Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency
across a group says more about an operator than any single building.
Avera Granite Falls runs on a church-affiliated nonprofit model with 48 beds, and its staffing tells a story that splits in two directions. The day-to-day numbers land just under the national average, and weekends dip about 10% below its own weekday coverage, but only a quarter of its staff left last year, well under the 45.8% national rate, which matters for residents who need consistent faces. The trouble sits in inspections: 17 deficiencies on record, two serious enough to involve harm or jeopardy, one tied to abuse, and a $15,642 fine. That's the gap behind the middling grade, steady hands, uneven oversight.
Avera Prince Of Peace runs on church-affiliated nonprofit ownership, and the staffing numbers show it: 5.74 nurse hours per resident day, roughly half again the national average, with turnover at 25% against a national 45.8%. Weekend coverage dips about 7% below weekday levels, but that's a modest drop for a 126-bed home. The caution sits in the inspection record. Seventeen deficiencies, three tied to abuse and one serious enough to reach harm or jeopardy, plus an $8,278 fine, pulled the health inspection rating down to 2 of 5 despite strong marks on quality measures and staffing. The most recent survey closed in August 2025, so that record is current.
Avera Brady in Mitchell runs a tight ship on the numbers that matter most. Nurse staffing sits at 4.40 hours per resident day, roughly 14% above the national average, and turnover of 43.4% is slightly better than the typical 45.8%, both signs of a stable, adequately staffed floor. The catch: weekend coverage dips about 12% below its own weekday level, so care may thin out on Saturdays and Sundays. Eight deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in April 2026. For a nonprofit home of 84 beds, that's a clean recent record.
Avera Maryhouse Long Term Care in Pierre runs on unusually deep nursing coverage, 4.62 hours per resident day, roughly a fifth more than the national figure, and its most recent inspection in September 2025 backs that up with a clean record on harm-level deficiencies. Nine total deficiencies with none causing injury or jeopardy is a good place to be, though one abuse-related citation is worth asking about directly. Staff turnover sits at 46.6%, essentially level with the national rate, so continuity of caregivers isn't unusually bad here, but it isn't a strength either. Weekend staffing drops about 16% below weekday levels, which is common but still means fewer hands on Saturdays and Sundays.
Avera Sister James Care Center runs on 4.10 nurse hours per resident per day, roughly 6% above the national average, and its weekend coverage dips about 10% below its own weekday level, worth asking about if you're planning visits or worrying about Saturday-night care. Staff turnover sits at 31.3%, well under the national 45.8%, which suggests people stay. Nine deficiencies on the current record, one serious enough to reach harm or jeopardy level, none abuse-related, and the last inspection was May 2026, so the record is recent rather than stale. Nonprofit ownership under Avera. The numbers point to a home that's generally steady on staffing and quality, with one inspection finding worth reading closely.
Avera Morningside Heights runs on a nonprofit model with 76 certified beds, and its staffing is the standout: 4.80 nurse hours per resident day, roughly a quarter above the national average, with weekend coverage dipping only about 7% below weekdays. Turnover sits at 24.4% against a national 45.8%, which suggests people stay. The caution is inspections. Seventeen deficiencies are on record, three of them at harm or jeopardy level, and the most recent inspection was December 2025, recent enough that the findings aren't stale. One fine totaling $17,345 has been levied, and no abuse-related citations appear. Strong, stable staffing is carrying a home whose inspection history has real problems in it.
Wakonda Heritage Manor runs on staffing that lands right at the national average, 3.85 nurse hours per resident day against 3.86 nationwide, and weekend coverage dips about 19% below what the home provides on weekdays, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover sits at 33.3%, well under the 45.8% national figure, which matters for residents who benefit from seeing the same faces. The inspection record is decent but not clean: eight deficiencies, including one at the harm level and one tied to abuse, plus a $12,675 fine. The most recent inspection was in May 2026.
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.
Avera Creighton Care Centre is a 47-bed nonprofit home in Knox County, and its inspection record is the strongest thing it has going: a four-star health inspection rating, a recent survey in December 2025, and eleven deficiencies on file with none rising to harm or jeopardy. The staffing picture is where it gets shaky, CMS gives it one star for staffing, and annual turnover runs at 55.1 percent against a national average of 45.8 percent, meaning more than half the caregiver workforce turns over each year. Two of those deficiencies are abuse-related, which is worth asking about directly. Quality measures hold at four stars, so the care itself scores reasonably well when it happens.
Avera Rosebud Country Care Center runs on about 5.39 nurse hours per resident per day, which is roughly 40% more than the national average, a real staffing cushion for a 30-bed home in Gregory County. Weekends dip about 11% below weekday levels, so coverage isn't perfectly even, but the floor stays high. The current record shows 13 deficiencies, none at the harm or jeopardy level, though two are abuse-related, which is worth asking about directly. Inspectors were last on site in May 2026. Quality measures score lower than staffing and inspections here, so the clinical numbers families track monthly are the softer spot.
Avera Sunrise Manor runs on 4.25 nurse hours per resident day, roughly 10 percent more than the national average, and it shows in a four-star staffing rating. Turnover sits at 43.9 percent, a hair better than the national 45.8 percent, though weekend coverage drops about 12 percent below weekday levels. The catch is quality: a one-star rating on CMS quality measures, and 14 deficiencies on the current record, including two tied to abuse, though none reached harm or jeopardy. A recent April 2025 inspection and four-star health inspection rating help. Church-affiliated nonprofit ownership is a steadying factor. Families should ask what the quality measure gap reflects and how weekend staffing is managed.
Avera Mother Joseph Manor runs a nonprofit shop with 81 certified beds, and the nurse staffing numbers look solid on paper, 4.06 hours per resident day, a bit above the national figure. But weekends tell a different story, with hours dropping roughly 17% below the home's own weekday levels, and annual turnover sits at 55.7%, well past the national 45.8%. The inspection record is where the real concern lives: 18 deficiencies, three of them serious enough to reach harm or jeopardy, plus one fine of $8,824. A 2025-12-17 inspection keeps the record current, though a 2-star inspection rating and 1-star quality measures don't inspire confidence. Strong staffing scores alone can't carry a record like this.
Sunset Manor runs a genuinely strong bedside staffing line, 5.10 nurse hours per resident day, roughly a third more than the national norm, and that's the one number here that works in families' favor. But weekends dip about 16% below the home's own weekday coverage, and the same staff is turning over at 70.4% a year against a national 45.8%, so the people delivering that care keep changing. Inspectors cited 17 deficiencies on the current record, four at harm or jeopardy level and five tied to abuse, with $40,596 in fines, and the most recent inspection closed out in late December 2025. Nonprofit ownership hasn't kept the compliance record clean.