Avera Maryhouse Long Term Care
Pierre, Hughes County, South Dakota · CCN 435034 · Non-profit (Corporation) · part of Avera Health (13 facilities, chain average 3.7 stars)
CMS rates Avera Maryhouse Long Term Care 5 of 5 overall as of August 2026. 80 certified beds, 58 residents a day on average. 9 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 2 / 5 of 5 |
Staffing
| Total nurse staffing | 4.61832 hours per resident per day |
|---|---|
| Registered nurses | 1.02083 hours per resident per day |
| Weekend total | 3.89997 hours per resident per day |
| Nursing staff turnover | 46.6% (registered nurses 16.7%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-09-11 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-24 |
| 2025-09-11 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-24 |
| 2025-07-02 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-15 |
| 2024-03-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-06 |
| 2024-03-21 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-06 |
| 2024-03-21 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-06 |
| 2023-03-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-04 |
| 2023-03-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-04 |
| 2023-03-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-04 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Avera Health Organization | 5% or greater direct ownership interest | 100% | 2013-01-01 |
| Avera Health Organization | operational/managerial control | — | 2013-01-01 |
| Plumage, Darrell Individual | adp of the snf | — | 2025-04-17 |
| Raske, Talli Individual | adp of the snf | — | 2025-04-17 |
| Plumage, Darrell Individual | corporate director | — | 2021-08-07 |
| Raske, Talli Individual | corporate director | — | 2015-08-05 |
| Krebs, Shantel Individual | corporate officer | — | 2023-03-13 |
| Brost, Kristin Individual | managing control - governing body | — | 2021-07-01 |
| Hagy, Mark Individual | managing control - governing body | — | 2022-07-01 |
| Hallem, Jeffrey Individual | managing control - governing body | — | 2024-08-01 |
| Kolecka, Debra Individual | managing control - governing body | — | 2024-07-01 |
| Lee, Meredith Individual | managing control - governing body | — | 2022-07-01 |
| Lueking, Amy Individual | managing control - governing body | — | 2021-07-01 |
| Olson, Kimberly Individual | managing control - governing body | — | 2022-07-01 |
| Robbennolt, Rena Individual | managing control - governing body | — | 2024-08-01 |
| Welbig, Lynn Individual | managing control - governing body | — | 2017-07-01 |
| Wylie, Robert Individual | managing control - governing body | — | 2021-07-01 |
| Krebs, Shantel Individual | operational/managerial control | — | 2023-03-13 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Avera Maryhouse Long Term Care.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Hughes County.