Avera Brady Health and Rehab
500 S Ohlman, Mitchell, SD 57301 · Davison County · 84 certified beds · avg 75 residents/day · certified since Oct 1, 1991
Part of chain: AVERA HEALTH (13 facilities, chain avg rating 3.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (8)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 27, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Apr 27, 2026 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 26, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 12, 2024 | E · Potential for harm, repeated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Dec 12, 2024 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Dec 12, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 3 | 0 | E |
| 2026 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | South Dakota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.69 | 4.32 | 3.95 | top 26% in South Dakota; top 19% in the U.S. |
| Registered Nurse hours | 1.48 | 0.91 | 0.69 | top 4% in South Dakota; top 5% in the U.S. |
| Weekend total nurse staffing | 4.13 | 3.71 | 3.50 | top 25% in South Dakota; top 19% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.90 | 0.51 | 0.48 | top 6% in South Dakota; top 8% in the U.S. |
| Total nursing staff turnover (%) | 43.4 | 48.2 | 45.8 | top 38% in South Dakota; top 46% in the U.S. |
| RN turnover (%) | 21.7 | 34.7 | 42.9 | top 28% in South Dakota; top 17% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.40, RN 1.39, weekend 3.88. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Avera Health | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2009 |
| Bergeleen, Darlene | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2023 |
| Buckmiller, Ann | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2025 |
| Claussen, Jessica | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2023 |
| Dierks, Trevor | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2023 |
| Dover, James | Individual | Corporate Officer | NOT APPLICABLE | 10/23/2023 |
| Dover, James | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/03/2026 |
| Feteral, Joyce | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2024 |
| Hunhoff, Mark | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2019 |
| Larson, Vicky | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2024 |
| Lautt, Julie | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2020 |
| Longe, Kimberly | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2024 |
| Longe, Kimberly | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Longe, Kimberly | Individual | ADP of the SNF | NOT APPLICABLE | 02/12/2026 |
| Margallo, Lucio | Individual | Corporate Director | NOT APPLICABLE | 07/01/2020 |
| Margallo, Lucio | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2020 |
| Margallo, Lucio | Individual | ADP of the SNF | NOT APPLICABLE | 02/12/2026 |
| Puetz, Mark | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2023 |
| Rockwell, Hilary | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2023 |
| Rockwell, Hilary | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Firesteel Healthcare Center | 2.0 mi | Mitchell, SD | ★☆☆☆☆ | 1/5 |
Compare this facility with the 1 closest →
Facility data as of CMS processing date 2026-08-01. CCN 435061.