South Dakota › Hughes County › Pierre
Avera Maryhouse Long Term Care
717 East Dakota, Pierre, SD 57501
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 Maryhouse Long Term Care, in Pierre, South Dakota, is certified for 80 beds under non-profit, corporation ownership and belongs to the Avera Health chain.
CMS gives it 5 of 5 stars overall, above the South Dakota median of 3; the health inspection rating is 5, staffing 5 and quality measures 4.
Inspectors recorded 9 health deficiencies across the three most recent survey cycles (2, 4, 3 by cycle, most recent first), none at the actual-harm level. That is 11.3 per 100 beds, fewer than the state median of 23.9.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.6 hours per resident per day (1.0 RN), above the South Dakota median of 3.6; nursing staff turnover is 46.6%.
Compared with county, state and nation
| Measure | This facility | Hughes Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 9 | 36 | 16 | 28.7 |
| Citations per 100 beds | 11.3 | 55.4 | 23.9 | 26.8 |
| Total nurse hours per resident day | 4.6 | 4.6 | 3.6 | 3.9 |
| RN hours per resident day | 1.0 | 1.0 | 0.8 | 0.7 |
| Nursing staff turnover | 46.6% | 46.6% | 46.6% | 45.8% |
| Fines listed | $0 | $22,048 | $20,183 | — |
County and state figures are medians across facilities (2 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 Sep 2025, 21 Mar 2024.
Severity mix: D ×8 E ×1
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 Sep 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 24 Oct 2025 |
| 11 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 24 Oct 2025 |
| 2 Jul 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 15 Aug 2025 |
| 21 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 6 May 2024 |
| 21 Mar 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 6 May 2024 |
| 21 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 May 2024 |
| 16 Mar 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 4 May 2023 |
| 16 Mar 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 4 May 2023 |
| 16 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 4 May 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 46.6%, RNs 16.7%; 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 | 25.0% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 6.7% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.6% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | 4.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.0% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.7% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.0% | 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 Marys. Chain: Avera Health (13 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Avera Health | 5% or greater direct ownership interest | 100% | 01/01/2013 |
| Avera Health | Operational/managerial control | NOT APPLICABLE | 01/01/2013 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Hughes County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avantara Pierreabuse icon | Pierre | 65 | 2 | 2 | 3 | 36 | 55.4 | $22K | 1 Jul 2026 |
All 2 facilities in Hughes County
Questions and answers
How many deficiencies has Avera Maryhouse Long Term Care been cited for?
9 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Avera Maryhouse Long Term Care been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Avera Maryhouse Long Term Care compare?
Reported total nurse staffing is 4.6 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Avera Maryhouse Long Term Care?
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 Maryhouse Long Term Care last inspected?
The most recent survey or investigation in the CMS record is dated 11 Sep 2025; the most recent standard health survey was 11 Sep 2025.
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.