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Nursing HomeMedicaid Top Rated

Avera Maryhouse Long Term Care

Strong Medicare quality ratings; families often praise highly attentive and compassionate nursing staff. Still worth an in-person visit.

717 East Dakota, Pierre, SD 5750180 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 6 Google reviews

5
4
3
2
1
Avera Maryhouse Long Term Care Nursing Home in Pierre, SD — Street View
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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 details
FoodN/AStaff7.0CleanN/AActivitiesN/AMedsN/AMemoryN/AComms10.0ValueN/A

Strengths

  • 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

2343.72018(3)5.02021(1)5.02025(2)

Distribution · 6 analyzed

5
5
4
0
3
0
2
0
1
1

How They Respond to Reviews

33%response rate

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!!

Transitional care resident's family · 2025★★★★★

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.

Long-term resident's family · 2025★★★★★

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.

Long-term resident's family · 2018☆☆☆☆
Source: 6 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.02hrs
OK
Registered nurses for medical care
Total Nursing
4.50hrs
OK
All nurses + aides combined
Staff Turnover
55%
Lower is better (< 30% = good)
RN Turnover
23%
Lower is better (< 30% = good)

This 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

Medicare Rating
3/ 5
Better Than Avg

9

measures

Worse Than Avg

6

measures

Mixed Results

1

measures

Similar to Avg

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility6.9%
Better than Avg
Here
6.9%
US
19.5%
SD
17.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility26.7%
Worse than Avg
Here
26.7%
US
14.4%
SD
21.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
SD
5.3%

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

↓ Lower is better
This Facility28.6%
Worse than Avg
Here
28.6%
US
19.4%
SD
25.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility15.3%
Better than Avg
Here
15.3%
US
15.5%
SD
24.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
SD
95.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
81.8%
SD
82.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility89.7%
Better than Avg
Here
89.7%
US
79.8%
SD
78.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
1.6%
SD
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (6.8)
1 complaint-triggered

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, 2025Routine
8
0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0226Minimal · Widespread

Egress Deficiencies

Have horizontal exits used in accordance with safety requirements.

0311Minimal · Widespread

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0712Minimal · Widespread

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0321Minimal · Pattern

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Minimal · Pattern

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0531Minimal · Pattern

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

Jul 2, 2025Complaint
1
0609Potential for harm · IsolatedCorrected

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, 2024Routine
6
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0226Minimal · WidespreadCorrected

Egress Deficiencies

Have horizontal exits used in accordance with safety requirements.

0311Minimal · WidespreadCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0918Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Mar 16, 2023Routine
6
0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0656Potential for harm · IsolatedCorrected

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0226Minimal · Widespread

Egress Deficiencies

Have horizontal exits used in accordance with safety requirements.

0311Minimal · Widespread

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Avera Maryhouse Long Term Care

Organization Type

nonprofit

Chain Affiliation

Chain Name

Avera Health

Chain Size

13 facilities nationwide

Chain avg rating: 3.7/5 · Rank 2 of 12 (Best)

Ownership & Management

Owners

Avera Health

Owner · Organization

100%

Key personnel

Brost, KristinManaging Control - Governing BodyHagy, MarkManaging Control - Governing BodyHallem, JeffreyManaging Control - Governing BodyKolecka, DebraManaging Control - Governing BodyLee, MeredithManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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