Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
99
86 employees · 13 contractors · 39 on an average day 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.
The license at Avera Maryhouse in Pierre, SD, includes hospice care, assisted living, and nursing home care. Ongoing licensed nursing is what the nursing home designation covers. Dressing, bathing, and medication pass to staff under assisted living. Hospice care means the care changes at the end of life while the address stays the same.
Sixty-seven beds are licensed, and Housing Options give a choice of Private Rooms or Semi-Private Rooms, so a resident lives alone or shares. A single resident draws 5 hours and 39 minutes of nursing each day.
Talli Raske administers the home, and a pet may stay with its owner. A Walk Score of 60 keeps the area somewhat walkable, and a few errands stay within walking distance. Daily assistance, ongoing nursing, or end-of-life support are the three reasons a family would look here.
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
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 3rd out of 58 nursing homes we track 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 39m
This nursing home is ranked 3rd out of 58 nursing homes we track 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 39mStandout metric: LPN / LVN is +83% above South Dakota average
0 of 6 metrics below South Dakota average
Daily care time per resident, by role
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. All 13 are the facility's own employees; no agency contractors work in this role.
13 staff · 7.7-hour shifts
1h 15m
↑ 33% · SD 56mThis facility: 1h 15m per resident per day, 33% above the South Dakota average of 56m (among South Dakota facilities reporting a recent figure).
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. All 13 are the facility's own employees; no agency contractors work in this role.
13 staff · 7.7-hour shiftsUS average: 42m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 42m
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. 11 total: 7 of the facility's own employees and 4 agency contractors.
11 staff · 8.7-hour shifts
59m
↑ 83% · SD 32mThis facility: 59m per resident per day, 83% above the South Dakota average of 32m (among South Dakota facilities reporting a recent figure).
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. 11 total: 7 of the facility's own employees and 4 agency contractors.
11 staff · 8.7-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 49 total: 41 of the facility's own employees and 8 agency contractors.
49 staff · 7.8-hour shifts
3h 25m
↑ 17% · SD 2h 56mThis facility: 3h 25m per resident per day, 17% above the South Dakota average of 2h 56m (among South Dakota facilities reporting a recent figure).
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. 49 total: 41 of the facility's own employees and 8 agency contractors.
49 staff · 7.8-hour shiftsUS average: 2h 24m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 24m
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
↑ 3% · SD 3mThis facility: 3m per resident per day, 3% above the South Dakota average of 3m (among South Dakota facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
4h 46m
↑ 29% · SD 3h 43mThis facility: 4h 46m per resident per day, 29% above the South Dakota average of 3h 43m (among South Dakota facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 31m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 31m
RN, weekends
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.
Sat–Sun
34m
↑ 4% · SD 32mThis facility: 34m per resident per day, 4% above the South Dakota average of 32m (among South Dakota facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
99
86 employees · 13 contractors · 39 on an average day
99 total staff / 58 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.71 : 1
↓ 10% · SD 1.90This facility: 1.71 staff per resident, 10% below the South Dakota average of 1.90 (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
99 staff ÷ 58 residents
See full South Dakota ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.8 h
↑ 1% · SD 7.7 hThis facility: 7.8 h, 1% above the South Dakota average of 7.7 h (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
28,068 staff hours this quarter
See full South Dakota ranking →81.7% of staff hours were worked by the facility's own employees
South Dakota average: 88.7% · Contractors this quarter: Certified Nursing Assistant (8), Licensed Practical Nurse (4), Occupational Therapy Aide (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
67
Rank #27 / 65Bed count — State benchmarked This nursing home is ranked 27th out of 65 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
67
Rank #27 / 65Bed count — State benchmarked This nursing home is ranked 27th out of 65 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Years of operating
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #3 / 61Years in operation — State benchmarked This nursing home is ranked 3rd out of 61 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #3 / 61Years in operation — State benchmarked This nursing home is ranked 3rd out of 61 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
1
year
Walk Score
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #16 / 68Walk Score — State benchmarked This nursing home is ranked 16th out of 68 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #16 / 68Walk Score — State benchmarked This nursing home is ranked 16th out of 68 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
60
/ 100
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
58
Source: CMS Provider Information, average daily residents (data as of Aug 2026)
About This Community
Facility TypeNursing Home
IssuanceJanuary 7, 2025
CountyHughes
License Number10662
Avera Maryhouse is administered by Talli Raske.
