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B

83.5/100

Above average

Avera Eureka Health Care Center

202 J Avenue, Eureka, SD 57437

CMS 4/5 stars (605) 284-2145
Certified beds
56
Occupancy
92%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • $12,252 in federal fines

    CMS has fined this facility across 1 penalty action(s).

Our read on Avera Eureka Health Care Center

Avera Eureka runs a lean nursing floor: 3.10 nurse hours per resident day against a national average of 3.86, and weekends dip about 18% below its own weekday coverage. That matters for a 56-bed home where a call-out can't easily be absorbed. Turnover, though, is genuinely better than most, 32.5% against a national 45.8%, which suggests the staff who are there tend to stay, even if there aren't many of them per resident. The inspection record is the weak spot: eight deficiencies, one serious enough to reach harm or jeopardy level, and a $12,252 fine, all from a February 2025 visit. No abuse findings, and the quality and staffing stars sit at 4 each, but that harm-level citation is the number to ask about directly.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing18.5/30Stability15/15Outcomes12/15Enforcement8/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

18.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →3.89 total nurse hours per resident per day (national median 3.77)
  • →0.8 RN hours per resident per day
  • →Weekend staffing drops 18% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →33% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →4 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →$12,252 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day3.10 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.80 hrs
National average 0.69 hrsBetter than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours2.53 hrs
National average 3.42 hrsBelow average

The shift most families visit, and the one thinned first.

Nursing staff turnover32.50%
National average 45.80%Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: June 11, 2026 (4 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of AVERA HEALTH, which operates 13 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

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Common questions about Avera Eureka Health Care Center

What is the ElderGrade for Avera Eureka Health Care Center? +

Avera Eureka Health Care Center holds an ElderGrade of B (83.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Avera Eureka Health Care Center? +

Residents receive an average of 3.10 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Avera Eureka Health Care Center been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Avera Eureka Health Care Center accept Medicaid? +

Yes, Avera Eureka Health Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.