Federal inspection record · CMS data as of October 1, 2026
Avera Mother Joseph Manor Retirement Community
1002 North Jay Street, Aberdeen, SD · (605) 622-5850
- Certified beds
- 81
- Residents per day
- 78
- Ownership
- Non-Profit
- Chain
- Avera Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 11, 1990
1
How this home got 3 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in South Dakota.
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Staffing
★★★★★no change
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.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among South Dakota homes
Avera Mother Joseph Manor Retirement Community carries 55 inspection points. That is fewer than 43% 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
17 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (3)
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Resident Rights3E
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
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.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Nursing and Physician Services2F
- F
Post nurse staffing information every day.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care2E
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning1D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service1E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Administration1D
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspection history
2025-12-17
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
2024-05-16
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2023-03-23
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 57 min of nursing staff time a day, 56 min of it from a registered nurse.
This home
3 h 57 min
South Dakota average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 53% of nursing staff and 37% 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
$8,824 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-08-28 | Fine | $8,824 |
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 days0.3 pts better | 1.4 | 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 pts worse | 6.5% | 5.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.1 pts better | 3.8% | 5.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts better | 5.1% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.8 pts better | 15.9% | 17.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.4 pts better | 21.4% | 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 worsened1.4 pts better | 16.9% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.4 pts better | 18.1% | 21.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.5 pts better | 0.4% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 2.2% | 2.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.8 pts better | 19.7% | 24.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers8 pts worse | 12.5% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.4 pts better | 93.3% | 83.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.2 pts better | 11.1% | 13.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 1.8% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.5 pts better | 94.0% | 75.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.5 pts worse | 20.5% | 20.0% | 23.4% |
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Who owns and runs it
24 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 | Corporate Director · Individual | 0% | 2 facilities |
| Bjerknes, Daniel | Corporate Officer · Individual | 0% | 2 facilities |
| Dover, James | Corporate Officer · Individual | 0% | 7 facilities |
| Fauth, Kristen | Corporate Director · Individual | 0% | 2 facilities |
| Fouberg, Erin | Corporate Director · Individual | 0% | 2 facilities |
| Franks, Shane | Corporate Director · Individual | 0% | 2 facilities |
| Golz, Heidi | Corporate Director · Individual | 0% | 2 facilities |
| Heinz, Blake | Corporate Director · Individual | 0% | 2 facilities |
| Henrickson, Paula | Corporate Officer · Individual | 0% | 1 facilities |
| Henrickson, Paula | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Henrickson, Paula | Adp Of The SNF · Individual | 0% | 1 facilities |
| Herman, Michael | Corporate Director · Individual | 0% | 2 facilities |
| Jensen, Paula | Corporate Director · Individual | 0% | 2 facilities |
| Kerkvliet, Marietta | Corporate Director · Individual | 0% | 2 facilities |
| Knapp, Michael | Corporate Director · Individual | 0% | 1 facilities |
| Knapp, Michael | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Knapp, Michael | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lautt, Julie | Corporate Officer · Individual | 0% | 9 facilities |
| Mcneil, David | Corporate Director · Individual | 0% | 2 facilities |
| Panowicz, Kathleen | Corporate Director · Individual | 0% | 2 facilities |
| Schutz, Amanda | Corporate Officer · Individual | 0% | 1 facilities |
| Wobst, Garret | Corporate Director · Individual | 0% | 2 facilities |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4E
- C
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- C
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Inspect, test, and maintain automatic sprinkler systems.
- C
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Egress3C
- C
Have correct number of accessible exits for each story.
- C
Have correct number of accessible exits for each story.
- C
Have correct number of accessible exits for each story.
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Other homes nearby
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Prairie Heights Healthcare
Aberdeen, SD · Eduro Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 41 min
- Fines
- $0
-
Bethesda Home of Aberdeen
Aberdeen, SD
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 53 min
- Fines
- $25,265
-
Aberdeen Health And Rehab
Aberdeen, SD · Accura Healthcare
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 44 min
- Fines
- $57,253