What is Avera Rosebud Country Care Center's Medicare star rating?

CMS rates Avera Rosebud Country Care Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Avera Rosebud Country Care Center get at its last inspection?

5 health deficiencies at the standard inspection on May 21, 2026. The South Dakota average is 6.7.

Has Avera Rosebud Country Care Center been fined?

CMS lists no fines in the last three years.

Does Avera Rosebud Country Care Center 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 Rosebud Country Care Center?

CMS lists 28 owners and managers, and links the home to Avera Health. Legal business name: AVERA MCKENNAN.

Avera Rosebud Country Care Center: Inspections & Ratings

The record in brief

At its most recent standard inspection, on May 21, 2026, inspectors cited 5 health deficiencies (the South Dakota average is 6.7, the national average 9.2).

None of its 13 health citations since October 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 5.39 hours per resident per day, against 3.79 across South Dakota and 3.86 nationally. Registered nurses accounted for 1.05 of those hours.

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.

110/23

201/24

502/25

505/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 13 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

May 21, 2026Standard inspection · 5 citations

D

Allow residents to self-administer drugs if determined clinically appropriate.

F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026

Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure the resident's medication self-administration assessment was completed and a physician's order was obtained for one of one sampled resident (21) who was not assessed to determine her ability to safely self-administer her medications or had a physician's order to self-administer those medications.
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.

F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026

Inspectors wroteBased on record review, interview, and policy review, the provider failed to ensure that a current copy of the advance directive (a document that expresses a person's health care wishes if they become unable to speak for themselves) was included in the medical record for one of one sampled resident (14) after being admitted to the facility.
D

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026

Inspectors wroteBased on record review and interview, the provider failed to ensure the Notice of Medicare Non-Coverage (NOMNC) was provided for two of two sampled residents (19 and 21) who's Medicare-covered services were ending, still had remaining Medicare benefit days, and remained in the facility.
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026

Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure infection control practices were followed for the cleaning of nebulizers (a device that converts liquid medication into an inhalable mist) for two of two sampled residents (8 and 21). 1. Observation and interview on 5/19/26 at 1:32 p.m. of resident 21 in her room revealed there was a nebulizer machine on top of her nightstand that had the tubing and mouthpiece connected to it, and the medication reservoir (the clear container that holds the liquid medication) appeared wet. The mouthpiece was lying directly on the nightstand, uncovered. She stated she received three nebulizer treatments a day and that the staff sometimes disconnected her nebulizer to clean it. [...]
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2026

Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure urinary catheter (flexible tubing inserted into the bladder to drain urine) bags were cleaned and stored in a manner to prevent contamination and potential infection to one of one sampled resident (31) whose urinary catheter bag was stored in his bathroom shower without the catheter tubing connector (that attaches to the resident's indwelling catheter) capped.

February 13, 2025Standard inspection · 5 citations

E

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

F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 30, 2025

Inspectors wroteBased on record review, interview, policy review, the provider failed to ensure seven of twelve sampled residents (1, 22, 23, 26, 80, 81, and 130) or their representatives had received a summary of their baseline care plan within 48 hours.
E

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

F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 30, 2025

Inspectors wroteBased on observation, interview, and policy review, the provider failed to ensure proper medication preparation for three of three residents (13, 19, and 21) by one of one licensed practical nurse (LPN) (I) who prepared their medications and stored them to administer to the residents later.
E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 17, 2025

Inspectors wroteBased on observation, record review, interview, and policy review, the provider failed to ensure one of two mechanical dishwashers that used high temperature sanitizing met the required minimum wash and rinse temperatures.
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.

F909 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 30, 2025

Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to assess grab bars for safety for four of four sampled residents (8, 26, 1, and 15) who had grab bars on their beds.
D

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2025

Inspectors wroteBased on record review and interview the provider failed to ensure appropriate and timely Medicare notices had been provided for one of two sampled resident (20) who was discharged from skilled services.

January 23, 2024Complaint inspection · 2 citations

D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 8, 2024

Inspectors wroteBased on review of the South Dakota Department of Health (SD DOH) online report, interview, and policy review, the provider failed to ensure an allegation of sexual abuse made by one of one sampled resident (20), was reported within the required time frame of two hours from the time that the provider was made aware of the allegation.
D

Respond appropriately to all alleged violations.

F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 8, 2024

Inspectors wroteBased on review of the South Dakota Department of Health (SD DOH) online report, interview, and policy review, the provider failed to ensure an allegation of sexual abuse made by one of one sampled resident (20) against a certified nursing assistant (CNA) (D) was thoroughly investigated.

