All states › South Dakota › Eureka › Avera Eureka Health Care Center
202 J Avenue Eureka, SD 57437 · Mc Pherson County
CMS certification number 435078 · See this home on Medicare Care Compare
Is Avera Eureka Health Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avera Eureka Health Care Center as of October 2026.
CMS rates it 5 out of 5 stars overall, above the South Dakota average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.30 hours per resident per day at Avera Eureka Health Care Center, below the South Dakota median of 3.69 (US median: 3.72). About 0.77 of those hours are from registered nurses. On weekends it falls to 2.65 hours, 20% below its all-week average. Ask how weekends are staffed. 25% of nursing staff left within a year (South Dakota median 46.5%). That is lower than most homes in South Dakota, a sign of a steadier team.
About this nursing home
Paying for care at Avera Eureka Health Care Center: Medicare and Medicaid
Avera Eureka Health Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet South Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on June 11, 2026 and found 3 deficiencies. In total, inspectors issued 10 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 10 citations at Avera Eureka Health Care Center across 3 inspection dates. 1 was at the actual-harm level (G–I), most recently on February 13, 2025. The most common areas cited were quality of life and care (3) and infection control (2). The most serious was cited under the CMS rule to "provide enough food/fluids to maintain a resident's health" (tag F0692, level G, February 13, 2025).
June 11, 2026 · 3 citations
EHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
ETry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
February 13, 2025 · 5 citations, includes actual harm
GProvide enough food/fluids to maintain a resident's health.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
October 19, 2023 · 2 citations
EProvide and implement an infection prevention and control program.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Questions to ask on a tour of Avera Eureka Health Care Center
- Inspectors cited the home at the actual-harm level on February 13, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- Weekend staffing is 20% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $12,252 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 13, 2025 | Fine | $12,252 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 4/5 | 5/5 | 4/5 |
| August 2026 | 4/5 | 4/5 | 4/5 | 4/5 |
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Location
Hospitals near Avera Eureka Health Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.1 mi
Eureka Community Health Services - CAH EurekaEmergency roomMedian ER visit 1h 57m for patients treated and sent home
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22.1 mi
Ashley Medical Center AshleyEmergency roomMedian ER visit 1h 26m for patients treated and sent home
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22.2 mi
Bowdle Hospital - Critical Access Hospital BowdleEmergency roomMedian ER visit 1h 42m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Avera Health nursing homes in South Dakota
- Avera Brady Health and Rehab · Mitchell · 5 stars
- Avera Maryhouse Long Term Care · Pierre · 5 stars
- Avera Sister James Care Center · Yankton · 5 stars
- Avera Prince of Peace · Sioux Falls · 4 stars
- Avera Rosebud Country Care Center · Gregory · 4 stars
- Wakonda Heritage Manor · Wakonda · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 13 Avera Health nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.