Federal inspection record · CMS data as of October 1, 2026
Avera Rosebud Country Care Center
126 S Logan Ave, Gregory, SD · (605) 835-8296
- Certified beds
- 30
- Residents per day
- 28
- Ownership
- Non-Profit
- Chain
- Avera Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1975
1
How this home got 4 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.
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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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among South Dakota homes
Avera Rosebud Country Care Center carries 26 inspection points. That is fewer than 72% 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
13 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights4D
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- 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
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Assessment and Care Planning3E
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Quality of Life and Care1D
- D
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1E
- E
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.
Inspection history
2026-05-21
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2025-02-13
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2023-10-26
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 11 min of nursing staff time a day, 1 h 11 min of it from a registered nurse.
This home
5 h 11 min
South Dakota average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.2 pts better | 99.1% | 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 injury4.6 pts better | 0.9% | 5.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.9 pts better | 1.0% | 5.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.5 pts better | 3.2% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication20.3 pts worse | 38.0% | 17.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.1 pts better | 20.7% | 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 worsened13.1 pts worse | 31.4% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.3 pts better | 19.2% | 21.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder3.1 pts worse | 5.0% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.9 pts better | 0.0% | 2.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.6 pts better | 22.9% | 24.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.5 pts better | 0.0% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts better | 89.3% | 83.9% | 82.3% |
·
Who owns and runs it
28 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 |
| Abourezk, Sanaa | Corporate Director · Individual | 0% | 2 facilities |
| Avera Health | Operational/Managerial Control · Organization | 0% | 11 facilities |
| Bartling, Melissa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bartling, Melissa | Adp Of The SNF · Individual | 0% | 1 facilities |
| Boschee, Ryan | Corporate Director · Individual | 0% | 2 facilities |
| Bunkers, Jennifer | Corporate Director · Individual | 0% | 2 facilities |
| Chrystal, Candyce | Corporate Director · Individual | 0% | 2 facilities |
| Costello, Joseph | Corporate Director · Individual | 0% | 2 facilities |
| Curran, Mary | Corporate Director · Individual | 0% | 2 facilities |
| Dover, James | Corporate Director · Individual | 0% | 7 facilities |
| Fishback, Van | Corporate Director · Individual | 0% | 2 facilities |
| Hill Jensen, Cristina | Corporate Director · Individual | 0% | 2 facilities |
| Kirby, Jennifer | Corporate Director · Individual | 0% | 2 facilities |
| Knecht, Randy | Corporate Director · Individual | 0% | 2 facilities |
| Lautt, Julie | Corporate Officer · Individual | 0% | 9 facilities |
| Lautt, Julie | Adp Of The SNF · Individual | 0% | 9 facilities |
| Nazir, Jawad | Corporate Director · Individual | 0% | 2 facilities |
| Place, Ronald | Corporate Officer · Individual | 0% | 2 facilities |
| Place, Ronald | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Reindl, Alisa | Corporate Director · Individual | 0% | 2 facilities |
| Seifert, Roxanne | Corporate Director · Individual | 0% | 3 facilities |
| Solomon, Benjamin | Corporate Director · Individual | 0% | 2 facilities |
| Sturm, Tamera | Corporate Director · Individual | 0% | 1 facilities |
| Timanus, Anthony | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Timanus, Anthony | Adp Of The SNF · Individual | 0% | 1 facilities |
| Welbig, Lucille | Corporate Director · Individual | 0% | 5 facilities |
| Yocum, Harriet | Corporate Director · Individual | 0% | 2 facilities |
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Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness1C
- C
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous1C
- C
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1B
- B
Have proper medical gas storage and administration areas.
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Other homes nearby
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Winner Regional Healthcare Center
Winner, SD · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 5 h 7 min
- Fines
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-
Platte Care Center
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 2 min
- Fines
- $13,176
-
Sanford Chamberlain Care Center
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 58 min
- Fines
- $124,961