81.5/100
Above average
126 S Logan Ave, Gregory, SD 57533
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: May 21, 2026 (3 months ago).
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
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
Part of AVERA HEALTH, which operates 13 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| ABOUREZK, SANAA | Individual | CORPORATE DIRECTOR | — |
| BOSCHEE, RYAN | Individual | CORPORATE DIRECTOR | — |
| BUNKERS, JENNIFER | Individual | CORPORATE DIRECTOR | — |
| CHRYSTAL, CANDYCE | Individual | CORPORATE DIRECTOR | — |
| COSTELLO, JOSEPH | Individual | CORPORATE DIRECTOR | — |
| CURRAN, MARY | Individual | CORPORATE DIRECTOR | — |
| DOVER, JAMES | Individual | CORPORATE DIRECTOR | — |
| FISHBACK, VAN | Individual | CORPORATE DIRECTOR | — |
| HILL JENSEN, CRISTINA | Individual | CORPORATE DIRECTOR | — |
| KIRBY, JENNIFER | Individual | CORPORATE DIRECTOR | — |
| KNECHT, RANDY | Individual | CORPORATE DIRECTOR | — |
| NAZIR, JAWAD | Individual | CORPORATE DIRECTOR | — |
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Avera Rosebud Country Care Center holds an ElderGrade of B (81.5 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.
Residents receive an average of 5.39 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
No. None of the 13 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Yes, Avera Rosebud Country 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.