facebook tracking Avera Maryhouse Long Term Care, Pierre SD: CMS Ratings
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Avera Maryhouse Long Term Care

All states › South Dakota › Pierre › Avera Maryhouse Long Term Care

717 East Dakota Pierre, SD 57501 · Hughes County

(605) 224-3163

All 2 nursing homes in Pierre, SD (2 take Medicaid)

Accepts Medicare Accepts Medicaid 80 certified beds Non profit

CMS certification number 435034 · 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 Maryhouse Long Term Care 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 Maryhouse Long Term Care as of October 2026.

CMS rates it 5 out of 5 stars overall, above the South Dakota average of 3.0. Inspectors issued 9 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 2 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

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.

Next steps

Compare with the 3 closest homes

Staffing

Nursing staff spend about 4.41 hours per resident per day at Avera Maryhouse Long Term Care, above the South Dakota median of 3.69 (US median: 3.72). About 0.95 of those hours are from registered nurses. On weekends it falls to 3.90 hours, 12% below its all-week average. 50% of nursing staff left within a year (South Dakota median 46.5%).

Nursing care per resident per day 4.41 hours
Above the South Dakota median of 3.69 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.95 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.90 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 50% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 23.1% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds80
Residents per day 59 About 74% of beds filled, on average
OwnershipNon profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceAugust 1985
Part of a chainAvera Health
Legal business nameAVERA ST MARYS
Located in a hospitalYes

Paying for care at Avera Maryhouse Long Term Care: Medicare and Medicaid

Avera Maryhouse Long Term Care 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.

This home is located in a hospital.

Health inspections

The most recent standard inspection was on September 11, 2025 and found 2 deficiencies. In total, inspectors issued 9 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 9 citations at Avera Maryhouse Long Term Care across 4 inspection dates, 1 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 9 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were infection control (2) and nutrition and dietary (2). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level E, March 21, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.

September 11, 2025 · 2 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 (Oct 24, 2025)

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 (Oct 24, 2025)

July 2, 2025 · 1 citation · 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 (Aug 15, 2025)

March 21, 2024 · 3 citations

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 (May 6, 2024)

DProvide safe, appropriate pain management for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0697 · Deficient, Provider has date of correction (May 6, 2024)

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 (May 6, 2024)

March 16, 2023 · 3 citations

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (May 4, 2023)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (May 4, 2023)

DProcure 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 (May 4, 2023)

Questions to ask on a tour of Avera Maryhouse Long Term Care

  1. CMS cited the home under its abuse and neglect rules on July 2, 2025. 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 5/5 5/5 5/5 4/5
August 2026 5/5 5/5 5/5 4/5
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Location

Hospitals near Avera Maryhouse Long Term Care

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 0.1 mi
    St Marys Hospital Pierre
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 2h 7m 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

Avantara Pierre Pierre · 0.1 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 65 beds · Medicaid
Highmore Health Highmore · 45.7 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 39 beds · Medicaid
Avera Oahe Manor Gettysburg · 49.0 mi away ★★★★☆ Inspection 3/5 · Staffing 5/5 40 beds · Medicaid
White River Health Care Center White River · 58.1 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 52 beds · Medicaid
Medicine Wheel Village Eagle Butte · 62.3 mi away ★★☆☆☆ Inspection 1/5 · Staffing 5/5 50 beds · Medicaid

More nursing homes near Avera Maryhouse Long Term Care ›   All nursing homes in Pierre ›

Compare Avera Maryhouse Long Term Care 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/pierre/avera-maryhouse-long-term-care/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.