South Dakota › Mc Pherson County › Eureka
Avera Eureka Health Care Center
202 J Avenue, Eureka, SD 57437
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Avera Eureka Health Care Center is a Non-profit, corporation nursing home in Eureka, South Dakota, certified for 56 beds and caring for about 52 residents a day.
CMS gives it 4 of 5 stars overall, above the South Dakota median of 3; the health inspection rating is 4, staffing 4 and quality measures 4.
Inspectors recorded 10 health deficiencies across the three most recent survey cycles (3, 5, 2 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 17.9 per 100 beds, fewer than the state median of 23.9.
CMS lists 1 penalty in the period covered: fines totalling $12K.
Reported nurse staffing is 3.1 hours per resident per day (0.8 RN), close to the South Dakota median of 3.6; nursing staff turnover is 32.5%.
Compared with county, state and nation
| Measure | This facility | Mc Pherson Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 10 | 10 | 16 | 28.7 |
| Citations per 100 beds | 17.9 | 17.9 | 23.9 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.1 | 3.6 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.8 | 0.7 |
| Nursing staff turnover | 32.5% | 32.5% | 46.6% | 45.8% |
| Fines listed | $12,252 | $12,252 | $20,183 | — |
County and state figures are medians across facilities (1 in the county, 96 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: South Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Jun 2026, 13 Feb 2025.
Severity mix: G ×1 D ×2 E ×5 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 11 Jun 2026 | F0578 | 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. | E | Standard survey | 13 Jul 2026 |
| 11 Jun 2026 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard survey | 26 Jul 2026 |
| 11 Jun 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 26 Jul 2026 |
| 13 Feb 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 14 Mar 2025 |
| 13 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 14 Mar 2025 |
| 13 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 14 Mar 2025 |
| 13 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 14 Mar 2025 |
| 13 Feb 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 14 Mar 2025 |
| 19 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Nov 2023 |
| 19 Oct 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 10 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 13 Feb 2025 | Fine | $12,252 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 32.5%, RNs 11.1%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | South Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.8% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.6% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.5% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.5% | 4.8% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.5% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.6% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.3% | 22.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Avera St Lukes. Chain: Avera Health (13 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Avera Health | 5% or greater direct ownership interest | 100% | 01/01/2008 |
| Avera Health | Operational/managerial control | NOT APPLICABLE | 01/01/2000 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Avera Eureka Health Care Center been cited for?
10 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Avera Eureka Health Care Center been fined?
Yes. CMS lists fines totalling $12K in the period covered.
How does staffing at Avera Eureka Health Care Center compare?
Reported total nurse staffing is 3.1 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Avera Eureka Health Care Center?
It is part of the Avera Health chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Avera Health and Avera Health. Individual owners and managers are not listed on this site.
When was Avera Eureka Health Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 11 Jun 2026; the most recent standard health survey was 11 Jun 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.