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.
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
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
-
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
-
Potential for harm · D August 21, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected October 4, 2025 · Pharmacy Service
-
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
-
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
-
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
-
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
-
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
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
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.