Gettysburg, SD

Avera Oahe Manor

3-star overall rating with 3-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

700 E Garfield, Gettysburg, SD

(605) 765-2461

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

53

Certified beds

Average residents

35

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1991-07-01

CMS approved date

Coverage

Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.73

Registered nurse staffing · state 0.80 · national 0.68

LPN hours / resident day

0.97

Licensed practical nurse staffing · state 0.49 · national 0.87

Aide hours / resident day

2.31

Nurse aide staffing · state 2.61 · national 2.35

Total nurse hours

4.01

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.70

RN + LPN hours · state 1.28 · national 1.54

Weekend hours

3.13

Weekend nurse staffing · state 3.32 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.51 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.89

CMS adjusted RN staffing hours

Adjusted total hours

4.87

CMS adjusted total nurse staffing hours

Case-mix index

1.13

Higher values indicate more complex resident acuity

RN turnover

17%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 50% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Medicare spending per beneficiary	Not Available	1.02	This provider is not required to submit SNF QRP data.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.6	1.5 0.1 pts worse	1.9 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.6 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.8	1.9 0.1 pts better	1.8 About the same	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.7 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.2%	95.4% 3.8 pts better	93.4% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	96.9% 3.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	7.6%	5.1% 2.5 pts worse	3.3% 4.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 8.8% · Q3 6.7% · Q4 6.2% · 4Q avg 7.6% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	7.3%	5.5% 1.8 pts worse	5.4% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 3.3% · Q3 6.9% · Q4 3.3% · 4Q avg 7.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	28.5%	17.8% 10.7 pts worse	19.6% 8.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 30.0% · Q3 31.0% · Q4 23.3% · 4Q avg 28.5%
Percentage of long-stay residents who received an antipsychotic medication	19.5%	25.1% 5.6 pts better	16.7% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 20.0% · Q3 22.7% · Q4 19.0% · 4Q avg 19.5% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	31.8%	21.3% 10.5 pts worse	16.3% 15.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.2% · Q2 38.9% · Q3 37.4% · 4Q avg 31.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	28.8%	21.6% 7.2 pts worse	14.9% 13.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.3% · Q2 31.0% · Q3 29.6% · Q4 24.1% · 4Q avg 28.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	3.4%	2.0% 1.4 pts worse	1.0% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.3% · Q3 3.7% · Q4 3.3% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.5%	3.3% 1.8 pts better	1.7% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.1%	25.8% 0.7 pts better	19.8% 5.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.8% · Q2 25.6% · Q3 26.8% · Q4 26.9% · 4Q avg 25.1%
Percentage of long-stay residents with pressure ulcers	0.8%	4.6% 3.8 pts better	5.1% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	83.2% 16.8 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 100.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-31 · Fire 2024-01-25

6 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-01-25 · Fire 2022-12-07

3 health deficiencies

Top issue: Environmental (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2022-12-07 · Fire 2021-07-15

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-01-25

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 2024-03-08

D · Potential for more than minimal harm 2022-12-07

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2023-01-25

C · Minimal harm 2022-12-07

K241 · Egress Deficiencies

Fire Safety

Have correct number of accessible exits for each story.

Corrected 2023-01-25

C · Minimal harm 2022-12-07

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-01-09

D · Potential for more than minimal harm 2021-07-15

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2021-07-15

C · Minimal harm 2021-07-15

K241 · Egress Deficiencies

Fire Safety

Have correct number of accessible exits for each story.

Corrected 2021-09-03

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-04

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-10-10

F · Potential for more than minimal harm 2025-07-31

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2025-08-28

E · Potential for more than minimal harm 2025-07-31

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-08-28

E · Potential for more than minimal harm 2025-07-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-02

D · Potential for more than minimal harm 2025-07-31

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-09-03

D · Potential for more than minimal harm 2025-07-31

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 2025-08-28

E · Potential for more than minimal harm 2024-01-25

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-03-10

E · Potential for more than minimal harm 2024-01-25

F909 · Environmental Deficiencies

Health

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 2024-03-10

D · Potential for more than minimal harm 2024-01-25