Avera Eureka Health Care Center ratings, inspections, staffing, and fines

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

Health inspections

starting point

Everything starts from what state inspectors found on site. This is a ranking against other homes in South Dakota.
Staffing

+1 star

Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
Quality measures

no change

Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
Overall

5 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among South Dakota homes

Avera Eureka Health Care Center carries 32 inspection points. That is fewer than 64% of South Dakota's 94 rated homes.

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in South Dakota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

5★ 0–14 pts
4★ 14–31.5 pts
3★ 31.5–55 pts
2★ 55–95.25 pts
1★ over 95.25 pts

Bars show every rated home in South Dakota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

10 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts

K 0 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 2 4 pts

E 5 8 pts

F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 0 0 pts

C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

G

Provide enough food/fluids to maintain a resident's health.

February 13, 2025 · Standard inspection · Quality of Life and Care · F692 · Corrected March 14, 2025

Everything else, by area of care

Quality of Life and Care2E

E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
June 11, 2026 · Standard · F700 · Corrected July 26, 2026
E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
February 13, 2025 · Standard · F689 · Corrected March 14, 2025

Nutrition and Dietary2F

D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
June 11, 2026 · Standard · F812 · Corrected July 26, 2026
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
February 13, 2025 · Standard · F812 · Corrected March 14, 2025

Infection Control2F

F
Provide and implement an infection prevention and control program.
February 13, 2025 · Standard · F880 · Corrected March 14, 2025
E
Provide and implement an infection prevention and control program.
October 19, 2023 · Standard · F880 · Corrected November 10, 2023

Pharmacy Service2E

E
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.
February 13, 2025 · Standard · F761 · Corrected March 14, 2025
D
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.
October 19, 2023 · Standard · F761 · Corrected November 10, 2023

Resident Rights1E

E
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.
June 11, 2026 · Standard · F578 · Corrected July 13, 2026

Inspection history

2026-06-11
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2025-02-13
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-10-19
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 18 min of nursing staff time a day, 46 min of it from a registered nurse.

This home

3 h 18 min

South Dakota average

3 h 51 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 25% of nursing staff and 0% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$12,252 in federal fines on record over the past three years.

Date	Penalty	Amount
2025-02-13	Fine	$12,252

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

Measure	This home	State	U.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts better	1.3	1.5	1.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better	1.5	1.7	1.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.1 pts better	100.0%	94.9%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.8 pts better	100.0%	97.2%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts worse	7.4%	5.5%	3.2%
Percentage of long-stay residents who have depressive symptoms5.4 pts better	0.5%	5.9%	13.5%
Percentage of long-stay residents who lose too much weight1.7 pts better	4.0%	5.7%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.6 pts better	13.1%	17.7%	19.5%
Percentage of long-stay residents who received an antipsychotic medication18.6 pts better	6.2%	24.8%	15.4%
Percentage of long-stay residents who were physically restrainedAbout the same	0.0%	0.0%	0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.5 pts better	14.8%	18.3%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.5 pts better	19.0%	21.5%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better	1.8%	1.9%	0.7%
Percentage of long-stay residents with a urinary tract infection1.1 pts worse	4.0%	2.9%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.8 pts worse	27.3%	24.5%	18.3%
Percentage of long-stay residents with pressure ulcers3.9 pts better	0.6%	4.5%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better	89.7%	83.9%	82.3%

·

Who owns and runs it

25 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list

Name	Role	Share	Homes
Avera Health	5% Or Greater Direct Ownership Interest · Organization	100%	11 facilities
Avera Health	Operational/Managerial Control · Organization	0%	11 facilities
Bierne, Kathleen	Managing Control - Governing Body · Individual	0%	2 facilities
Bjerknes, Daniel	Corporate Officer · Individual	0%	2 facilities
Bjerknes, Daniel	Operational/Managerial Control · Individual	0%	2 facilities
Dover, James	Operational/Managerial Control · Individual	0%	7 facilities
Dover, James	Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual	0%	7 facilities
Fauth, Kristen	Managing Control - Governing Body · Individual	0%	2 facilities
Fouberg, Erin	Managing Control - Governing Body · Individual	0%	2 facilities
Franks, Shane	Managing Control - Governing Body · Individual	0%	2 facilities
Golz, Heidi	Managing Control - Governing Body · Individual	0%	2 facilities
Heinz, Blake	Managing Control - Governing Body · Individual	0%	2 facilities
Herman, Michael	Managing Control - Governing Body · Individual	0%	2 facilities
Jensen, Paula	Managing Control - Governing Body · Individual	0%	2 facilities
Kerkvliet, Marietta	Managing Control - Governing Body · Individual	0%	2 facilities
Lautt, Julie	Corporate Officer · Individual	0%	9 facilities
Mcneil, David	Managing Control - Governing Body · Individual	0%	2 facilities
Ostrowski, Susan	Corporate Officer · Individual	0%	1 facilities
Ostrowski, Susan	Operational/Managerial Control · Individual	0%	1 facilities
Ostrowski, Susan	Adp Of The SNF · Individual	0%	1 facilities
Panowicz, Kathleen	Managing Control - Governing Body · Individual	0%	2 facilities
Weber, Carmen	Corporate Officer · Individual	0%	1 facilities
Weber, Carmen	Operational/Managerial Control · Individual	0%	1 facilities
Weber, Carmen	Adp Of The SNF · Individual	0%	1 facilities
Wobst, Garret	Managing Control - Governing Body · Individual	0%	2 facilities

·

Fire safety

2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Construction1B

B
Meet other general requirements.
February 13, 2025 · K100 · Corrected March 14, 2025

Egress1C

C
Install emergency lighting that can last at least 1 1/2 hours.
October 19, 2023 · K291 · Corrected October 23, 2023

·

Other homes nearby

Ashley Medical Center Nursing Home
Ashley, ND

Worst citation, 3 yrs
D

Nursing / resident / day
5 h 15 min

Fines
$0
Bowdle Nursing Home
Bowdle, SD

Worst citation, 3 yrs
F

Nursing / resident / day
4 h 10 min

Fines
$0
Walworth County Care Center, Inc
Selby, SD · Rural Health Development

Worst citation, 3 yrs
E

Nursing / resident / day
3 h 4 min

Fines
$0

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