Avera Maryhouse Long Term Care — nursing home in Pierre, SD

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 80 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 59.4 CMS, MDS-derived
CMS Certification Number: 435034
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Aug 26, 1985
Ownership type: Non profit - Corporation
Operator (legal business name): Avera St Marys
CMS chain: Avera Health 13 facilities
Phone: (605) 224-3163
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Sep 11, 2025

Citations

21

9 health · 12 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D8	E2	F·
Minimal	A·	B3	C8

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 435034
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 80
First approved: Aug 26, 1985
Located in a hospital: Yes
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for South Dakota.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Sep 11, 2025	Fire safety	Fire Safety Standard	6	Minimal	—	Open →
Sep 11, 2025	Health	Health Standard	2	Potential harm	—	Open →
Jul 2, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Mar 21, 2024	Fire safety	Fire Safety Standard	3	Minimal	3	Open →
Mar 21, 2024	Health	Health Standard	3	Potential harm	—	Open →
Mar 16, 2023	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Mar 16, 2023	Health	Health Standard	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D8	E2	F·
Minimal	A·	B3	C8

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Sep 11, 2025	F-0554	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 24, 2025
Sep 11, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Oct 24, 2025
Sep 11, 2025	K-0226	Have horizontal exits used in accordance with safety requirements. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	No revisit needed Oct 24, 2025
Sep 11, 2025	K-0311	Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	No revisit needed Oct 24, 2025
Sep 11, 2025	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	B · Minimal Pattern	No revisit needed Oct 24, 2025
Sep 11, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	B · Minimal Pattern	No revisit needed Oct 24, 2025
Sep 11, 2025	K-0531	Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Environment & life safety	B · Minimal Pattern	No revisit needed Oct 24, 2025
Sep 11, 2025	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	C · Minimal Widespread	No revisit needed Oct 24, 2025
Jul 2, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 15, 2025	Complaint
Mar 21, 2024	F-0697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 6, 2024
Mar 21, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 6, 2024
Mar 21, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 6, 2024
Mar 21, 2024	K-0226	Have horizontal exits used in accordance with safety requirements. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	No plan of correction
Mar 21, 2024	K-0311	Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	No plan of correction
Mar 21, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	C · Minimal Widespread	Plan of correction, not yet verified May 3, 2024
Mar 16, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 4, 2023
Mar 16, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 4, 2023
Mar 16, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 4, 2023
Mar 16, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected May 4, 2023
Mar 16, 2023	K-0226	Have horizontal exits used in accordance with safety requirements. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	Other May 4, 2023
Mar 16, 2023	K-0311	Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Other May 4, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.9

Staffingstate 3.5

Quality measuresstate 2.7

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.41

State avg 3.86US avg 3.90

Registered nurse (RN)0.95

State avg 0.78US avg 0.69

Licensed practical nurse0.77

State avg 0.50US avg 0.86

Nurse aide2.70

State avg 2.58US avg 2.35

Weekend total nurse3.90

State avg 3.28US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.49 (case-mix index 1.13).

Staff turnover

Total nursing staff turnover50.0%

State avg 48.6%US avg 45.3%

Registered nurse turnover23.1%

State avg 37.5%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Sep 11, 2025
Cycle 1 health score: 8
Total weighted score: 11

Operating entity

Avera St Marys

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Avera Health

13 facilities in 3 states. CMS chain ID 61.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 4.1

Ownership disclosures

Disclosures

18

Organizations

1

Individuals

16

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Avera Health	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jan 1, 2013

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Avera Health	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jan 1, 2013
Mark Hagy	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 1, 2022
Jeffrey Hallem	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Aug 1, 2024
Debra Kolecka	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 1, 2024
Meredith Lee	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 1, 2022
Amy Lueking	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 1, 2021
Kimberly Olson	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 1, 2022
Rena Robbennolt	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Aug 1, 2024
Lynn Welbig	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 1, 2017
Robert Wylie	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 1, 2021
Avera Health	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2013
Shantel Krebs	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 13, 2023
Kristin Brost	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 1, 2021
Darrell Plumage	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 7, 2021
Talli Raske	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 5, 2015
Shantel Krebs	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 13, 2023
Darrell Plumage	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 17, 2025
Talli Raske	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 17, 2025

Same chain in South Dakota

All 12 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Avera Rosebud Country Care Center 126 S Logan Ave, Gregory, SD 57533 CCN 435029	30	May 21, 2026	163 open	—
Avera Mother Joseph Manor Retirement Community 1002 North Jay Street, Aberdeen, SD 57401 CCN 435042	81	Dec 17, 2025	243 harm2 open	$8,824
Avera Brady Health and Rehab 500 S Ohlman, Mitchell, SD 57301 CCN 435061	84	Apr 27, 2026	9	—
Avera Prince of Peace 4513 South Prince of Peace Place, Sioux Falls, SD 57103 CCN 435066	126	Nov 6, 2025	191 harm	$8,278
Avera Sister James Care Center 2111 West 11th Street, Yankton, SD 57078 CCN 435070	194	May 14, 2026	91 harm	$8,492
Avera Eureka Health Care Center 202 J Avenue, Eureka, SD 57437 CCN 435078	56	Jun 11, 2026	121 harm2 open	$12k
Wakonda Heritage Manor 515 Ohio Street, Wakonda, SD 57073 CCN 435094	38	May 7, 2026	111 harm	$13k
Sunset Manor Avera Health 129 E Clay St, Irene, SD 57037 CCN 435100Abuse icon	58	May 5, 2026	304 harm3 open	$57k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 717 East Dakota, Pierre, SD 57501
ZIP: 57501
County: Hughes County FIPS 46065
State: South Dakota
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Avantara Pierre 950 East Park Street, Pierre, SD 57501 CCN 435047Abuse icon	0.2 km	65		Aug 6, 2026	393 harm	$40k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	435034	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	435034	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 435034

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction