01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-11 | 2 | 2025-09-11 | 6 |
| Cycle 2 | 2024-03-21 | 4 | 2024-03-21 | 3 |
| Cycle 3 | 2023-03-16 | 3 | 2023-03-16 | 3 |
CMS CCN 4350342026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Avera Maryhouse Long Term Care
717 East Dakota · Pierre, SD 57501 · Hughes County
Certified beds80CMS provider file
Recent citation rows21current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
21 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-09-11 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2025-10-242025-09-11 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-10-242025-09-11 · FIREK0226Severity C · widespread; potential for minimal harm
Egress Deficiencies
Have horizontal exits used in accordance with safety requirements.
Correction field: No revisit needed · 2025-10-242025-09-11 · FIREK0311Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: No revisit needed · 2025-10-242025-09-11 · FIREK0321Severity B · pattern; potential for minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: No revisit needed · 2025-10-242025-09-11 · FIREK0353Severity B · pattern; potential for minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: No revisit needed · 2025-10-242025-09-11 · FIREK0531Severity B · pattern; potential for minimal harm
Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
Correction field: No revisit needed · 2025-10-242025-09-11 · FIREK0712Severity C · widespread; potential for minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: No revisit needed · 2025-10-242025-07-02 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-08-15 · complaint2024-03-21 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2024-05-062024-03-21 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-05-062024-03-21 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-05-062024-03-21 · FIREK0226Severity C · widespread; potential for minimal harm
Egress Deficiencies
Have horizontal exits used in accordance with safety requirements.
Correction field: Deficient, Provider has no plan of correction2024-03-21 · FIREK0311Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has no plan of correction2024-03-21 · FIREK0918Severity C · widespread; potential for minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has plan of correction · 2024-05-032023-03-16 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2023-05-042023-03-16 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2023-05-042023-03-16 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-05-042023-03-16 · FIREK0226Severity C · widespread; potential for minimal harm
Egress Deficiencies
Have horizontal exits used in accordance with safety requirements.
Correction field: Fire Safety Evaluation Survey · 2023-05-042023-03-16 · FIREK0311Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Fire Safety Evaluation Survey · 2023-05-042023-03-16 · FIREK0712Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2023-05-0403 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AVERA HEALTHOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/01/2013
- BROST, KRISTINIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2021
- HAGY, MARKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2022
- HALLEM, JEFFREYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/01/2024
- KOLECKA, DEBRAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2024
- LEE, MEREDITHIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2022
- LUEKING, AMYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2021
- OLSON, KIMBERLYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2022
- ROBBENNOLT, RENAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/01/2024
- WELBIG, LYNNIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2017
- WYLIE, ROBERTIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2021
- PLUMAGE, DARRELLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/07/2021
- RASKE, TALLIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/05/2015
- KREBS, SHANTELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/13/2023
- AVERA HEALTHOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2013
- KREBS, SHANTELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/13/2023
- PLUMAGE, DARRELLIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/17/2025
- RASKE, TALLIIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/17/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.62per resident day
RN hours1.02per resident day
Weekend nurse hours3.90per resident day
Staff turnover46.6%CMS reported field
06 / LOCAL RECORDS
Open the Pierre ledger →