Total health inspections
4
South Dakota average 4.5
Last Health inspection on Sep 2025
Avera Maryhouse
Nursing Home, Assisted Living & Hospice Care · South Dakota, SD
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Avera Maryhouse
Nursing Home, Assisted Living & Hospice Care · South Dakota, SD
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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
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.
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.
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.
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 5th out of 57 homes in South Dakota. 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.
This home is ranked 5th out of 57 homes in South Dakota. 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 per day
Rank #5 / 57Nurse hours — State benchmarkedThis home is ranked 5th out of 57 homes in South Dakota. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 57 South Dakota SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs South Dakota avg
+41%
Standout metric
Weekend Total Nursing is +16% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
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 49m per day | ▲ 16% State avg: 3h 17m per day · National avg: 3h 25m per day |
Types of Care at Avera Maryhouse
Assisted Living
Nursing Home
Hospice Care
67-bed community Rank #49 / 117Bed count — State benchmarkedThis home is ranked 49th out of 117 homes in South Dakota. Shows this facility's certified or reported bed count compared to other South Dakota SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.
1 year in operation Rank #14 / 51Years in operation — State benchmarkedThis home is ranked 14th out of 51 homes in South Dakota. Shows how long this facility has been in operation compared to other South Dakota SNFs. Longer operating histories may benefit residents, families, and staff.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: 60 / 100 Rank #39 / 159Walk Score — State benchmarkedThis home is ranked 39th out of 159 homes in South Dakota. Shows how walkable this facility's neighborhood is compared to the average Walk Score across South Dakota SNFs. Higher scores benefit residents, families, and staff.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
Facility TypeNursing Home
StatusActive
IssuanceJanuary 7, 2025
ExpirationJune 30, 2026
CountyHughes
License Number10662
Avera Maryhouse is administrated by Talli Raske.
Health Inspection History
Inspections
Total health citations
9
Rank #16 / 59Health citations — State benchmarkedThis home is ranked 16th out of 59 homes in South Dakota. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 59 SD SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
South Dakota average 14.8
Citations per inspection
2.25
Rank #18 / 59Citations per inspection — State benchmarkedThis home is ranked 18th out of 59 homes in South Dakota. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 59 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
South Dakota 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 South Dakota averageSouth Dakota average: 0.3
Serious health citations
0
100% better than South Dakota averageSouth Dakota average: 1.8
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% worse than South Dakota average
Avg staff/day
39
Average shift
7.8 hours
0% compared with South Dakota average
Total staff hours (quarter)
28,068
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
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
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
49
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursThis role is partially covered by contractors.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
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
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 41 | 8 | 49 | 13,181 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 7 | 4 | 11 | 4,175 | 92 | 100% | 8.7 |
| Registered Nurse | 13 | 0 | 13 | 3,158 | 92 | 100% | 7.7 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,909 | 72 | 78% | 8.2 |
| Medication Aide/Technician | 2 | 0 | 2 | 922 | 92 | 100% | 6.6 |
| Other Dietary Services Staff | 2 | 0 | 2 | 857 | 64 | 70% | 7.4 |
| Nurse Aide in Training | 4 | 0 | 4 | 614 | 48 | 52% | 8.2 |
| Speech Language Pathologist | 2 | 0 | 2 | 504 | 61 | 66% | 8.1 |
| Dietitian | 1 | 0 | 1 | 503 | 63 | 68% | 8 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Physical Therapy Aide | 1 | 0 | 1 | 429 | 63 | 68% | 6.8 |
| Dental Services Staff | 1 | 0 | 1 | 410 | 51 | 55% | 8 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 287 | 41 | 45% | 7 |
| Physical Therapy Assistant | 2 | 0 | 2 | 81 | 26 | 28% | 3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 46 | 6 | 7% | 7.7 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 32 | 3 | 3% | 10.8 |
| Medical Director | 1 | 0 | 1 | 14 | 10 | 11% | 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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.9
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 averageSouth Dakota average: 12.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.3
18% worse than South Dakota averageSouth Dakota average: 23.9
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
32.7%
Percent of long-stay residents whose need for help with daily activities has increased
32.7%
46% worse than South Dakota averageSouth Dakota average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
22.8%
Percent of long-stay residents whose ability to move independently worsened
22.8%
In line with South Dakota averageSouth Dakota average: 22.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.4%
10% worse than South Dakota averageSouth Dakota average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
7.6%
Percent of long-stay residents experiencing one or more falls with major injury
7.6%
51% worse than South Dakota averageSouth Dakota average: 5.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.5%
Percent of long-stay high risk residents with pressure ulcers
6.5%
44% worse than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.2%
Percent of long-stay residents with a urinary tract infection
3.2%
9% better than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.0%
Percent of long-stay residents who lose too much weight
5.0%
8% better than South Dakota averageSouth Dakota average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.5%
Percent of long-stay residents who have depressive symptoms
0.5%
87% better than South Dakota averageSouth Dakota average: 4.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.7%
Percent of long-stay residents who received an antipsychotic medication
18.7%
23% better than South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than South Dakota averageSouth Dakota average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
In line with South Dakota averageSouth Dakota average: 96.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
18% better than South Dakota averageSouth Dakota average: 84.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
62% better than South Dakota averageSouth Dakota average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.7%
15% better than South Dakota averageSouth Dakota average: 78.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
What does this home offer?
Pets Allowed
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: 3-story
Transportation Services
Fitness and Recreation
Places of interest near Avera Maryhouse
0.8 miles from city center
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
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Financial Assistance for
Nursing Home in South Dakota
Avera Maryhouse is located in Pierre, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.
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.
When does Avera Maryhouse's license expire?
According to SD state health department records, Avera Maryhouse's license expires on June 30, 2026.
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.
What is the phone number of Avera Maryhouse?
(605) 224-3163 will put you in contact with the team at Avera Maryhouse.
What county is Avera Maryhouse located in?
Avera Maryhouse is in Hughes County.
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