Transportation
Pets Allowed
Building Type3-story
Room Types
Private Rooms
Semi-Private Rooms
CMS Health Inspection History
Total health inspections
4
↓ 18% · SD 4.9This facility: 4, 18% below the SD average of 4.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
9
Rank #10 / 61Health citations — State benchmarked This nursing home is ranked 10th out of 61 nursing homes we track 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 61 SD facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 48% · SD 17.2This facility: 9, 48% below the SD average of 17.2 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
2.25
Rank #13 / 61Citations per inspection — State benchmarked This nursing home is ranked 13th out of 61 nursing homes we track in South Dakota for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 61 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 39% · SD 3.68This facility: 2.25, 39% below the SD average of 3.68 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
9 of 9 citations corrected
Critical
J–L
0
↓ 100% · SD 0.4This facility: 0, 100% below the SD average of 0.4 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · SD 2.1This facility: 0, 100% below the SD average of 2.1 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
9
↓ 39% · SD 14.7This facility: 9, 39% below the SD average of 14.7 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
State avg 0 (In line with State average)
No harm, minimal riskState avg 0 (In line with State average)Latest inspection: Sep 11, 2025 · 2 citations, all corrected
Most cited category: Infection Control, 2 of 9 citations · 6 categories in total
Citations history
Most recent first
Sep 11, 2025
2 citations
Infection Control moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Jul 02, 2025
1 citation
Abuse/Neglect moderate citation
Corrected
Corrected
Mar 21, 2024
3 citations
Infection Control moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Mar 16, 2023
3 citations
Nutrition moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Top deficiency categories
Share of 9 citations
Infection Control
2 deficiencies (22%)
Quality of Life & Care
2 deficiencies (22%)
Nutrition & Dietary
2 deficiencies (22%)
Resident Rights
1 deficiency (11%)
Resident Assessment & Care Planning
1 deficiency (11%)
Abuse, Neglect & Exploitation
1 deficiency (11%)
How citations are counted
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.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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
How residents at this home fare on health outcomes and preventive care, compared with the South Dakota average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
13.4
Score · lower is better
↑ 19% · SD 11.3This facility: 13.4, 19% above the SD average of 11.3 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
25.5
Score · lower is better
↑ 15% · SD 22.1This facility: 25.5, 15% above the SD average of 22.1 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 5 better, 5 worse, 1 near SD average
3 short-stay measures: 3 better
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
25.0%
↑ 17% · SD 21.3This facility: 25.0, 17% above the SD average of 21.3 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
25.0%
↑ 17% · SD 21.3This facility: 25.0, 17% above the SD average of 21.3 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
22.0%
↑ 14% · SD 19.4This facility: 22.0, 14% above the SD average of 19.4 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
22.0%
↑ 14% · SD 19.4This facility: 22.0, 14% above the SD average of 19.4 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.4%
