Avera Rosebud Country Care Center
126 S Logan Ave · Gregory, SD · 57533 · 6058358296
30 certified beds Non profit - Corporation Chain: Avera Health
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- 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: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.85 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.06 | 0.55–0.75 |
| Weekend hours / resident-day | 4.15 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (9 in the current record)
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Potential for harm · D February 13, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 17, 2025 · Resident Rights
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Potential for harm · E February 13, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 13, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 17, 2025 · Nutrition and Dietary
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Potential for harm · E February 13, 2025
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected March 30, 2025 · Environmental
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Potential for harm · D January 23, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 23, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 26, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 10, 2023 · Resident Assessment and Care Planning
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Actual harm · G August 25, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 21, 2022 · Quality of Life and Care
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 435029 · certified since July 1, 1975. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.