Nursing home
Avera Rosebud Country Care Center
126 S Logan Ave, Gregory, SD 57533 · Map
Non profit - Corporation · Part of Avera Health (12 facilities) · 30 certified beds
Avera Rosebud Country Care Center is a Medicare-certified nursing home in Gregory, South Dakota. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.71 hours per resident per day, above the South Dakota average of 3.89. Its most recent inspection on Feb 13, 2025 cited 5 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avera Rosebud Country 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) | 4.71 | 3.89 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.15 | 0.80 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.00 | 2.61 | 2.34 | above avg |
| Nursing staff turnover | —% | 49.7% | 46.4% | — |
| 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.
What inspectors found at Avera Rosebud Country Care Center
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
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Environmental 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 services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Feb 13, 2025 · Full report (PDF) - Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Feb 13, 2025 · Full report (PDF) - Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Feb 13, 2025 · Full report (PDF)
Show all 9 deficiencies
- Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 23, 2024 · 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 · Jan 23, 2024 · Full report (PDF) - Potential for harm
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 · Oct 26, 2023 - Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Aug 25, 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
- 126 S Logan Ave
Gregory, SD 57533 - CMS certification #
- 435029
- Ownership
- Non profit - Corporation
- Certified beds
- 30
- Avg residents/day
- 29.6
- Provider type
- Medicare and Medicaid
- First certified
- 1975-07-01
- 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 Rosebud Country 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
- Community Memorial Hospital, Burke. 7.3 miles away, straight line.
- Nearest Medicare nursing home
- Winner Regional Healthcare Center, Winner. 23.4 miles away, straight line.
- Nearest home health agency office
- Cherry Co Hospital Home Health Services, Valentine. 61.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- The Winner Pharmacy. 24.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57533 as rural (rural area).
- Dialysis within 15 miles
- Avera Gregory Healthcare Ctr Dialysis, Gregory, 8.3 miles away, straight line (CMS rating 4 of 5 stars)
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 57533.
- Nearest geriatric medicine practice
- Monument Health Rapid City Hospital Inc, Rapid City. 197.7 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
- FEMA has identified no high-risk (1% annual chance) flood area in this community. (FEMA flood map)
- Wildfire risk to homes
- In Gregory, SD, risk to homes is greater than 37% of communities in South Dakota and 55% 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 very 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 Rosebud Country Care Center a good nursing home?
CMS gives Avera Rosebud Country Care Center an overall rating of 4 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avera Rosebud Country Care Center staffed?
Avera Rosebud Country Care Center reports 4.71 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Avera Rosebud Country Care Center had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Avera Rosebud Country Care Center have?
Avera Rosebud Country Care Center is certified for 30 beds.