Pierre, SD

Avera Maryhouse Long Term Care

5-star overall rating with 5-star inspections with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

717 East Dakota, Pierre, SD

(605) 224-3163

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

80

Certified beds

Average residents

56

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Avera Health

Operator or chain grouping

Approved since

1985-08-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.08

Registered nurse staffing

LPN hours / resident day

0.74

Licensed practical nurse staffing

Aide hours / resident day

2.63

Nurse aide staffing

Weekend hours

3.82

Weekend nurse staffing

RN turnover

13%

Annual RN turnover

Total nurse turnover

47%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.1	1.5 0.4 pts better	1.9 0.8 pts better	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	1.5	1.9 0.4 pts better	1.8 0.3 pts better	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	95.4% 4.6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.0%	96.9% 1.1 pts better	95.5% 2.5 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	6.6%	5.1% 1.5 pts worse	3.3% 3.3 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	0.0%	4.6% 4.6 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	5.4%	5.5% 0.1 pts better	5.4% About the same	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	7.5%	17.8% 10.3 pts better	19.6% 12.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	15.8%	25.1% 9.3 pts better	16.7% 0.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened	14.9%	21.3% 6.4 pts better	16.3% 1.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	25.9%	21.6% 4.3 pts worse	14.9% 11 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	7.2%	2.0% 5.2 pts worse	1.0% 6.2 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	4.2%	3.3% 0.9 pts worse	1.7% 2.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	30.2%	25.8% 4.4 pts worse	19.8% 10.4 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	7.7%	4.6% 3.1 pts worse	5.1% 2.6 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.2%	83.2% 16 pts better	81.7% 17.5 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	16.0%	11.7% 4.3 pts worse	12.0% 4 pts worse	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	0.7%	1.7% 1 pts better	1.6% 0.9 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	89.7%	78.2% 11.5 pts better	79.7% 10 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.6%	21.5% 5.9 pts better	23.9% 8.3 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-11 · Fire 2025-09-11

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-03-21 · Fire 2024-03-21

3 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-03-16 · Fire 2023-03-16

3 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

C · Minimal harm 2025-09-11

K226 · Egress Deficiencies

Fire Safety

Have horizontal exits used in accordance with safety requirements.

Corrected 2025-10-24

C · Minimal harm 2025-09-11

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2025-10-24

C · Minimal harm 2025-09-11

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-10-24

B · Minimal harm 2025-09-11

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-10-24

B · Minimal harm 2025-09-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-10-24

B · Minimal harm 2025-09-11

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2025-10-24

C · Minimal harm 2024-03-21

K226 · Egress Deficiencies

Fire Safety

Have horizontal exits used in accordance with safety requirements.

Not marked corrected

C · Minimal harm 2024-03-21

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Not marked corrected

C · Minimal harm 2024-03-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-05-03

E · Potential for more than minimal harm 2023-03-16

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-05-04

C · Minimal harm 2023-03-16

K226 · Egress Deficiencies

Fire Safety

Have horizontal exits used in accordance with safety requirements.

Corrected 2023-05-04

C · Minimal harm 2023-03-16

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2023-05-04

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-11

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-10-24

D · Potential for more than minimal harm 2025-09-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-24

D · Potential for more than minimal harm 2025-07-02

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-08-15

E · Potential for more than minimal harm 2024-03-21

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-05-06

D · Potential for more than minimal harm 2024-03-21

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-05-06

D · Potential for more than minimal harm 2024-03-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-06

D · Potential for more than minimal harm 2023-03-16

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-05-04

D · Potential for more than minimal harm 2023-03-16

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-05-04

D · Potential for more than minimal harm 2023-03-16

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-05-04

Penalties and ownership

What sits behind the stars

Ownership

Avera Health

5% Or Greater Direct Ownership Interest · Organization

100% 11 facilities 2013-01-01

Avera Health

Operational/Managerial Control · Organization

0% 11 facilities 2013-01-01

Krebs, Shantel

Operational/Managerial Control · Individual

0% 1 facilities 2023-03-13

Krebs, Shantel

Corporate Officer · Individual

0% 1 facilities 2023-03-13

Plumage, Darrell

Corporate Director · Individual

0% 2 facilities 2021-08-07

Raske, Talli

Corporate Director · Individual

0% 1 facilities 2015-08-05

Nearby options

Other facilities in reach

#1

Avantara Pierre

Pierre, SD

2-star overall rating with 2-star inspections with abuse icon flag with $22,048 in total fines with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall: 2 / 5
Health: 2 / 5
Staffing: 3 / 5
Fines: $22,048

#2