Avera Mother Joseph Manor Retirement Community
1002 North Jay Street, Aberdeen, SD 57401 · Brown County · 81 certified beds · avg 78 residents/day · certified since May 11, 1990
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: ★★☆☆☆2/5 · CMS overall rating: 1/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Aug 28, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 31, 2024 (Past Non-Compliance)
▲ Actual harm, one-off · Mar 23, 2023 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 21, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 23, 2023 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 21, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (18)
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 |
|---|---|---|
| Dec 17, 2025 | F · Potential for harm, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Dec 17, 2025 | F · Potential for harm, facility-wide | 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. |
| Dec 17, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Dec 17, 2025 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Dec 17, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Dec 17, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Dec 17, 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. |
| Aug 1, 2025 | E · Potential for harm, repeated | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint |
| Jun 4, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Aug 28, 2024 | ▲ G · Actual 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 |
| May 16, 2024 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Aug 2, 2023 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Mar 23, 2023 | ▲ G · Actual 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. |
| Mar 23, 2023 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Mar 23, 2023 | F · Potential for harm, facility-wide | 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 23, 2023 | E · Potential for harm, repeated | 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 23, 2023 | 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. |
| Mar 23, 2023 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 2 | G ▲ |
| 2024 | 2 | 1 | G ▲ |
| 2025 | 9 | 0 | F |
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)
1 fine totaling $8,824.
| Date | Type | Amount / length |
|---|---|---|
| Aug 28, 2024 | Fine | $8,824 |
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) | 4.85 | 4.32 | 3.95 | top 25% in South Dakota; top 16% in the U.S. |
| Registered Nurse hours | 1.14 | 0.91 | 0.69 | top 21% in South Dakota; top 11% in the U.S. |
| Weekend total nurse staffing | 4.01 | 3.71 | 3.50 | top 30% in South Dakota; top 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.61 | 0.51 | 0.48 | top 26% in South Dakota; top 22% in the U.S. |
| Total nursing staff turnover (%) | 55.7 | 48.2 | 45.8 | bottom 26% in South Dakota; bottom 24% in the U.S. |
| RN turnover (%) | 43.8 | 34.7 | 42.9 | bottom 28% in South Dakota; bottom 46% 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 4.06, RN 0.96, weekend 3.35. Staffing rating: 4/5.
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: 1/5 · long-stay residents: 1/5 · short-stay residents: 2/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Avera Health | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/1998 |
| Avera Health | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/1998 |
| Bierne, Kathleen | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Bjerknes, Daniel | Individual | Corporate Officer | NOT APPLICABLE | 08/15/2022 |
| Dover, James | Individual | Corporate Officer | NOT APPLICABLE | 10/23/2023 |
| Fauth, Kristen | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Fouberg, Erin | Individual | Corporate Director | NOT APPLICABLE | 07/01/2025 |
| Franks, Shane | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Golz, Heidi | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Heinz, Blake | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Henrickson, Paula | Individual | Corporate Officer | NOT APPLICABLE | 03/26/2024 |
| Henrickson, Paula | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/26/2024 |
| Henrickson, Paula | Individual | ADP of the SNF | NOT APPLICABLE | 02/12/2026 |
| Herman, Michael | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Jensen, Paula | Individual | Corporate Director | NOT APPLICABLE | 07/01/2023 |
| Kerkvliet, Marietta | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Knapp, Michael | Individual | Corporate Director | NOT APPLICABLE | 03/01/2011 |
| Knapp, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2011 |
| Knapp, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 02/12/2026 |
| Lautt, Julie | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "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 |
|---|---|---|---|---|---|
| Prairie Heights Healthcare | 0.5 mi | Aberdeen, SD | ★★★★☆ | 4/5 | |
| Bethesda Home of Aberdeen | 1.3 mi | Aberdeen, SD | ★★★☆☆ | 3/5 | |
| Aberdeen Health and Rehab | 1.4 mi | Aberdeen, SD | ★☆☆☆☆ | 1/5 | |
| Avantara Groton | 18.7 mi | Groton, SD | ★★☆☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 435042.