Avera Maryhouse
Nursing Home, Assisted Living & Hospice Care · Pierre, SD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Avera Maryhouse

Nursing Home, Assisted Living & Hospice Care · Pierre, SD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Overview of Avera Maryhouse

Avera Maryhouse Long Term Care, located in Pierre, SD, offers a comprehensive range of senior living options and care services. With 80 certified beds, Avera Maryhouse provides nursing homes, assisted living, memory care for Alzheimer’s and dementia, and independent living options. Residents benefit from on-site occupational, physical, and speech therapy services, ensuring personalized care and support tailored to individual needs.

Avera Maryhouse is dedicated to improving the quality of life for its inhabitants and places a high value on comprehensive care and a lively community setting. A library, visitor and resident parking, and a variety of activities like arts and crafts, wellness and health programs, and spiritual pursuits are just a few of the community’s many amenities. Situated in close proximity to healthcare services and local conveniences, Avera Maryhouse offers residents a comfortable and supportive living in a warm and friendly setting.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 84.1% Above SD avg. ▲ 84.1% Above SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 84.8% Above SD avg. ▲ 84.8% Above SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 50.8% Above SD avg. ▲ 50.8% Above SD avg.SD average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 10.0% Above SD avg. ▲ 10.0% Above SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs South Dakota averages

Rank #7 / 65Nurse hours — State benchmarkedThis home is ranked 7th out of 65 homes in South Dakota for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 65 South Dakota facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 7th out of 65 homes in South Dakota for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

5h 18m

22% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
1h 1m
+24% State avg: 49m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
46m
+61% State avg: 29m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 43m
+5% State avg: 2h 34m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 56m
+16% State avg: 3h 23m per day · National avg: 3h 27m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
3m
+4% State avg: 3m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
34m
+10% State avg: 31m per day · National avg: 29m per day

All 6 underlying metrics are above the state average

Bed community size
67-bed community Rank #49 / 117Bed count — State benchmarkedThis home is ranked 49th out of 117 homes in South Dakota for bed count. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
1 year in operation Rank #14 / 105Years in operation — State benchmarkedThis home is ranked 14th out of 105 homes in South Dakota for years in operation. Shows how long this facility has been in operation compared to other South Dakota facilities. Longer operating histories may benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 60 / 100 Rank #39 / 149Walk Score — State benchmarkedThis home is ranked 39th out of 149 homes in South Dakota for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across South Dakota facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

License Details

Facility TypeNursing Home
IssuanceJanuary 7, 2025
CountyHughes
License Number10662

Ownership & Operating Entity

Avera Maryhouse is administered by Talli Raske.

Contact Avera Maryhouse

Health Inspection History

Inspections since 2023
Total health inspections 4

State average 4.5


Last Health inspection on Sep 2025

Total health citations
9 Rank #17 / 65Health citations — State benchmarkedThis home is ranked 17th out of 65 homes in South Dakota for health citations. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 65 SD facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 14.8

Citations per inspection
2.25 Rank #19 / 65Citations per inspection — State benchmarkedThis home is ranked 19th out of 65 homes in South Dakota for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 65 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 3.34


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

8 of 9 citations resulted from standard inspections; and 1 of 9 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than State average

State average: 0.3


Serious health citations
0
100% better than State average

State average: 1.8

0 critical citations State average: 0.3

0 serious citations State average: 1.8

9 moderate citations State average: 12.6

0 minor citations State average: 0
Citations history (last 3 years)
Infection Control moderate citation Sep 11, 2025
Corrected

Resident Rights moderate citation Sep 11, 2025
Corrected

Abuse/Neglect moderate citation Jul 02, 2025
Corrected

Infection Control moderate citation Mar 21, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 99
Employees 86
Contractors 13
Staff to resident ratio 1.71 : 1
12% fewer staff per resident than South Dakota average
South Dakota average ratio: 1.93 : 1 South Dakota average ratio: 1.93 : 1See full South Dakota ranking
Avg staff/day 39
Average shift 7.8 hours
0% compared with South Dakota average
South Dakota average: 7.7 hours South Dakota average shift: 7.7 hoursSee full South Dakota ranking
Total staff hours (quarter) 28,068

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 13 RN Staff are full-time employees. No contractors work on this role. 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 11 total: 7 full-time employees and 4 contractors. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 49 total: 41 full-time employees and 8 contractors. 49
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

