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Avera Rosebud Country Care Center
126 S Logan Ave, Gregory, SD 57533 (opens Google Maps) · Gregory County · (605) 835-8296· 30 certified beds · avg 28 residents/day · certified since Jul 1, 1975 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: AVERA HEALTH (13 facilities, chain avg rating 3.7★)
4/5
Health inspection rating (on-site)
inspected May 21, 2026
0
Serious findings on record
$0
Fines, last 3 years
6.70
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 13 inspection findings. Open the full record below to read every finding.
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. F-0554
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. F-0578
The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. F-0582
View all 13 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 21, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0554 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Feb 13, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0655 |
| Feb 13, 2025 | E · Potential for more than minimal harm, pattern | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Feb 13, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Feb 13, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0909 |
| Feb 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582 |
| Jan 23, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| Jan 23, 2024 | D · Potential for more than minimal harm, isolated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610 |
| Oct 26, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0657 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).
All citationsSerious citations (G–L)
2023
All citations: 1
Serious citations (G–L): 0
2024
All citations: 2
Serious citations (G–L): 0
2025
All citations: 5
Serious citations (G–L): 0
2026
All citations: 5
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | E |
| 2024 | 2 | 0 | D |
| 2025 | 5 | 0 | E |
| 2026 | 5 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilitySouth Dakota averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 6.70
South Dakota average: 4.32
U.S. average: 3.95
Registered Nurse hours
This facility: 1.31
South Dakota average: 0.91
U.S. average: 0.69
Weekend total nurse staffing
This facility: 5.99
South Dakota average: 3.71
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | South Dakota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 6.70 | 4.32 | 3.95 | top 3% in South Dakota; top 2% in the U.S. |
| Registered Nurse hours | 1.31 | 0.91 | 0.69 | top 10% in South Dakota; top 7% in the U.S. |
| Weekend total nurse staffing | 5.99 | 3.71 | 3.50 | top 3% in South Dakota; top 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.56 | 0.51 | 0.48 | top 34% in South Dakota; top 26% in the U.S. |
| Total nursing staff turnover (%) | — | 48.2 | 45.8 | — |
| RN turnover (%) | — | 34.7 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 5.39, RN 1.05, weekend 4.82.Comparing with Medicare Care Compare? Care Compare shows the raw figure (5.39 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Avera Rosebud Country Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Avera Health | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/12/1992 |
| Abourezk, Sanaa | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Avera Health | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2000 |
| Bartling, Melissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2006 |
| Bartling, Melissa | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2006 |
| Boschee, Ryan | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Bunkers, Jennifer | Individual | Corporate Director | NOT APPLICABLE | 07/01/2023 |
| Chrystal, Candyce | Individual | Corporate Director | NOT APPLICABLE | 07/01/2023 |
| Costello, Joseph | Individual | Corporate Director | NOT APPLICABLE | 07/01/2023 |
| Curran, Mary | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Dover, James | Individual | Corporate Director | NOT APPLICABLE | 10/23/2023 |
| Fishback, Van | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Hill Jensen, Cristina | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Kirby, Jennifer | Individual | Corporate Director | NOT APPLICABLE | 07/01/2020 |
| Knecht, Randy | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Lautt, Julie | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2020 |
| Lautt, Julie | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2020 |
| Nazir, Jawad | Individual | Corporate Director | NOT APPLICABLE | 07/01/2020 |
| Place, Ronald | Individual | Corporate Officer | NOT APPLICABLE | 06/05/2023 |
| Place, Ronald | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/05/2023 |
Showing 20 of 28 parties CMS has on file for this facility; 8 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Avera Health — 13 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Avera Sister James Care Center — Yankton, SD · overall 5/5
- Sunset Manor Avera Health — Irene, SD · overall 2/5abuse
- Wakonda Heritage Manor — Wakonda, SD · overall 5/5
- Avera Granite Falls Care Center — Granite Falls, MN · overall 3/5
- Avera Morningside Heights Care Center — Marshall, MN · overall 3/5
- Avera Sunrise Manor — Tyler, MN · overall 4/5
- Avera Creighton Care Centre — Creighton, NE · overall 3/5
- Avera Brady Health and Rehab — Mitchell, SD · overall 5/5
Listed by state, then facility name — not a ranking. Showing 8 of the 12 others, continuing from this facility's own place in that list.
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?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "The ownership record on file lists 28 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Winner Regional Healthcare Center | 23.4 mi | Winner, SD | ★☆☆☆☆ | 1/5 | abuseSFF |
| Platte Care Center | 31.3 mi | Platte, SD | ★★★★★ | 4/5 | |
| Sanford Chamberlain Care Center | 38.9 mi | Chamberlain, SD | ★☆☆☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 435029.
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