Cycle 1
Health 2025-08-21 · Fire 2025-08-21
13 health deficiencies
Top issue: Resident Rights (4 deficiencies)
1 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Sioux Falls, SD
Avera Prince Of Peace
3-star overall rating with 2-star inspections with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
4513 South Prince Of Peace Place, Sioux Falls, SD
(605) 322-5600
Overall
3 / 5
CMS overall stars
Health inspections
2 / 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
126
Certified beds
Average residents
115
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Avera Health
Operator or chain grouping
Approved since
1992-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
12 facilities
Chain averages 4 overall / 3 health / 5 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
1.38
Registered nurse staffing · state 0.80 · national 0.68
LPN hours / resident day
0.57
Licensed practical nurse staffing · state 0.49 · national 0.87
Aide hours / resident day
3.43
Nurse aide staffing · state 2.61 · national 2.35
Total nurse hours
5.39
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.96
RN + LPN hours · state 1.28 · national 1.54
Weekend hours
4.99
Weekend nurse staffing · state 3.32 · national 3.43
Weekend RN hours
1.08
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.27
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.38
CMS adjusted RN staffing hours
Adjusted total hours
5.37
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
11%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
28%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,357
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
57.27
Composite VBP score used to determine payment impact.
Payment multiplier
1.0124
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 16.31% · Performance 21.98% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
7.10
Baseline 3.93% · Performance 5.71% · Measure score 7.10 · Achievement 7.10 · Improvement 0
Total nurse turnover
7.42
Baseline 45.33% · Performance 33.33% · Measure score 7.42 · Achievement 7.42 · Improvement 5.36
Adjusted total nurse staffing
8.38
Baseline 5.04 hours · Performance 5.46 hours · Measure score 8.38 · Achievement 8.38 · Improvement 5.20
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.24% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 407 · Observed rate 9.09% · Lower 95% interval 8.34% |
| Discharge to community | 56.03% |
50.57%
5.5 pts better
|
Better than the National Rate · Eligible stays 377 · Observed rate 54.11% · Lower 95% interval 52.34% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 97.22% |
95.27%
2 pts better
|
Numerator 280 · Denominator 288 |
| Falls with major injury | 0.69% |
0.77%
0.1 pts better
|
Numerator 2 · Denominator 288 |
| Discharge self-care score | 63.6% |
53.69%
9.9 pts better
|
Numerator 145 · Denominator 228 |
| Discharge mobility score | 51.32% |
50.94%
0.4 pts better
|
Numerator 117 · Denominator 228 |
| Pressure ulcers or injuries, new or worsened | 2.08% |
2.29%
0.2 pts better
|
Numerator 6 · Denominator 288 · Adjusted rate 2.81% |
| Healthcare-associated infections requiring hospitalization | 5.71% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 231 · Observed rate 3.9% · Lower 95% interval 3.6% |
| Staff COVID-19 vaccination coverage | 7.23% |
8.2%
1 pts worse
|
Numerator 23 · Denominator 318 |
| Staff flu vaccination coverage | 77.86% |
42%
35.9 pts better
|
Numerator 334 · Denominator 429 |
| Discharge function score | 63.6% |
56.45%
7.1 pts better
|
Numerator 145 · Denominator 228 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 65 · Denominator 65 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 189 · Denominator 189 |
| Resident COVID-19 vaccinations up to date | 51.8% |
25.2%
26.6 pts better
|
Numerator 72 · Denominator 139 |
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 1.5 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.9
1.3 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.6 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
95.4%
4 pts better
|
93.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 97.7% · 4Q avg 99.4% |
| 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 · 4Q avg 98.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.6% |
5.1%
1.5 pts better
|
3.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.4% · Q3 4.4% · Q4 3.4% · 4Q avg 3.6% · 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 | 6.3% |
5.5%
0.8 pts worse
|
5.4%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 5.1% · Q3 4.1% · Q4 9.6% · 4Q avg 6.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.9% |
17.8%
0.1 pts worse
|
19.6%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 19.0% · Q3 21.3% · Q4 18.9% · 4Q avg 17.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.9% |
25.1%
13.2 pts better
|
16.7%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 15.8% · Q3 7.5% · Q4 3.5% · 4Q avg 11.9% · 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 | 17.5% |
21.3%
3.8 pts better
|
16.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 16.5% · Q3 20.8% · Q4 11.2% · 4Q avg 17.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.3% |
21.6%
2.3 pts better
|
14.9%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 26.4% · Q3 24.6% · Q4 9.1% · 4Q avg 19.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.3% |
2.0%
1.3 pts worse
|
1.0%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 5.0% · Q3 2.1% · Q4 4.0% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.3% |
