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A middle-range Medicare rating. Review each component and visit in person before deciding.
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Avera Mother Joseph Manor Retirement Community has a middle-range Medicare overall rating. Review the health-inspection, staffing, and quality-measure components separately, then visit in person.
This facility meets both EveryPlace staffing reference benchmarks. Higher staffing is generally associated with stronger day-to-day care.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
4
measures
6
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents needing more daily help over time
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents who fell and were seriously hurt
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
Detailed Medicare record · up to 3-year lookback
Families have filed complaints leading to four deficiency findings, including concerns about accident prevention, emergency care, quality standards, and privacy protection. The facility shows recurring issues with fire safety (emergency exits and smoke barriers), infection control, and resident rights that have persisted across multiple surveys. While most deficiencies have correction plans, the pattern of repeated violations in critical safety areas warrants careful consideration during your visit.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Have correct number of accessible exits for each story.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Egress Deficiencies
Have correct number of accessible exits for each story.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Federal Penalties
Fine
Aug 28, 2024
$8,824
Avera Mother Joseph Manor Retirement Community
nonprofit
Avera Health
13 facilities nationwide
Chain avg rating: 3.7/5 · Rank 9 of 12
Owners
Avera Health
Owner · Organization
Key personnel
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