Avera Maryhouse Long Term Care
717 East Dakota, Pierre, SD 57501
Avera Maryhouse Long Term Care is a nursing home in Pierre, South Dakota. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (605) 224-3163
- Last standard health inspection
- September 11, 2025 (1 year ago)
- Certified beds
- 80
- Residents per day, on average
- 59.4
- Ownership type
- Non profit - Corporation
- Legal business name
- Avera St Marys
- Chain
- Avera Health
- Takes part in
- Medicare and Medicaid
Fewer health citations than the South Dakota average (9 vs 18).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of July 29, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of April 29, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of January 14, 2026
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
2 citations
Health inspection on September 11, 2025
CMS lists this as a standard inspection.
Citation F0554. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow residents to self-administer drugs if determined clinically appropriate.
CMS lists it as corrected on October 24, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on October 24, 2025.
CMS has cited this home for F0880 2 times since 2024.
6 citations
Fire safety inspection on September 11, 2025
CMS lists this as a standard inspection.
Citation K0226. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have horizontal exits used in accordance with safety requirements.
CMS lists it as corrected on October 24, 2025.
CMS has cited this home for K0226 3 times since 2023.
Citation K0311. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have an enclosure around a vertical opening shaft.
CMS lists it as corrected on October 24, 2025.
CMS has cited this home for K0311 3 times since 2023.
Citation K0712. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on October 24, 2025.
CMS has cited this home for K0712 2 times since 2023.
Citation K0321. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on October 24, 2025.
Citation K0353. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on October 24, 2025.
Citation K0531. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Have elevators that firefighters can control in the event of a fire.
CMS lists it as corrected on October 24, 2025.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
1 citation
Health inspection on July 2, 2025
CMS lists this as a complaint inspection.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on August 15, 2025.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of May 29, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
CMS update of March 28, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
3 citations
Health inspection on March 21, 2024
CMS lists this as a standard inspection.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on May 6, 2024.
CMS has cited this home for F0812 2 times since 2023.
Citation F0697. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate pain management for a resident who requires such services.
CMS lists it as corrected on May 6, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on May 6, 2024.
3 citations
Fire safety inspection on March 21, 2024
CMS lists this as a standard inspection.
Citation K0226. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have horizontal exits used in accordance with safety requirements.
Citation K0311. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have an enclosure around a vertical opening shaft.
Citation K0918. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on May 3, 2024.
3 citations
Health inspection on March 16, 2023
CMS lists this as a standard inspection.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on May 4, 2023.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on May 4, 2023.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on May 4, 2023.
3 citations
Fire safety inspection on March 16, 2023
CMS lists this as a standard inspection.
Citation K0712. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on May 4, 2023.
Citation K0226. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have horizontal exits used in accordance with safety requirements.
CMS lists it as corrected on May 4, 2023.
Citation K0311. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have an enclosure around a vertical opening shaft.
CMS lists it as corrected on May 4, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- AVERA HEALTH5% or greater direct ownership interest · 100% · since 01/01/2013
- AVERA HEALTHOperational/managerial control · not applicable · since 01/01/2013
- KREBS, SHANTELOperational/managerial control · not applicable · since 03/13/2023
Questions
When was Avera Maryhouse Long Term Care last inspected?
CMS lists September 11, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Avera Maryhouse Long Term Care have?
CMS lists 9 health citations since March 16, 2023. CMS also calls these deficiencies.
Has Avera Maryhouse Long Term Care been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Avera Maryhouse Long Term Care?
Its CMS overall star rating is 5 of 5.
Is Avera Maryhouse Long Term Care a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.