3.3%
1 pts better
|
1.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 3.4% · Q3 3.3% · Q4 1.1% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.5% |
25.8%
0.3 pts better
|
19.8%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.2% · Q2 19.7% · Q3 28.3% · Q4 23.1% · 4Q avg 25.5% |
| Percentage of long-stay residents with pressure ulcers | 4.2% |
4.6%
0.4 pts better
|
5.1%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.9% · Q3 4.8% · Q4 7.1% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.4% |
83.2%
11.2 pts better
|
81.7%
12.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.4% · Q2 97.3% · Q3 95.7% · Q4 89.7% · 4Q avg 94.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.9% |
11.7%
2.8 pts better
|
12.0%
3.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.9% · Observed 8.6% · Expected 10.8% · Used in QM five-star |
| 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 · Q1 1.6% · Q2 0.8% · Q3 0.7% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.8% |
78.2%
8.6 pts better
|
79.7%
7.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.7% |
21.5%
0.2 pts worse
|
23.9%
2.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.7% · Observed 19.4% · Expected 21.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-14 · Fire 2024-03-14
2 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2023-03-30 · Fire 2023-03-30
2 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-08-21
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2025-09-19
D · Potential for more than minimal harm
2024-03-14
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 2024-03-21
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-06
F627 · Resident Rights Deficiencies
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2026-01-22
D · Potential for more than minimal harm
2025-11-06
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-01-22
E · Potential for more than minimal harm
2025-08-21
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-10-04
E · Potential for more than minimal harm
2025-08-21
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-10-04
E · Potential for more than minimal harm
2025-08-21
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-10-04
E · Potential for more than minimal harm
2025-08-21
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2025-10-04
E · Potential for more than minimal harm
2025-08-21
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 2025-10-04
E · Potential for more than minimal harm
2025-08-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-04
D · Potential for more than minimal harm
2025-08-21
F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-10-04
D · Potential for more than minimal harm
2025-08-21
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-10-04
D · Potential for more than minimal harm
2025-08-21
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-10-04
G · Actual harm
2025-07-03
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 2025-08-05
D · Potential for more than minimal harm
2025-07-03
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-08-05
E · Potential for more than minimal harm
2024-03-14
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 2024-04-28
D · Potential for more than minimal harm
2024-03-14
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 2024-04-28
E · Potential for more than minimal harm
2023-03-30
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 2023-05-14
D · Potential for more than minimal harm
2023-03-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-28
Penalties and ownership
What sits behind the stars
Ownership
Avera Health
5% Or Greater Direct Ownership Interest · Organization
Avera Health
Operational/Managerial Control · Organization
Biegler, Joseph
Corporate Director · Individual
Bunkers, Jennifer
Corporate Director · Individual
Chrystal, Candyce
Corporate Director · Individual
Costello, Joseph
Corporate Director · Individual
Curran, Mary
Corporate Director · Individual
Fishback, Van
Corporate Director · Individual
Gordon, Jeffrey
Corporate Director · Individual
Hill Jensen, Cristina
Corporate Director · Individual
Hinker, Justin
W-2 Managing Employee · Individual
Kallemeyn, Brenda
Corporate Director · Individual
Kirby, Jennifer
Corporate Director · Individual
Knecht, Randy
Corporate Director · Individual
Knutson, Laurie
Corporate Director · Individual
Lautt, Julie
Corporate Officer · Individual
Nazir, Jawad
Corporate Director · Individual
Place, Ronald
Operational/Managerial Control · Individual
Place, Ronald
Corporate Officer · Individual
Ramirez, Alejandro
Corporate Director · Individual
Reindl, Alisa
Corporate Director · Individual
Seifert, Roxanne
Corporate Director · Individual
Solomon, Benjamin
Corporate Director · Individual
Sutton, Bobby
Corporate Officer · Individual
Welbig, Lucille
Corporate Director · Individual
Yocum, Harriet
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Avantara Norton
Sioux Falls, SD
0-star overall rating with 0-star inspections with Special Focus status with abuse icon flag with $191,055 in total fines with 19 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Good Samaritan Society Luther Manor
Sioux Falls, SD
2-star overall rating with 3-star inspections with $11,466 in total fines with 6 recent health deficiencies
#3
Bethany Home Sioux Falls
Sioux Falls, SD
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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