Avera Maryhouse Long Term Care
717 East Dakota · Pierre, SD · 57501 · 6052243163
80 certified beds Non profit - Corporation Chain: Avera Health Hospital-based
- Cleaner inspection record than most facilities nationally.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 5 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.50 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.02 | 0.55–0.75 |
| Weekend hours / resident-day | 3.94 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (9 in the current record)
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Potential for harm · D September 11, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected October 24, 2025 · Resident Rights
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Potential for harm · D September 11, 2025
Provide and implement an infection prevention and control program.
Corrected October 24, 2025 · Infection Control
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Potential for harm · D July 2, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 21, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 6, 2024 · Quality of Life and Care
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Potential for harm · E March 21, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 6, 2024 · Nutrition and Dietary
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Potential for harm · D March 21, 2024
Provide and implement an infection prevention and control program.
Corrected May 6, 2024 · Infection Control
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Potential for harm · D March 16, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 4, 2023 · Resident Assessment and Care Planning
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Potential for harm · D March 16, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 4, 2023 · Quality of Life and Care
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Potential for harm · D March 16, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 4, 2023 · Nutrition and Dietary
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 435034 · certified since August 26, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.