ElderGrade
A

88.5/100

Excellent

Avera Maryhouse Long Term Care

717 East Dakota, Pierre, SD 57501

CMS 5/5 stars #1 of 2 in Hughes County (605) 224-3163
Certified beds
80
Occupancy
73%
Ownership
Non-profit
Accepts
Medicare + Medicaid

How this grade was calculated

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

Inspection safety

30/30

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

Staffing

27.5/30

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

  • 5.65 total nurse hours per resident per day (national median 3.77)
  • 1.02 RN hours per resident per day
  • Weekend staffing drops 16% against weekdays

Staff stability

9/15

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

  • 47% 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

10/10

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

  • No federal fines on record

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 day 4.62 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.02 hrs
National average 0.69 hrs Better than average

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

Weekend nurse hours 3.90 hrs
National average 3.42 hrs Better than average

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

Nursing staff turnover 46.60%
National average 45.80% Below average

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

Recent inspection findings

All 9 citations

Last standard health inspection: September 11, 2025 (11 months ago).

D Sep 11, 2025 F0554

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

No actual harm, potential for more than minimal harm

D Sep 11, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Jul 2, 2025 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

E Mar 21, 2024 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

D Mar 21, 2024 F0697

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

No actual harm, potential for more than minimal harm

D Mar 21, 2024 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Mar 16, 2023 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

D Mar 16, 2023 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

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.

Owner Type Role Since
BROST, KRISTIN Individual MANAGING CONTROL - GOVERNING BODY
HAGY, MARK Individual MANAGING CONTROL - GOVERNING BODY
HALLEM, JEFFREY Individual MANAGING CONTROL - GOVERNING BODY
KOLECKA, DEBRA Individual MANAGING CONTROL - GOVERNING BODY
LEE, MEREDITH Individual MANAGING CONTROL - GOVERNING BODY
LUEKING, AMY Individual MANAGING CONTROL - GOVERNING BODY
OLSON, KIMBERLY Individual MANAGING CONTROL - GOVERNING BODY
ROBBENNOLT, RENA Individual MANAGING CONTROL - GOVERNING BODY
WELBIG, LYNN Individual MANAGING CONTROL - GOVERNING BODY
WYLIE, ROBERT Individual MANAGING CONTROL - GOVERNING BODY
PLUMAGE, DARRELL Individual CORPORATE DIRECTOR
RASKE, TALLI Individual CORPORATE DIRECTOR

What families say

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Common questions about Avera Maryhouse Long Term Care

What is the ElderGrade for Avera Maryhouse Long Term Care? +

Avera Maryhouse Long Term Care holds an ElderGrade of A (88.5 out of 100), which we describe as "excellent". 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 Maryhouse Long Term Care? +

Residents receive an average of 4.62 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Avera Maryhouse Long Term Care been cited for harming residents? +

No. None of the 9 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Avera Maryhouse Long Term Care accept Medicaid? +

Yes, Avera Maryhouse Long Term Care 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.