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Avera Health nursing homes
13 nursing homes with 948 beds in South Dakota (9), Minnesota (3), Nebraska (1).
CMS affiliated entity 61 · data as of September 1, 2026
The group's record in brief
CMS links 13 certified nursing homes in 3 states to Avera Health: 0 for profit, 13 nonprofit. 13 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 160 health citations; 16 citations were rated actual harm or immediate jeopardy, 2 of them immediate jeopardy. At their latest standard inspections the homes averaged 3.9 health deficiencies (national average 9.2).
8 homes in the group were fined in the last three years, $140,454 in all across 10 fines. Average nursing staff turnover across its homes was 40.6% (national 45.8%).
Staffing across the group
Daily payroll records from 13 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 16% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 4.45 | 3.75 |
| Registered nurses | 1.10 | 0.62 |
| Weekdays | 4.66 | 3.92 |
| Weekends | 3.92 | 3.33 |
| Share of nursing hours by contract staff | 9.2% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
Avera Health homes by state
| State | Homes | Average stars | Fines, 3 years | Special focus |
|---|---|---|---|---|
| South Dakota | 9 | 4.0 | $107,467 | |
| Minnesota | 3 | 3.3 | $32,987 | |
| Nebraska | 1 | 4.0 | $0 |
How the group's homes are rated
13 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 3.8 overall, 3.6 health inspections, 4.5 staffing, 3.1 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 4 | |
| 4 of 5 | 5 | |
| 3 of 5 | 2 | |
| 2 of 5 | 2 | |
| 1 of 5 | 0 |
Across the group: 16 citations rated actual harm or immediate jeopardy, and an average of 4.39 nursing staff hours per resident per day (national 3.86).
Every home in the group
| Home | City | State | Overall | Citations | Fines |
|---|---|---|---|---|---|
| Avera Granite Falls Care Center | Granite Falls | MN | 3 | 17 | $15,642 |
| Avera Morningside Heights Care Center | Marshall | MN | 3 | 17 | $17,345 |
| Avera Sunrise Manor | Tyler | MN | 4 | 7 | |
| Avera Creighton Care Centre | Creighton | NE | 4 | 11 | |
| Avera Mother Joseph Manor Retirement Community | Aberdeen | SD | 2 | 17 | $8,824 |
| Avera Eureka Health Care Center | Eureka | SD | 4 | 10 | $12,252 |
| Avera Rosebud Country Care Center | Gregory | SD | 4 | 13 | |
| Sunset Manor Avera Health | Irene | SD | 2 | 17 | $56,946 |
| Avera Brady Health and Rehab | Mitchell | SD | 5 | 8 | |
| Avera Maryhouse Long Term Care | Pierre | SD | 5 | 9 | |
| Avera Prince of Peace | Sioux Falls | SD | 4 | 17 | $8,278 |
| Wakonda Heritage Manor | Wakonda | SD | 5 | 8 | $12,675 |
| Avera Sister James Care Center | Yankton | SD | 5 | 9 | $8,492 |
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.
Companies the CMS ownership file lists as owners of most of these homes: Avera Health.