Total health inspections
4
State average N/A
Last Health inspection on Sep 2025
Avera Maryhouse
Nursing Home, Assisted Living & Hospice Care · Pierre, SD
CMS overall rating
5/5
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.
5/5
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
5/5
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.
5/5
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 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
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.
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 #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.
vs avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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 per day | |
|
LPN / LVN
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 per day | |
|
Nurse Aide
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 per day | |
|
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 56m per day | |
|
Physical Therapist
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 per day | |
|
Weekend RN
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 per day |
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.
1 year in operation Rank #14 / 102Years in operation — State benchmarkedThis home is ranked 14th out of 102 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: 60 / 100 Rank #38 / 158Walk Score — State benchmarkedThis home is ranked 38th out of 158 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
Facility TypeNursing Home
IssuanceJanuary 7, 2025
ExpirationJune 30, 2026 Expired
CountyHughes
License Number10662
Avera Maryhouse is administered by Talli Raske.
Health Inspection History
Inspections
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 N/A
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 N/A
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
In line with State averageState average: N/A
Serious health citations
0
In line with State averageState average: N/A
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
0% compared with State averageState average ratio: 0 : 0
Avg staff/day
39
Average shift
7.8 hours
0% compared with State averageState average: 0 hours
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
All 13 RN Staff are full-time employees. No contractors work on this role.
13
All 13 RN Staff are full-time employees. No contractors work on this role.
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 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
11 total: 7 full-time employees and 4 contractors.
11
11 total: 7 full-time employees and 4 contractors.
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 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
49 total: 41 full-time employees and 8 contractors.
49
49 total: 41 full-time employees and 8 contractors.
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 hoursContractor 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 State averageState 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 State averageState 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 State averageState 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 State averageState 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 State averageState 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 State averageState 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 State averageState 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 State averageState 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 State averageState 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 State averageState 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 State averageState 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 State averageState 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 State averageState 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 State averageState 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 State averageState 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 State averageState 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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Compare Nursing Homes around the area
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
| Avera Maryhouse | NH AL HOS | Pierre | - | 67 | - | 60 | Private Rooms / Semi-Private Rooms |
| Avantara Lake Norden | NH HOS MC SNF | Lake Norden | - | 50 | - | 11 | - |
| Alcester Care and Rehab Center | NH AL SNF | Alcester (Alcester Township) | - | 41 | - | 14 | - |
| Oakview Terrace | NH AL | Freeman | - | 45 | - | 26 | - |
| Menno-Olivet Care Center | NH AL HOS RC SNF | Menno | - | 41 | - | 13 | - |
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.
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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