Avera Maryhouse Long Term Care
Cost data not yet available
Nursing Homes · Medicare certified
950 East Park Street · Pierre, SD 57501 · 65 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1528624681. Look this up in the CMS NPPES registry (opens in a new tab)
Are you the operator? Claim this profile. Corrections are free, always.
Avantara Pierre is a nursing home in Pierre, South Dakota. Its reported capacity is 65 beds. It is recorded as a for-profit operator, part of Legacy Healthcare. Federal records list it as Medicare certified. Our copy of the inspection record holds 35 citations, the newest dated 7 May 2025. Federal enforcement records add 1 fine or payment denial action. Staffing reports put it at 2.81 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
CMS Care Compare · Source data August 2026
Staffing rating
3.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
24
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
3.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
26
Staffing rating
3.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
23
Records from January 2023 to May 2025.
May 7, 2025 · D
Citation F0697Federal surveyors cited this nursing home on 2025-05-07 under CMS tag F0697 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate pain management for a resident who requires such services. The deficiency was recorded as corrected on 2025-04-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 2, 2025 · D
Citation F0625Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0625 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. The deficiency was recorded as corrected on 2025-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 2, 2025 · D
Citation F0554Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2025-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 2, 2025 · E
Citation F0584Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. The deficiency was recorded as corrected on 2025-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 2, 2025 · D
Citation F0689Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 2, 2025 · F
Citation F0847Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0847 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. The deficiency was recorded as corrected on 2025-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 2, 2025 · E
Citation F0880Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 2, 2025 · E
Citation F0656Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2025-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 2, 2025 · G
Citation F0686Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0686 (CMS scope/severity G: isolated, actual harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2025-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 2, 2025 · G
Citation F0600Federal surveyors cited this nursing home on 2025-04-02 under CMS tag F0600 (CMS scope/severity G: isolated, actual harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2025-05-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 9, 2024 · F
Citation F0865Federal surveyors cited this nursing home on 2024-01-09 under CMS tag F0865 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have a plan that describes the process for conducting QAPI and QAA activities. The deficiency was recorded as corrected on 2024-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 9, 2024 · D
Citation F0655Federal surveyors cited this nursing home on 2024-01-09 under CMS tag F0655 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2024-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 9, 2024 · D
Citation F0692Federal surveyors cited this nursing home on 2024-01-09 under CMS tag F0692 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2024-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 9, 2024 · D
Citation F0803Federal surveyors cited this nursing home on 2024-01-09 under CMS tag F0803 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. The deficiency was recorded as corrected on 2024-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 9, 2024 · F
Citation F0812Federal surveyors cited this nursing home on 2024-01-09 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 9, 2024 · E
Citation F0732Federal surveyors cited this nursing home on 2024-01-09 under CMS tag F0732 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2024-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 9, 2024 · D
Citation F0678Federal surveyors cited this nursing home on 2024-01-09 under CMS tag F0678 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. The deficiency was recorded as corrected on 2024-01-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 9, 2024 · D
Citation F0625Federal surveyors cited this nursing home on 2024-01-09 under CMS tag F0625 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. The deficiency was recorded as corrected on 2024-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 9, 2024 · F
Citation F0835Federal surveyors cited this nursing home on 2024-01-09 under CMS tag F0835 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Administer the facility in a manner that enables it to use its resources effectively and efficiently. The deficiency was recorded as corrected on 2024-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 9, 2024 · D
Citation F0561Federal surveyors cited this nursing home on 2024-01-09 under CMS tag F0561 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. The deficiency was recorded as corrected on 2024-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $22,048
April 2, 2025 · Fine
Citation FINE-100285CMS recorded a civil money penalty of $22,048 against this nursing home on 2025-04-02 (Fine ID: 100285). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 2.81 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is lower than 2025Q4 (-0.08 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
For profit
CMS Care Compare chain: Legacy Healthcare
Chain ID 306 · 89 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Legacy Healthcare Financial Services LLC
parent · PAC 5799046132
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical SD range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · SD$9,444/moOther licensed providers in Pierre, with their own public records.
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Request info and we'll pass it directly to Avantara Pierre, or call them at 6052248628 if you'd rather talk now.
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
Read how we handle every file on the data sources page.