facebook tracking Avera Rosebud Country Care Center, Gregory SD: CMS Ratings
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Avera Rosebud Country Care Center

All states › South Dakota › Gregory › Avera Rosebud Country Care Center

126 S Logan Ave Gregory, SD 57533 · Gregory County

(605) 835-8296

Accepts Medicare Accepts Medicaid 30 certified beds Non profit

CMS certification number 435029 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Avera Rosebud Country 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 Rosebud Country Care Center as of October 2026.

CMS rates it 4 out of 5 stars overall, above the South Dakota average of 3.0. Inspectors issued 13 citations in the last three years. CMS reports no fines or payment denials in that time.

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.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 5.18 hours per resident per day at Avera Rosebud Country Care Center, above the South Dakota median of 3.69 (US median: 3.72). About 1.18 of those hours are from registered nurses. On weekends it falls to 4.57 hours, 12% below its all-week average.

Nursing care per resident per day 5.18 hours
Above the South Dakota median of 3.69 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.18 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.57 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover — Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds30
Residents per day 28 About 95% of beds filled, on average
OwnershipNon profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJuly 1975
Part of a chainAvera Health
Legal business nameAVERA MCKENNAN

Paying for care at Avera Rosebud Country Care Center: Medicare and Medicaid

Avera Rosebud Country 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 May 21, 2026 and found 5 deficiencies. In total, inspectors issued 13 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 13 citations at Avera Rosebud Country Care Center across 4 inspection dates, 2 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 13 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident rights (4) and resident assessment and care planning (3). The most serious was cited under the CMS rule to "create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted" (tag F0655, level E, February 13, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.

May 21, 2026 · 5 citations

DAllow residents to self-administer drugs if determined clinically appropriate.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0554 · Deficient, Provider has date of correction (Jun 30, 2026)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Jun 30, 2026)

DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Jun 30, 2026)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Jun 30, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jun 30, 2026)

February 13, 2025 · 5 citations

ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Mar 30, 2025)

EEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Mar 30, 2025)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Mar 17, 2025)

ERegularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0909 · Deficient, Provider has date of correction (Mar 30, 2025)

DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Mar 17, 2025)

January 23, 2024 · 2 citations · includes complaint inspection

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Mar 8, 2024)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Mar 8, 2024)

October 26, 2023 · 1 citation

EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Dec 10, 2023)

Questions to ask on a tour of Avera Rosebud Country Care Center

  1. CMS cited the home under its abuse and neglect rules on January 23, 2024. How are staff trained, and how are concerns reported?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. 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

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 4/5 2/5
August 2026 4/5 4/5 4/5 2/5
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Location

Hospitals near Avera Rosebud Country 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.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Winner Regional Healthcare Center Winner · 23.4 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 4/5 40 beds · Medicaid
Platte Care Center Platte · 31.3 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 48 beds · Medicaid
Sanford Chamberlain Care Center Chamberlain · 38.9 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 4/5 44 beds · Medicaid
Lake Andes Senior Living Lake Andes · 45.0 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 43 beds · Medicaid
Aurora Brule Nursing Home White Lake · 49.4 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 44 beds · Medicaid

More nursing homes near Avera Rosebud Country Care Center ›   All nursing homes in Gregory ›

Compare Avera Rosebud Country Care Center with the 3 closest homes side by side ›

Other Avera Health nursing homes in South Dakota

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.

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https://www.nursinghomesineachstate.com/south-dakota/gregory/avera-rosebud-country-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.