Avera Maryhouse Long Term Care
Strong Medicare quality ratings; families often praise highly attentive and compassionate nursing staff. Still worth an in-person visit.
based on 6 Google reviews

Watch Avera Maryhouse Long Term Care
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
What this means for your family
Recent feedback suggests that Avera Maryhouse has significantly improved its care standards, with families now praising the staff's attentiveness and communication. However, given the severity of past allegations regarding basic care, we recommend that families conduct a thorough tour and ask specifically about current protocols for medication administration and daily assistance.
Google Reviews
Google Reviews
6 reviews on Google“Avera Maryhouse receives highly polarized feedback, with recent reviews highlighting exceptional, personalized care from therapy and nursing staff. Conversely, older reviews from 2018 describe severe systemic failures, including neglect regarding feeding and medication, as well as unprofessional staff conduct.”
Quality Themes
Tap a score for detailsStrengths
- Highly attentive and compassionate nursing staff
- Excellent physical and occupational therapy team
- Proactive communication with family members
- Safe and secure environment for residents
Concerns
- Neglect in basic care duties such as feeding and medication administration
Rating Trends
Tap a year to see what changed
Distribution · 6 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1Given the facility's strong reputation for physical and occupational therapy, how are these sessions integrated into a resident's daily routine?
- 2Could you walk me through the specific protocols in place to ensure consistent oversight during meal times and medication administration?
- 3With three state violations recorded in the last year, what specific improvements or staff training initiatives have been implemented to address those findings?
- 4I noticed your team engages with online feedback; how do you use input from families to refine the quality of care provided?
- 5What variety of social and enrichment activities are available to help residents feel connected and engaged within the 80-person community?
- 6How does your nursing team coordinate with local medical providers to manage urgent health needs or emergencies that may arise?
Personalized based on this facility's data
Key Review Excerpts
“The transitional care unit at Avera Mary house is providing excellent care to my mom. No one wants to be in transitional care and if you have to be there then there is no better place to be than Maryhouse in Pierre SD!!”
“My mom is a new resident here and she likes it… A lot. It’s a huge piece of mind knowing she’s safe and she’s OK. I sent a care package and one of the nurses video called me as she opened it.”
“Unclean facility with unprofessional rude staff. Our experience with Maryhouse has been so bad we have hired an attorney to address the long list of issues.”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
6
measures
1
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning patterns with recurring deficiencies in fire safety systems and infection control appearing across multiple surveys. A family filed a complaint regarding failure to properly report suspected abuse or neglect. The facility has struggled with persistent fire safety issues including problems with exits, smoke barriers, and sprinkler systems that have not been consistently corrected, alongside issues with infection control programs and care planning that have required repeated attention.
Sep 11, 2025Routine8
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Have horizontal exits used in accordance with safety requirements.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
Jul 2, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Mar 21, 2024Routine6
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Have horizontal exits used in accordance with safety requirements.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Mar 16, 2023Routine6
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Have horizontal exits used in accordance with safety requirements.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Ownership & Operations
Who Operates This Facility
Avera Maryhouse Long Term Care
nonprofit
Chain Affiliation
Avera Health
13 facilities nationwide
Chain avg rating: 3.7/5 · Rank 2 of 12 (Best)
Ownership & Management
Owners
Avera Health
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
6 reviews from families & visitors
Official Website
Visit avera.org
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Nearby Alternatives