Avera Maryhouse Long Term Care
Pierre, South Dakota · CCN 435034
20 surveys since 2011, 8 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
- 71
- Surveys
- 20
- Harm or worse
- 8
- 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
- 80
- Ownership
- Non profit - Corporation
- Chain
- AVERA HEALTH
- County
- Hughes · rural
- Medicare-certified since
- 1985
CMS ratings
- Overall
- 5
- Health inspection
- 5
- Staffing
- 5
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=13, floor 20).
Last survey on record
Sep 11, 2025
424 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 | 4.62 | 3.70 |
| Registered-nurse hours per resident day | 1.02 | — |
| Annual nurse turnover | 46.6% | 46.6% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D888.9% | E111.1% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- 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.
- F5541×
Allow residents to self-administer drugs if determined clinically appropriate.
- F6091×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6561×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
In the surveyor’s words
From the most serious findings on record at Avera Maryhouse Long Term Care, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF812Mar 21, 2024
Based on observation, interview, and policy review, the provider failed to: *Maintain the following in one of one service kitchen in a clean and sanitary manner: -Two of three silverware holders on one of one dish drying rack. -One of one plastic wrap dispenser. -One of one beverage dispenser station. -One of one stack of uncovered kitchen towels. -One of one plastic bag of to go food containers. Findings include: 1. Observation and interview with nutrition and food service employee E on 3/19/24 at 11:15 a.m. during the initial kitchen tour revealed: *Attached to the dish drying rack next to the three-compartment sink were three plastic silverware holders. […]
- No harm, potential for more than minimal, patternF880Nov 18, 2021
Based on observation, interview, manufacturer instructions, and policy review, the provider failed to ensure appropriate infection control precautions had been followed for: *One of one observation of housekeeper (M) while cleaning one of one resident (23) room. *One of one registered nurse (RN) (I) hand hygiene in two out of ten opportunities during medication pass. *One of one observation of glucometer use by registered nurse (RN) G with a resident (42) on transmission based precautions. *One of one observation of certified nursing assistant (CNA) C and physical therapist (PT) D during transfer of one of one resident (14) during personal care. Findings include: 1. Observation and interview on 11/17/21 from 10:48 a.m. to 10:55 a.m. […]
- No harm, potential for more than minimal, patternF880Feb 16, 2021
Based on observation, interview, record review, policy review, and review of the Centers for Disease Control and Prevention (CDC) 11/20/20 publication Preparing for COVID-19 in Nursing Homes, the provider failed to: *Ensure staff and residents in the facility were not exposed to COVID-19. *Use appropriate precautions on four of four (1, 2, 3, and 4) residents who were recently admitted to the facility. Findings include: 1. Observation on 2/16/21 at 11:40 a.m. of resident 1, 2, 3, and 4's rooms revealed: *Each room had a sign outside the door indicating: -Those residents had been on quarantine and staff were to use standard precautions of a universal mask and eye protection. -If blood or body fluid exposure could occur staff were to add gloves and a gown. […]
- No harm, potential for more than minimal, isolatedF554Sep 11, 2025
Based on observation, record review, interview, and policy review the provider failed to ensure self-administration of medication assessments had been completed on two of three sampled residents (3 and 24) who self-administered medications were assessed for their ability to safely self-administer medications and the resident's care plans reflected that according to the provider's policy.Findings include:1.Observation and interview on 9/9/25 at 8:55 a.m. of resident 3 in her room revealed:*She had opened her bedside stand drawer and there was a bottle of PreserVision AREDS (an eye supplement) and a bottle of Lutein (vitamin supplement) in the top drawer of the stand.*She indicated she took them occasionally, not every day.*There was no label indicating use on either bottle. […]
- No harm, potential for more than minimal, isolatedF880Sep 11, 2025
Based on observation, interview and policy review the provider failed to follow infection control practices to ensure residents' catheter bags were not lying on the floor according to the provider's policy and nasal cannula (NC) tubing was disinfected or replaced before placing it on a resident's face for one of one sampled resident 7 observed with NC tubing and a catheter bag lying on the floor.Findings include: 1. Observation on 9/9/25 at 10:28 a.m. in resident 7's room, revealed the resident's catheter bag was lying on the floor next to her bed without a covering or a barrier under it.Observation on 9/9/25 at 12:17 p.m. in the dining room area revealed resident 7's catheter bag was uncovered and lying under her wheelchair, touching the floor.Observation on 9/9/25 at 2:29 p.m. […]
Read 26 findings in full →The most serious and the most recent: 26 of 71 on record.
Every survey on record
FindingsAt actual harm or above
- Sep 11, 2025Standard2 findings
- Jul 2, 2025Complaint1 finding
- Mar 21, 2024Standard3 findings
- Mar 16, 2023Standard3 findings
- Nov 18, 2021Standard3 findings
- Feb 16, 2021Infection control1 finding
- Aug 7, 2019Standard4 findings
- May 16, 2018Standard5 findings · 2 harm
Show the 12 earlier surveys
- May 24, 2017Standard7 findings
- Mar 16, 2016Standard4 findings
- Oct 7, 2015Complaint1 finding
- Jun 3, 2015Standard3 findings
- Feb 20, 2015Complaint2 findings · 2 harm
- Jul 10, 2014Complaint3 findings · 1 harm
- Apr 9, 2014Standard3 findings
- Jan 22, 2014—1 finding
- Jul 8, 2013—2 findings
- Mar 7, 2013—10 findings
- Jan 25, 2012—6 findings · 3 harm
- Apr 13, 2011—7 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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