Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Avera Maryhouse Long Term Care during CMS and state inspections, most recent first.
A resident with moderate cognitive impairment sustained serious injuries, including subarachnoid hemorrhages and fractures, after falling from a whirlpool tub chairlift during a transfer by a CNA. The incident, which required immediate reporting to the SD DOH within two hours per facility policy, was not reported until nearly a day later. Staff interviews confirmed the delay and inconsistency in timely reporting of major injuries.
Failure to Timely Report Resident Fall with Major Injury
Penalty
Summary
The facility failed to report a serious incident involving a resident who sustained major injuries from a fall within the required two-hour timeframe to the South Dakota Department of Health (SD DOH). The resident, who was moderately cognitively impaired with a BIMS score of 10, fell from a whirlpool tub chairlift while being transferred by a CNA. The safety belt had been loosened at the resident's request but not removed. Following the fall, the resident was found unconscious and bleeding from the forehead, and was subsequently sent to the emergency room where he was diagnosed with two subarachnoid hemorrhages, a closed nasal bone fracture, and lacerations to the forehead and right lower extremity. Despite the facility's policy requiring immediate reporting of incidents involving serious bodily injury within two hours, the initial Facility Reported Incident (FRI) was not submitted to the SD DOH until nearly 22 hours after the event. Interviews with staff, including the social worker, administrator, and DON, confirmed the delay in reporting and acknowledged that the facility was not consistent in meeting the required reporting timeframe for major injuries. The facility's policy and staff expectations were reviewed, highlighting the lapse in timely notification to the appropriate authorities.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Pierre
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avantara Pierre | 0.1 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.