Avera Maryhouse Long Term Care
717 East Dakota, Pierre, SD 57501 · Hughes County · 80 certified beds · avg 58 residents/day · certified since Aug 26, 1985
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 (9)
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 |
|---|---|---|
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 2, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Mar 21, 2024 | E · Potential for harm, repeated | 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. |
| Mar 21, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Mar 21, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 16, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 16, 2023 | 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. |
| Mar 16, 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 | 3 | 0 | D |
| 2024 | 3 | 0 | E |
| 2025 | 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) | 5.65 | 4.32 | 3.95 | top 9% in South Dakota; top 6% in the U.S. |
| Registered Nurse hours | 1.25 | 0.91 | 0.69 | top 12% in South Dakota; top 8% in the U.S. |
| Weekend total nurse staffing | 4.77 | 3.71 | 3.50 | top 10% in South Dakota; top 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.56 | 0.51 | 0.48 | top 36% in South Dakota; top 27% in the U.S. |
| Total nursing staff turnover (%) | 46.6 | 48.2 | 45.8 | top 49% in South Dakota; bottom 46% in the U.S. |
| RN turnover (%) | 16.7 | 34.7 | 42.9 | top 17% in South Dakota; top 9% 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 4.62, RN 1.02, weekend 3.90. 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: 2/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Avera Health | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2013 |
| Avera Health | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2013 |
| Brost, Kristin | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2021 |
| Hagy, Mark | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2022 |
| Hallem, Jeffrey | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/01/2024 |
| Kolecka, Debra | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2024 |
| Krebs, Shantel | Individual | Corporate Officer | NOT APPLICABLE | 03/13/2023 |
| Krebs, Shantel | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/13/2023 |
| Lee, Meredith | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2022 |
| Lueking, Amy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2021 |
| Olson, Kimberly | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2022 |
| Plumage, Darrell | Individual | Corporate Director | NOT APPLICABLE | 08/07/2021 |
| Plumage, Darrell | Individual | ADP of the SNF | NOT APPLICABLE | 04/17/2025 |
| Raske, Talli | Individual | Corporate Director | NOT APPLICABLE | 08/05/2015 |
| Raske, Talli | Individual | ADP of the SNF | NOT APPLICABLE | 04/17/2025 |
| Robbennolt, Rena | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/01/2024 |
| Welbig, Lynn | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2017 |
| Wylie, Robert | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "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 |
|---|---|---|---|---|---|
| Avantara Pierre | 0.1 mi | Pierre, SD | ★★☆☆☆ | 2/5 | abuse |
Compare this facility with the 1 closest →
Facility data as of CMS processing date 2026-08-01. CCN 435034.