Avera Oahe Manor

Name: Avera Oahe Manor
Address: 700 E GARFIELD, Gettysburg, SD, 57442, US
Telephone: 6057652461

700 E Garfield, Gettysburg, SD 57442 · Potter County · 53 certified beds · avg 35 residents/day · certified since Jul 1, 1991

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.67

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

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 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
Jul 31, 2025	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Jul 31, 2025	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jul 31, 2025	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.
Jul 31, 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.
Jul 31, 2025	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.
Jan 25, 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.
Jan 25, 2024	E · Potential for harm, repeated	The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames.
Jan 25, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2024	3	0	E
2025	6	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)

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)	4.67	4.32	3.95	top 28% in South Dakota; top 19% in the U.S.
Registered Nurse hours	0.82	0.91	0.69	bottom 47% in South Dakota; top 26% in the U.S.
Weekend total nurse staffing	4.04	3.71	3.50	top 28% in South Dakota; top 22% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.41	0.51	0.48	bottom 34% in South Dakota; top 46% in the U.S.
Total nursing staff turnover (%)	43.8	48.2	45.8	top 40% in South Dakota; top 47% in the U.S.
RN turnover (%)	28.6	34.7	42.9	top 43% in South Dakota; top 26% 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 3.50, RN 0.62, weekend 3.03. Staffing rating: 1/5.

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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
		Ownership Data Not Available

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How many hours a day is a registered nurse physically in the building, including weekends?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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?"
"How often are beds and bed rails inspected, and who does those checks?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"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
Bowdle Nursing Home	33.2 mi	Bowdle, SD	★★★★☆	4/5
Walworth County Care Center, INC	34.4 mi	Selby, SD	★★★★★	5/5
Faulkton Senior Living	39.9 mi	Faulkton, SD	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Gettysburg →

Facility data as of CMS processing date 2026-08-01. CCN 43A113.

The Care File

Visit checklist — Avera Oahe Manor

700 E Garfield, Gettysburg, SD 57442 · 6057652461

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How many hours a day is a registered nurse physically in the building, including weekends?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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?"
☐ "How often are beds and bed rails inspected, and who does those checks?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 43A113 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)