, and 32). Findings include: 1. Observation and interview on 8/3/21 at 11:19 a.m. with resident 20 revealed: *She had a wound on her bottom. -It caused her pain. *She stated she also had wounds on her feet and on her hip. Surveyor Observation on 8/4/21 at 11:15 a.m. of resident 20's skin with licensed practical nurse (LPN) E and certified nursing aide (CNA) M revealed: *Resident's right heel revealed: -An approximate 1.5 centimeter (cm) yellow scab with a 0.2 cm dark brown center. […]

  • Actual harm, isolatedF689Apr 23, 2024

    Substantial compliance was confirmed on 4/23/24 after record review revealed the facility had followed their quality assurance process; after the dietitian was contacted for acceptable hot beverage temperatures; after the hot beverage vender was contacted to lower the dispenser's temperature; after the dispensers were unplugged until the vender could arrive; after the facility created new policies and provided education to all staff regarding: acceptable hot beverage temperatures, monitoring of assisted dining, and first aid to a burn; after observations of residents and staff during the assisted dining meal service; after assisted dining residents were assessed for safety; after assisted dining resident interview confirming safety lids were provided and hot beverages were not served until… […]

  • No harm, potential for more than minimal, widespreadF835Aug 5, 2021

    Based on observation, interview, record review, policy review, and job description review, the provider failed to ensure the facility was operated and administered in a manner that ensured the safety and overall well-being for all thirty-four residents in the facility. Findings include: 1. Observations, interviews, record reviews, and policy reviews throughout the course of the survey revealed management consultant B, administrator A, and director of nursing services C had not ensured the safe management and overall well-being of all the residents who lived in the facility. Interview on 8/5/21 at 3:30 p.m. with administrator A revealed: *She was the emergency permit holder for the facility. *She was being precepted by management consultant B. […]

  • No harm, potential for more than minimal, widespreadF837Aug 5, 2021

    Based on observations, interviews, record reviews, job description reviews, and policy reviews, the governing body failed to ensure the facility was operated in a manner that ensured the safe management and overall well-being for all thirty-four residents in the facility. Findings include: 1. Refer to F580, F582, F684, F697, F700, F835, F880, F881, and F882.

  • No harm, potential for more than minimal, widespreadF865Aug 5, 2021

    Based on record review and interview, the provider failed to ensure performance improvement projects (PIP) had been thoroughly examined and resolved with an effective quality assurance performance improvement (QAPI) process. Findings include: 1. Interview on 8/5/21 at 11:00 a.m. with administrator A and infection control registered nurse (IC RN) D revealed: *They both attended QAPI meetings. *IC RN D stated she did not participate, she just listened. *They have not had any PIPs in place. *They were not aware of any issues with wounds or assessments. Refer to F880, F881, and F882.

Read 23 findings in full →The most serious and the most recent: 23 of 65 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 29, 2026Standard and complaint9 findings
  • Jul 24, 2025Standard9 findings
  • May 14, 2024Complaint1 finding
  • Apr 23, 2024Complaint1 finding · 1 harm
  • Mar 6, 2024Standard1 finding
  • Mar 1, 2023Standard4 findings
  • Aug 5, 2021Standard and complaint11 findings · 1 harm
  • May 15, 2019Complaint5 findings · 1 harm
Show the 6 earlier surveys
  • Nov 28, 2018Standard8 findings
  • Sep 7, 2017Standard3 findings
  • Nov 8, 2016Complaint3 findings · 1 harm
  • Jul 27, 2016Standard2 findings
  • Aug 12, 2015Standard5 findings
  • Sep 24, 2014Standard3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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