October 26, 2023Standard inspection · 1 citation

E

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

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 10, 2023

Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to implement Pull-Tab alarm assessments, reassessments of those alarm devices, update resident care plans to reflect the current use of those alarms, and notify the resident's family when the Pull-Tab Alarms were implemented for three of three sampled residents (10, 15, and 20).

Fire safety inspections

3 fire safety citations on file: 3 on February 13, 2025.

Every fire safety citation3 citations

C
Develop and maintain an Emergency Preparedness Program (EP).

E 4 · February 13, 2025 · deficient, provider has
C
Have simulated fire drills held at unexpected times.

K 712 · February 13, 2025 · deficient, provider has
B
Have proper medical gas storage and administration areas.

K 923 · February 13, 2025 · deficient, provider has

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)	5.39	3.79	3.86
Registered nurses	1.05	0.80	0.69
All nursing staff on weekends	4.82	3.26	3.42
Nurse aides	3.70
Licensed practical nurses	0.64
Nursing staff turnover (share who left in a year)	not reported	48.2%	45.8%
Registered nurse turnover	not reported	34.7%	42.9%
Administrators who left	not reported

CMS expects 3.09 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 5.62 on weekdays and 4.82 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 15.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.76 in April to June 2025 to 5.39 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	5.39	1.05	5.62	4.82	15.9%	0 of 90	28
Oct to Dec 2025	4.85	1.06	5.13	4.15	20.8%	0 of 92	30
Jul to Sep 2025	4.71	1.15	5.01	3.95	16.5%	0 of 92	30
Apr to Jun 2025	4.76	1.09	5.12	3.88	9.6%	0 of 91	30
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	18.9	21.4	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	6.0	2.1	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	2.9	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	0.0	5.5	3.2
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	35.9	19.4	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	0.0	4.6	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	21.1	24.6	15.4

Owners and operators

Legal business name: AVERA MCKENNAN. 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%	06/12/1992
Abourezk, Sanaa	Corporate director	Individual		07/01/2024
Boschee, Ryan	Corporate director	Individual		07/01/2024
Bunkers, Jennifer	Corporate director	Individual		07/01/2023
Chrystal, Candyce	Corporate director	Individual		07/01/2023
Costello, Joseph	Corporate director	Individual		07/01/2023
Curran, Mary	Corporate director	Individual		07/01/2018
Dover, James	Corporate director	Individual		10/23/2023
Fishback, Van	Corporate director	Individual		07/01/2018
Hill Jensen, Cristina	Corporate director	Individual		07/01/2018
Kirby, Jennifer	Corporate director	Individual		07/01/2020
Knecht, Randy	Corporate director	Individual		07/01/2018
Nazir, Jawad	Corporate director	Individual		07/01/2020
Reindl, Alisa	Corporate director	Individual		07/01/2021
Seifert, Roxanne	Corporate director	Individual		07/01/2022
Solomon, Benjamin	Corporate director	Individual		07/01/2022
Sturm, Tamera	Corporate director	Individual		07/01/2025
Welbig, Lucille	Corporate director	Individual		07/01/2014
Yocum, Harriet	Corporate director	Individual		07/01/2021
Lautt, Julie	Corporate officer	Individual		03/01/2020
Place, Ronald	Corporate officer	Individual		06/05/2023
Avera Health	Operational/managerial control	Organization		01/01/2000
Bartling, Melissa	Operational/managerial control	Individual		09/01/2006
Place, Ronald	Operational/managerial control	Individual		06/05/2023
Timanus, Anthony	Operational/managerial control	Individual		09/02/2011
Bartling, Melissa	Adp of the SNF	Individual		09/01/2006
Lautt, Julie	Adp of the SNF	Individual		03/01/2020
Timanus, Anthony	Adp of the SNF	Individual		09/02/2011

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.

How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on May 21, 2026: "Allow residents to self-administer drugs if determined clinically appropriate."
When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on February 13, 2025: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on January 23, 2024: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on May 21, 2026: "Provide safe and appropriate respiratory care for a resident when needed."

Other nursing homes nearby

Winner Regional Healthcare Center
Winner, 23.4 mi · 1 of 5 stars · 30 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 Rosebud Country Care Center's Medicare star rating?: CMS rates Avera Rosebud Country Care Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Avera Rosebud Country Care Center get at its last inspection?: 5 health deficiencies at the standard inspection on May 21, 2026. The South Dakota average is 6.7.
Has Avera Rosebud Country Care Center been fined?: CMS lists no fines in the last three years.
Does Avera Rosebud Country Care Center 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 Rosebud Country Care Center?: CMS lists 28 owners and managers, and links the home to Avera Health. Legal business name: AVERA MCKENNAN.

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.