Avera Eureka Health Care Center
Eureka, South Dakota · CCN 435078
13 surveys since 2011, 5 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
- 50
- Surveys
- 13
- Harm or worse
- 5
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 56
- Ownership
- Non profit - Corporation
- Chain
- AVERA HEALTH
- County
- Mc Pherson · rural
- Medicare-certified since
- 1994
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 4
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=12, floor 20).
Last survey on record
Jun 11, 2026
151 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.10 | 3.73 |
| Registered-nurse hours per resident day | 0.80 | — |
| Annual nurse turnover | 32.5% | 49.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $12,252 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G19.1% | H— | I— |
| No harm, potential for more than minimal | D218.2% | E654.5% | F218.2% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F8802×
Provide and implement an infection prevention and control program.
- F5781×
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
In the surveyor’s words
From the most serious findings on record at Avera Eureka Health Care Center, in the surveyor’s own words.
- Actual harm, isolatedF692Feb 13, 2025
Based on observation, interview, record review, and policy review the provider failed to thoroughly assess for nutritional needs that included use of built up silverware, consistently implement, monitor, make care intervention revisions, notify the physician timely of unplanned weight loss; and ensure licensed nursing staff were aware of the reweigh policy and physician notification policy and all licensed nursing and dietary staff were aware of the enhanced food program for one of one sampled resident (43) at nutritional risk and with significant weight loss. Findings include: 1. Observation on 2/10/25 at 5:08 p.m. of resident 43 in the dining room revealed: *He propelled his wheelchair into the dining room by using his feet. *He was thin and had loose skin on his arms. 2. […]
- No harm, potential for more than minimal, widespreadF812Feb 13, 2025
Based on observation, interview, record review, and policy review the provider failed to ensure: *Items were not stored under the food preparation sink in one of one kitchen. *Documentation was completed for the cleaning and sanitation of one of one dishwasher. *A process was in place to test and document sanitation levels in sanitation buckets for one of one kitchen. *Refrigerator and freezer temperatures were documented for two of two refrigerators and two of two freezers in one of one kitchen. *Food temperatures were measured prior to serving by one of one cook (G) and documented. *Proper food handling processes were in place for four of four observed certified nursing assistants (CNA M, N, O, and Q) and two of two dietary staff (K, and L) during two of two observed meal services. […]
- No harm, potential for more than minimal, widespreadF880Feb 13, 2025
Based on observation, interview, record review, and policy review, the provider failed to ensure infection prevention practices were performed by: *Not following provider policy for use of personal protective equipment (PPE) for one of one resident (47) on enhanced barrier precautions by one of one staff (LPN F). *Not having placed one of one resident (37) with a pressure ulcer on enhanced barrier precautions. *Not performing appropriate hand hygiene during three of five observations of two of two staff (LPN F and RN S). *Not following provider policy for nebulizer tubing changes for one of two sampled residents (50). *Not cleaning multi-use items properly during three of four observations of one of one of one of one staff (RN S). […]
- No harm, potential for more than minimal, patternF578Jun 11, 2026
Based on record review, interview, and policy review, the provider failed to ensure the code status (emergent treatment a person wishes to receive if their heart or breathing would stop) for ten of ten sampled residents (5, 6, 7, 8, 12, 22, 31, 39, 40, and 45) was documented in the residents' electronic medical records (EMR). Findings include: 1. Review of resident 7's EMR revealed she admitted to the facility on [DATE]. Her 4/24/26 Minimum Data Set (MDS) assessment indicated that she was rarely understood or able to understand others and was severely cognitively impaired. […]
- No harm, potential for more than minimal, patternF700Jun 11, 2026
Based on observation, interview, record review, and policy review, the provider failed to ensure the manufacturer's instructions were followed for the installation of assistive devices ( T Shaped poles attached to the residents' bed frames to be used for bed mobility) to the residents' beds, alternatives to the assistive devices were attempted before the assistive devices were installed, and the date of installation was documented for nine of nine sampled residents (1, 9, 10, 32, 34, 35, 36, 43, and 47), a physician's order was obtained before the installation of the assistive device for five of nine sampled residents (1, 9, 32, 34, and 47), a safety assessment was completed for four of nine sampled residents (1, 9, 34, and 35), and informed consent was obtained for the use of the… […]
Read 23 findings in full →The most serious and the most recent: 23 of 50 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 11, 2026Standard3 findings
- Feb 13, 2025Standard5 findings · 1 harm
- Oct 19, 2023Standard2 findings
- Sep 1, 2022Standard1 finding
- Oct 15, 2021Infection control1 finding
- Mar 12, 2020Standard3 findings
- Apr 10, 2019Standard4 findings
- Jan 10, 2018Standard8 findings · 1 harm
Show the 5 earlier surveys
- Oct 26, 2016Standard4 findings
- Aug 12, 2015Standard11 findings · 2 harm
- Jun 11, 2014Standard3 findings
- May 8, 2013—3 findings
- Apr 13, 2011—2 findings · 1 harm
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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