Nursing homeActive
Avera Maryhouse Long Term Care
717 East Dakota, Pierre, SD 57501605224316380 certified beds · 58 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
9
● 0● 9● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-09-11
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 5
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · South Dakota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-09-11 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2025-07-02 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-21 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2023-03-16 | Standard | 030 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · South Dakota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-24Record 435034-20250911-F554
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-24Record 435034-20250911-F880
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-15Record 435034-20250702-F609
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-06Record 435034-20240321-F697
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-06Record 435034-20240321-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-06Record 435034-20240321-F880
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-04Record 435034-20230316-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-04Record 435034-20230316-F689
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-04Record 435034-20230316-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.02
Facility
South Dakota
National
South Dakota 0.80 · National 0.69
Total nurse hours per resident day4.62
Facility
South Dakota
National
South Dakota 3.79 · National 3.86
Weekend total nurse hours3.90
Facility
South Dakota
National
South Dakota 3.26 · National 3.42
Total nursing staff turnover47%
Facility
South Dakota
National
South Dakota 48% · National 46%
Registered nurse turnover17%
Facility
South Dakota
National
South Dakota 35% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | South Dakota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 7.7% | 4.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.4% | 5.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 17.0% | 24.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.6% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 25.0% | 21.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.7% | 5.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 6.8% | 17.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Avera Health Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Avera Health Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Krebs, Shantel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Brost, Kristin Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hagy, Mark Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hallem, Jeffrey Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Kolecka, Debra Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Krebs, Shantel Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Lee, Meredith Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Lueking, Amy Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Olson, Kimberly Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Plumage, Darrell Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Plumage, Darrell Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Raske, Talli Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Raske, Talli Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Robbennolt, Rena Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Welbig, Lynn Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Wylie, Robert Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
Part of a chain
Avera Health — 13 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or South Dakota.
No county cost figures on file for Hughes.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Avantara Pierre Pierre | 0.1 mi | 2026-07-01 | 0333 |
| Avera Oahe Manor Gettysburg | 49.0 mi | 2025-09-04 | 090 |
| White River Health Care Center White River | 58.1 mi | 2025-03-27 | 011 |
| Highmore Health Highmore | 45.7 mi | 2026-01-21 | 0160 |
| Medicine Wheel Village Eagle Butte | 62.3 mi | 2026-03-25 | 0231 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |