South Dakota › Gregory County › Gregory
Avera Rosebud Country Care Center
126 S Logan Ave, Gregory, SD 57533
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 Rosebud Country Care Center is a Non-profit, corporation nursing home in Gregory, South Dakota, certified for 30 beds and caring for about 28 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 2.
Inspectors recorded 13 health deficiencies across the three most recent survey cycles (5, 5, 3 by cycle, most recent first), none at the actual-harm level. That is 43.3 per 100 beds, more 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 5.4 hours per resident per day (1.1 RN), above the South Dakota median of 3.6.
Compared with county, state and nation
| Measure | This facility | Gregory Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 13 | 13 | 16 | 28.7 |
| Citations per 100 beds | 43.3 | 43.3 | 23.9 | 26.8 |
| Total nurse hours per resident day | 5.4 | 5.4 | 3.6 | 3.9 |
| RN hours per resident day | 1.1 | 1.1 | 0.8 | 0.7 |
| Nursing staff turnover | — | — | 46.6% | 45.8% |
| Fines listed | $0 | $0 | $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: 21 May 2026, 13 Feb 2025.
Severity mix: D ×8 E ×5
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 |
|---|---|---|---|---|---|
| 21 May 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 30 Jun 2026 |
| 21 May 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. | D | Standard survey | 30 Jun 2026 |
| 21 May 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 30 Jun 2026 |
| 21 May 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 30 Jun 2026 |
| 21 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Jun 2026 |
| 13 Feb 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 30 Mar 2025 |
| 13 Feb 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 30 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. | E | Standard survey | 17 Mar 2025 |
| 13 Feb 2025 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Standard survey | 30 Mar 2025 |
| 13 Feb 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 17 Mar 2025 |
| 23 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 8 Mar 2024 |
| 23 Jan 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 8 Mar 2024 |
| 26 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 10 Dec 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 —, RNs —; — 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 | 18.9% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 6.0% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 4.8% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 35.9% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.1% | 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. Chain: Avera Health (13 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Avera Health | 5% or greater direct ownership interest | 100% | 06/12/1992 |
| 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 Rosebud Country Care Center been cited for?
13 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 Rosebud Country Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Avera Rosebud Country Care Center compare?
Reported total nurse staffing is 5.4 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Avera Rosebud Country 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 Rosebud Country Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 21 May 2026; the most recent standard health survey was 21 May 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.