Nursing home · Top rated by CMS
Avera Maryhouse Long Term Care
717 East Dakota, Pierre, SD 57501 · Map
Non profit - Corporation · Part of Avera Health (12 facilities) · 80 certified beds
Avera Maryhouse Long Term Care is a Medicare-certified nursing home in Pierre, South Dakota. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 5/5 for health inspections). Nurse staffing is 4.45 hours per resident per day, above the South Dakota average of 3.89. Its most recent inspection on Sep 11, 2025 cited 3 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avera Maryhouse Long Term Care 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) | 4.45 | 3.89 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.08 | 0.80 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.63 | 2.61 | 2.34 | above avg |
| Nursing staff turnover | 46.8% | 49.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 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.
- Every deficiency from the September 11, 2025 inspection was corrected by October 24, 2025
What inspectors found at Avera Maryhouse Long Term Care
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 11, 2025 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Sep 11, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 2, 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 · Mar 21, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 21, 2024 · Full report (PDF)
Show all 9 deficiencies
- Potential for harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Mar 21, 2024 · 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 · Mar 16, 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 · Mar 16, 2023 - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Mar 16, 2023
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
- 717 East Dakota
Pierre, SD 57501 - CMS certification #
- 435034
- Ownership
- Non profit - Corporation
- Certified beds
- 80
- Avg residents/day
- 56.3
- Provider type
- Medicare and Medicaid
- First certified
- 1985-08-26
- 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 Maryhouse Long Term Care using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Avera St Mary'S Hospital, Pierre. 0.1 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Avantara Pierre, Pierre. 0.1 miles away, straight line.
- Nearest home health agency office
- Avera @ Home, Pierre. 0.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Vilas Health & Variety. 62.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57501 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Avera St Marys Hospital, Pierre, 0.1 miles away, straight line (CMS rating 5 of 5 stars)
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 57501.
Avera @ Home, office in Pierre, 0.2 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Monument Health Rapid City Hospital Inc, Rapid City. 143.7 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
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively high, wildfire relatively low, tornado relatively moderate, heat wave relatively moderate, 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 | Not shown: FEMA rates wildfire risk here relatively low |
| 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 | No plain statements of services found |
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Frequently asked questions
Is Avera Maryhouse Long Term Care a good nursing home?
CMS gives Avera Maryhouse Long Term Care an overall rating of 5 out of 5 stars, including 5/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avera Maryhouse Long Term Care staffed?
Avera Maryhouse Long Term Care reports 4.45 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Avera Maryhouse Long Term Care had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Avera Maryhouse Long Term Care have?
Avera Maryhouse Long Term Care is certified for 80 beds.