↑ 16% · SD 25.4This facility: 29.4, 16% above the SD average of 25.4 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.4%
↑ 16% · SD 25.4This facility: 29.4, 16% above the SD average of 25.4 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
2.6%
↓ 12% · SD 2.9This facility: 2.6, 12% below the SD average of 2.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
2.6%
↓ 12% · SD 2.9This facility: 2.6, 12% below the SD average of 2.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
↓ 20% · SD 5.5This facility: 4.4, 20% below the SD average of 5.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
↓ 20% · SD 5.5This facility: 4.4, 20% below the SD average of 5.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
7.7%
↑ 68% · SD 4.6This facility: 7.7, 68% above the SD average of 4.6 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
7.7%
↑ 68% · SD 4.6This facility: 7.7, 68% above the SD average of 4.6 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
7.7%
↑ 37% · SD 5.6This facility: 7.7, 37% above the SD average of 5.6 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
7.7%
↑ 37% · SD 5.6This facility: 7.7, 37% above the SD average of 5.6 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · SD 5.7This facility: 0.0, 100% below the SD average of 5.7 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · SD 5.7This facility: 0.0, 100% below the SD average of 5.7 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
17.0%
↓ 31% · SD 24.6This facility: 17.0, 31% below the SD average of 24.6 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
17.0%
↓ 31% · SD 24.6This facility: 17.0, 31% below the SD average of 24.6 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
↑ 5% · SD 94.9This facility: 99.5, 5% above the SD average of 94.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
↑ 5% · SD 94.9This facility: 99.5, 5% above the SD average of 94.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
↑ 1% · SD 96.9This facility: 98.0, 1% above the SD average of 96.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.0%
↑ 1% · SD 96.9This facility: 98.0, 1% above the SD average of 96.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · SD 2.0This facility: 0.0, 100% below the SD average of 2.0 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · SD 2.0This facility: 0.0, 100% below the SD average of 2.0 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 20% · SD 83.5This facility: 100.0, 20% above the SD average of 83.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 20% · SD 83.5This facility: 100.0, 20% above the SD average of 83.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.7%
↑ 15% · SD 78.2This facility: 89.7, 15% above the SD average of 78.2 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.7%
↑ 15% · SD 78.2This facility: 89.7, 15% above the SD average of 78.2 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
58
Medicare
8
13.8% of residents
Medicaid
27
46.6% of residents
Private pay or other
23
39.7% 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.
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)
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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-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The South Dakota average is: 59.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Avera Maryhouse | NH AL HOS | Pierre | 67
Facility
67
SD AVG
70
Rank
#27 / 65 | - | - | 5.65
Facility
5.65
SD AVG
4.31
Rank
#3 / 58 | +18% | +31% | $0
Facility
$0
SD AVG
$45.9k
Rank
#1 / 62 | 9
