Avera Prince of Peace
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 22 Google reviews
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What this means for your family
While the facility's physical therapy team receives some praise, the recurring reports of ignored call lights and unprofessional staff behavior are significant red flags. We strongly recommend visiting in person during off-hours to observe staff responsiveness and speaking directly with current families about their daily care experiences.
Google Reviews
Google Reviews
22 reviews on Google“Avera Prince of Peace receives consistently poor feedback regarding staff responsiveness, professionalism, and basic care standards. While some reviewers acknowledge effective physical therapy services, multiple families report serious concerns including ignored call lights, theft of personal property, and neglectful behavior by nursing staff.”
Quality Themes
Tap a score for detailsStrengths
- Engaged physical therapy staff
- Some positive experiences with rehab services
Concerns
- Unresponsive nursing staff and ignored call lights (mentioned by 4 reviewers)
- Rude, unprofessional, or dismissive communication (mentioned by 4 reviewers)
- Neglect of resident needs and safety (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 26 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1We've heard wonderful things about the physical therapy team here; could you tell us more about how the rehab staff works with residents to meet their mobility goals?
- 2How do you ensure that call lights are answered promptly and that residents' immediate needs are met throughout the day?
- 3What steps are in place to ensure clear and consistent communication between the nursing staff and family members regarding changes in a resident's condition?
- 4Could you describe the dining experience, specifically how much variety is offered in the daily meal plans?
- 5What kind of social activities or community events are organized to keep residents engaged and active?
- 6In the event of a medical emergency during the night, what is the protocol for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“I found Avera POP to truly be the best caregiver in the area. As with all centers, there will be an occasional employee who cares little for their job, but it was very minimal here. Moreover, the PT staff was quite engaged in seeking recovery and there are attempts made to give people interaction.”
“On one occasion my Dad called my Mom to ask her to call the nurses station as he believed his call button was not working. He had pushed it 25 minutes before and no one was answering.”
“My mother had suffered a fall,as a result of a stroke. During her stay, she had fell...in the bathroom. NO ONE responded to her alert. She was discovered by my Father, who had come to visit. She had been laying in the bathroom for 30 +minutes or more.”
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
8
measures
3
measures
6
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
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
Families have filed complaint reports leading to 4 deficiencies, including concerns about safety supervision and proper response to alleged violations. The facility shows recurring issues with resident assessment and care planning, medication management, and safety protocols across multiple surveys. While all deficiencies have been corrected according to the provider, the pattern of complaints and repeated issues in core care areas suggests families should carefully evaluate this facility's quality standards.
Nov 6, 2025Complaint2
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Aug 21, 2025Routine10
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Construction Deficiencies
Meet requirements for sections of health care facilities separated by fire resistive construction.
Jul 3, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Mar 14, 2024Routine3
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Mar 30, 2023Routine2
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Jul 2, 2025
$12,735
Ownership & Operations
Who Operates This Facility
Avera Prince of Peace
nonprofit
Chain Affiliation
Avera Health
13 facilities nationwide
Chain avg rating: 3.7/5 · Rank 8 of 12
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
22 reviews from families & visitors
Official Website
Visit avera.org
Medicare data downloads
Original nursing home datasets
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