Home / South Dakota / Pierre
Avera Maryhouse Long Term Care
717 East Dakota, Pierre, SD 57501 · Hughes County · (605) 224-3163
80 certified beds, about 58 residents a day · Non profit - Corporation · Medicare and Medicaid since 1985
CMS Care Compare ratings, data as of September 1, 2026 · CCN 435034 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 11, 2025, inspectors cited 2 health deficiencies (the South Dakota average is 6.7, the national average 9.2).
None of its 9 health citations since March 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.62 hours per resident per day, against 3.79 across South Dakota and 3.86 nationally. Registered nurses accounted for 1.02 of those hours.
46.6% of nursing staff left within the year CMS measured (South Dakota average 48.2%).
CMS links it to Avera Health, an affiliated group of 13 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.
September 11, 2025Standard inspection · 2 citations
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, record review, interview, and policy review the provider failed to ensure self-administration of medication assessments had been completed on two of three sampled residents (3 and 24) who self-administered medications were assessed for their ability to safely self-administer medications and the resident's care plans reflected that according to the provider's policy.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and policy review the provider failed to follow infection control practices to ensure residents' catheter bags were not lying on the floor according to the provider's policy and nasal cannula (NC) tubing was disinfected or replaced before placing it on a resident's face for one of one sampled resident 7 observed with NC tubing and a catheter bag lying on the floor.
July 2, 2025Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on South Dakota Department of Health (SD DOH) facility reported incident (FRI) review, record review, interview, and policy review, the provider failed to ensure one of one resident's incident to the SD DOH within the required time two-hour frame. The resident sustained serious bodily injury related to a fall from the whirlpool tub chair.
March 21, 2024Standard inspection · 3 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and policy review, the provider failed to: *Maintain the following in one of one service kitchen in a clean and sanitary manner: -Two of three silverware holders on one of one dish drying rack. -One of one plastic wrap dispenser. -One of one beverage dispenser station. -One of one stack of uncovered kitchen towels. -One of one plastic bag of to go food containers.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure one of one licensed practical nurse (LPN) (G) implemented a pain management intervention for one of one sampled resident (7) who complained of left foot pain before a dressing change.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure infection prevention and control practices were implemented for the following: *Disinfection of the rubber seal on one of one sampled resident's (31) insulin vial by one of one licensed practical nurse (LPN) (H) before inserting the syringe needle. *Proper glove use during one one of one sampled resident's (7) dressing change by one of one LPN G.
March 16, 2023Standard inspection · 3 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to develop comprehensive person-centered plans of care for two of two sampled residents (17 and 27).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and document review, the provider failed to prevent one of one sampled resident (46) mattress from shifting diagonally on the bed frame, thereby creating a potential area for injury or entrapment between the mattress and the bed frame.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and policy review, the provider failed to prevent potential cross-contamination when checking the temperatures of the food by nutrition and food service (NFS) staff H during one of one meal service observation.
Fire safety inspections
12 fire safety citations on file: 6 on September 11, 2025, 3 on March 21, 2024, 3 on March 16, 2023.
Every fire safety citation12 citations
- C Have horizontal exits used in accordance with safety requirements.
- C Have an enclosure around a vertical opening shaft.
- C Have simulated fire drills held at unexpected times.
- B Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- B Inspect, test, and maintain automatic sprinkler systems.
- B Have elevators that firefighters can control in the event of a fire.
- C Have horizontal exits used in accordance with safety requirements.
- C Have an enclosure around a vertical opening shaft.
- C Have generator or other power source capable of supplying service within 10 seconds.
- E Have simulated fire drills held at unexpected times.
- C Have horizontal exits used in accordance with safety requirements.