18.3%

5,148 contractor hours this quarter

Certified Nursing Assistant: 8 Licensed Practical Nurse: 4 Occupational Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4184913,18192100%7.8
Licensed Practical Nurse74114,17592100%8.7
Registered Nurse130133,15892100%7.7
Clinical Nurse Specialist4041,9097278%8.2
Medication Aide/Technician20292292100%6.6
Other Dietary Services Staff2028576470%7.4
Nurse Aide in Training4046144852%8.2
Speech Language Pathologist2025046166%8.1
Dietitian1015036368%8
Administrator1014806065%8
Nurse Practitioner1014645863%8
Physical Therapy Aide1014296368%6.8
Dental Services Staff1014105155%8
Respiratory Therapy Technician2022874145%7
Physical Therapy Assistant202812628%3
Occupational Therapy Aide0114667%7.7
Occupational Therapy Assistant1013233%10.8
Medical Director101141011%1.4
49 Certified Nursing Assistant
% of Days 100%
11 Licensed Practical Nurse
% of Days 100%
13 Registered Nurse
% of Days 100%
4 Clinical Nurse Specialist
% of Days 78%
2 Medication Aide/Technician
% of Days 100%
2 Other Dietary Services Staff
% of Days 70%
4 Nurse Aide in Training
% of Days 52%
2 Speech Language Pathologist
% of Days 66%
1 Dietitian
% of Days 68%
1 Administrator
% of Days 65%
1 Nurse Practitioner
% of Days 63%
1 Physical Therapy Aide
% of Days 68%
1 Dental Services Staff
% of Days 55%
2 Respiratory Therapy Technician
% of Days 45%
2 Physical Therapy Assistant
% of Days 28%
1 Occupational Therapy Aide
% of Days 7%
1 Occupational Therapy Assistant
% of Days 3%
1 Medical Director
% of Days 11%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 14.9
24% worse than South Dakota average

South Dakota average: 12.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 28.3
18% worse than South Dakota average

South Dakota average: 23.9

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 32.7%
46% worse than South Dakota average

South Dakota average: 22.3%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 22.8%
In line with South Dakota average

South Dakota average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 29.4%
10% worse than South Dakota average

South Dakota average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 7.6%
51% worse than South Dakota average

South Dakota average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.5%
44% worse than South Dakota average

South Dakota average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.2%
9% better than South Dakota average

South Dakota average: 3.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.0%
8% better than South Dakota average

South Dakota average: 5.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.5%
87% better than South Dakota average

South Dakota average: 4.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.7%
23% better than South Dakota average

South Dakota average: 24.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
5% better than South Dakota average

South Dakota average: 95.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.0%
In line with South Dakota average

South Dakota average: 96.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
18% better than South Dakota average

South Dakota average: 84.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.7%
62% better than South Dakota average

South Dakota average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 89.7%
15% better than South Dakota average

South Dakota average: 78.2%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 58
Medicare
2
3.4% of residents
Medicaid
26
44.8% of residents
Private pay or other
30
51.7% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed

Housing options icon
Housing options icon

Housing Options: Private Rooms / Semi-Private Rooms

Building type icon
Building type icon

Building Type: 3-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Places of interest near Avera Maryhouse

Address 0.8 miles from city center Info Estimated distance in miles from Pierre's city center to Avera Maryhouse's address, calculated via Google Maps. — 0.1 miles to nearest hospital (Avera St. Mary's Hospital)

Calculate Travel Distance to Avera Maryhouse

Add your location

Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the SD Dept. of Health (DOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Avera Maryhouse
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435059
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Facility 41
SD AVG 69
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+5%
3.72
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435062
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Facility 41
SD AVG 69
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Lacee Feltman$2.4M*Fiscal year ending 2020These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$1.9M*Fiscal year ending 2020These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.79%*Fiscal year ending 2020These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.435113
Oakview Terrace
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AL
IL
MC
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----435112

Frequently Asked Questions about Avera Maryhouse

Is Avera Maryhouse in a walkable area?

Avera Maryhouse has a walk score of 60. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Avera Maryhouse?

According to SD state health department records, Avera Maryhouse's license number is 10662.

How long has Avera Maryhouse been in business?

Avera Maryhouse has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Avera Maryhouse?

Yes, Avera Maryhouse allows residents to bring their pets.

Does Avera Maryhouse operate as a for-profit or non-profit?

Avera Maryhouse is registered as a non-profit in SD.

Who is the administrator of Avera Maryhouse?

Talli Raske is the administrator of Avera Maryhouse.

How many beds does Avera Maryhouse have?

Avera Maryhouse has 67 beds.

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