Nursing home
Avera Eureka Health Care Center
202 J Avenue, Eureka, SD 57437 · Map
Non profit - Corporation · Part of Avera Health (12 facilities) · 56 certified beds
Avera Eureka Health Care Center is a Medicare-certified nursing home in Eureka, South Dakota. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.01 hours per resident per day, below the South Dakota average of 3.89. Its most recent inspection on Feb 13, 2025 cited 5 deficiencies.
- 1 fine totaling $12,253In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avera Eureka Health Care Center compares
This facility vs. the South Dakota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | South Dakota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.01 | 3.89 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.73 | 0.80 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.99 | 2.61 | 2.34 | below avg |
| Nursing staff turnover | 42.2% | 49.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 5.0 | 6.8 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $12,253, 1 total penalty.
What inspectors found at Avera Eureka Health Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Feb 13, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 13, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 13, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Feb 13, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 13, 2025 · Full report (PDF)
Show all 8 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Oct 19, 2023 - Potential for harm
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.
Pharmacy Service Deficiencies · Oct 19, 2023 - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Sep 1, 2022
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 202 J Avenue
Eureka, SD 57437 - CMS certification #
- 435078
- Ownership
- Non profit - Corporation
- Certified beds
- 56
- Avg residents/day
- 51.5
- Provider type
- Medicare and Medicaid
- First certified
- 1994-05-02
- Chain
- Avera Health (12 facilities)
- Setting
- Rural
Part of Avera Health
Avera Health operates 12 nursing facilities across the United States. View all Avera Health facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Avera Eureka Health Care Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Eureka Community Health Services - Cah, Eureka. 0.0 miles away, straight line.
- Nearest Medicare nursing home
- Ashley Medical Center Nursing Home, Ashley. 22.1 miles away, straight line.
- Nearest home health agency office
- Avera @ Home, Aberdeen. 58.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharmacy. 0.0 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57437 as rural (rural area).
- Hospice
- 1 Medicare hospice tells CMS it serves ZIP code 57437.
- Nearest geriatric medicine practice
- Chess Medicine PLLC, Fargo. 150.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective October 1, 1986), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- Wildfire risk to homes
- In Eureka, SD, risk to homes is greater than 51% of communities in South Dakota and 62% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire relatively moderate, tornado relatively high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Avera Eureka Health Care Center a good nursing home?
CMS gives Avera Eureka Health Care Center an overall rating of 3 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avera Eureka Health Care Center staffed?
Avera Eureka Health Care Center reports 3.01 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Avera Eureka Health Care Center had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Avera Eureka Health Care Center have?
Avera Eureka Health Care Center is certified for 56 beds.