- C Have an enclosure around a vertical opening shaft.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | South Dakota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.62 | 3.79 | 3.86 |
| Registered nurses | 1.02 | 0.80 | 0.69 |
| All nursing staff on weekends | 3.90 | 3.26 | 3.42 |
| Nurse aides | 2.79 | ||
| Licensed practical nurses | 0.80 | ||
| Nursing staff turnover (share who left in a year) | 46.6% | 48.2% | 45.8% |
| Registered nurse turnover | 16.7% | 34.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.13 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.91 on weekdays and 3.90 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.42 in April to June 2025 to 4.62 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.62 | 1.02 | 4.91 | 3.90 | 16.5% | 0 of 90 | 58 |
| Oct to Dec 2025 | 4.50 | 1.02 | 4.71 | 3.94 | 20.9% | 0 of 92 | 59 |
| Jul to Sep 2025 | 4.45 | 1.08 | 4.70 | 3.82 | 12.5% | 0 of 92 | 56 |
| Apr to Jun 2025 | 4.42 | 1.03 | 4.66 | 3.82 | 15.5% | 0 of 91 | 58 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| South Dakota, Jan to Mar 2026 | 3.76 | 0.79 | 3.97 | 3.25 | 9.1% | 1.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | South Dakota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 25.0 | 21.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 6.7 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.6 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.4 | 5.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.0 | 19.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.7 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.0 | 24.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.4 | 19.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.8 | 12.0 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.8 | 1.8 |
Owners and operators
Legal business name: AVERA ST MARYS. CMS links this home to Avera Health, a group of 13 nursing homes averaging 3.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Avera Health | 5% or greater direct ownership interest | Organization | 100% | 01/01/2013 |
| Hagy, Mark | Managing control - governing body | Individual | 07/01/2022 | |
| Hallem, Jeffrey | Managing control - governing body | Individual | 08/01/2024 | |
| Kolecka, Debra | Managing control - governing body | Individual | 07/01/2024 | |
| Lee, Meredith | Managing control - governing body | Individual | 07/01/2022 | |
| Lueking, Amy | Managing control - governing body | Individual | 07/01/2021 | |
| Olson, Kimberly | Managing control - governing body | Individual | 07/01/2022 | |
| Robbennolt, Rena | Managing control - governing body | Individual | 08/01/2024 | |
| Welbig, Lynn | Managing control - governing body | Individual | 07/01/2017 | |
| Wylie, Robert | Managing control - governing body | Individual | 07/01/2021 | |
| Brost, Kristin | Corporate director | Individual | 07/01/2021 | |
| Plumage, Darrell | Corporate director | Individual | 08/07/2021 | |
| Raske, Talli | Corporate director | Individual | 08/05/2015 | |
| Krebs, Shantel | Corporate officer | Individual | 03/13/2023 | |
| Avera Health | Operational/managerial control | Organization | 01/01/2013 | |
| Krebs, Shantel | Operational/managerial control | Individual | 03/13/2023 | |
| Plumage, Darrell | Adp of the SNF | Individual | 04/17/2025 | |
| Raske, Talli | Adp of the SNF | Individual | 04/17/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on September 11, 2025: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on March 21, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on March 21, 2024: "Provide safe, appropriate pain management for a resident who requires such services."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on September 11, 2025: "Allow residents to self-administer drugs if determined clinically appropriate."
Other nursing homes nearby
- Avantara Pierre Pierre, 0.1 mi · 2 of 5 stars · 36 citations
South Dakota contacts for a concern about a nursing home
These are the official offices in South Dakota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: South Dakota Department of Health, Office of Health Facilities Licensure and Certification, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: South Dakota Long-Term Care Ombudsman Program, Department of Human Services. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: South Dakota Department of Health Nursing Facility Reports, where South Dakota publishes its own records on licensed homes.
Common questions
- What is Avera Maryhouse Long Term Care's Medicare star rating?
- CMS rates Avera Maryhouse Long Term Care 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Avera Maryhouse Long Term Care get at its last inspection?
- 2 health deficiencies at the standard inspection on September 11, 2025. The South Dakota average is 6.7.
- Has Avera Maryhouse Long Term Care been fined?
- CMS lists no fines in the last three years.
- Does Avera Maryhouse Long Term Care accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Avera Maryhouse Long Term Care?
- CMS lists 18 owners and managers, and links the home to Avera Health. Legal business name: AVERA ST MARYS.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.