Facility
9
SD AVG
17.2
Rank
#10 / 61 | 2.3
Facility
2.3
SD AVG
3.7
Rank
#13 / 61 | - | 58 | - |
60
Facility
60
SD AVG
40
Rank
#16 / 68 | - | - | - | - | 435034 | ||||
| Good Samaritan Society Canton | NH AL HOS SNF | Canton | 56
Facility
56
SD AVG
70
Rank
#36 / 65 |
91.3%
Facility
91.3%
SD AVG
84.4%
Rank
#10 / 31 | +8% | 3.85
Facility
3.85
SD AVG
4.31
Rank
#21 / 58 | -40% | -11% | $19.6k
Facility
$19.6k
SD AVG
$45.9k
Rank
#31 / 62 | 8
Facility
8
SD AVG
17.2
Rank
#9 / 61 | 2.0
Facility
2.0
SD AVG
3.7
Rank
#11 / 61 | 2 | 51 | - |
64
Facility
64
SD AVG
40
Rank
#12 / 68 | Karsten Rohlfs | $6.1MFiscal year ending 09/2024
Facility
$6.1MFiscal year ending 09/2024
SD AVG
$7.1M
Rank
#32 / 53 | $3.5MFiscal year ending 09/2024
Facility
$3.5MFiscal year ending 09/2024
SD AVG
$4.2M
Rank
#32 / 53 | 56.9%Fiscal year ending 09/2024
Facility
56.9%Fiscal year ending 09/2024
SD AVG
59.1%
Rank
#12 / 53 | 435101 | ||||
| Spearfish Canyon Healthcare | NH HOS SNF | Spearfish | 105
Facility
105
SD AVG
70
Rank
#7 / 65 |
72.3%
Facility
72.3%
SD AVG
84.4%
Rank
#26 / 31 | -14% | 3.56
Facility
3.56
SD AVG
4.31
Rank
#32 / 58 | -54% | -17% | $9.7k
Facility
$9.7k
SD AVG
$45.9k
Rank
#22 / 62 | 21
Facility
21
SD AVG
17.2
Rank
#36 / 61 | 3.0
Facility
3.0
SD AVG
3.7
Rank
#23 / 61 | 1 | 76 | - |
76
Facility
76
SD AVG
40
Rank
#6 / 68 | - | $10.2MFiscal year ending 12/2024
Facility
$10.2MFiscal year ending 12/2024
SD AVG
$7.1M
Rank
#9 / 53 | $5.9MFiscal year ending 12/2024
Facility
$5.9MFiscal year ending 12/2024
SD AVG
$4.2M
Rank
#10 / 53 | 58.2%Fiscal year ending 12/2024
Facility
58.2%Fiscal year ending 12/2024
SD AVG
59.1%
Rank
#26 / 53 | 435043 | ||||
| Rolling Hills Healthcare | NH HOS SNF | Belle Fourche | 83
Facility
83
SD AVG
70
Rank
#15 / 65 |
70.0%
Facility
70.0%
SD AVG
84.4%
Rank
#27 / 31 | -17% | 3.78
Facility
3.78
SD AVG
4.31
Rank
#21 / 58 | -33% | -12% | $80.6k
Facility
$80.6k
SD AVG
$45.9k
Rank
#56 / 62 | 34
Facility
34
SD AVG
17.2
Rank
#55 / 61 | 4.3
Facility
4.3
SD AVG
3.7
Rank
#45 / 61 | 5 | 58 | A+ |
8
Facility
8
SD AVG
40
Rank
#64 / 68 | - | $6.6MFiscal year ending 12/2024
Facility
$6.6MFiscal year ending 12/2024
SD AVG
$7.1M
Rank
#16 / 53 | $3.7MFiscal year ending 12/2024
Facility
$3.7MFiscal year ending 12/2024
SD AVG
$4.2M
Rank
#24 / 53 | 55.5%Fiscal year ending 12/2024
Facility
55.5%Fiscal year ending 12/2024
SD AVG
59.1%
Rank
#44 / 53 | 435035 | ||||
| Avantara Redfield | NH HOS SNF | Redfield | 58
Facility
58
SD AVG
70
Rank
#34 / 65 |
86.6%
Facility
86.6%
SD AVG
84.4%
Rank
#21 / 31 | +3% | 3.33
Facility
3.33
SD AVG
4.31
Rank
#44 / 58 | -18% | -23% | $23.0k
Facility
$23.0k
SD AVG
$45.9k
Rank
#36 / 62 | 17
Facility
17
SD AVG
17.2
Rank
#24 / 61 | 2.4
Facility
2.4
SD AVG
3.7
Rank
#15 / 61 | 3 | 50 | A+ |
34
Facility
34
SD AVG
40
Rank
#38 / 68 | Diane Forgey | $4.8MFiscal year ending 12/2024
Facility
$4.8MFiscal year ending 12/2024
SD AVG
$7.1M
Rank
#38 / 53 | $2.5MFiscal year ending 12/2024
Facility
$2.5MFiscal year ending 12/2024
SD AVG
$4.2M
Rank
#38 / 53 | 51.7%Fiscal year ending 12/2024
Facility
51.7%Fiscal year ending 12/2024
SD AVG
59.1%
Rank
#19 / 53 | 435054 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other SD nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Frequently Asked Questions about Avera Maryhouse
Is Avera Maryhouse in a walkable area?
Avera Maryhouse has a walk score of 60. Somewhat 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.
What is the overall rating for Avera Maryhouse?
Avera Maryhouse received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
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