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)
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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.
January 9, 2024 · D
Citation F0695Federal surveyors cited this nursing home on 2024-01-09 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. 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 F0849Federal surveyors cited this nursing home on 2024-01-09 under CMS tag F0849 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. 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 F0684Federal surveyors cited this nursing home on 2024-01-09 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. 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 F0761Federal surveyors cited this nursing home on 2024-01-09 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 16, 2023 · D
Citation F0684Federal surveyors cited this nursing home on 2023-06-16 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2023-07-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 16, 2023 · D
Citation F0776Federal surveyors cited this nursing home on 2023-06-16 under CMS tag F0776 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. The deficiency was recorded as corrected on 2023-07-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 13, 2023 · D
Citation F0692Federal surveyors cited this nursing home on 2023-01-13 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 2023-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 13, 2023 · F
Citation F0812Federal surveyors cited this nursing home on 2023-01-13 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 2023-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 13, 2023 · F
Citation F0809Federal surveyors cited this nursing home on 2023-01-13 under CMS tag F0809 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. The deficiency was recorded as corrected on 2023-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 13, 2023 · E
Citation F0658Federal surveyors cited this nursing home on 2023-01-13 under CMS tag F0658 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2023-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 13, 2023 · D
Citation F0686Federal surveyors cited this nursing home on 2023-01-13 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2023-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 13, 2023 · F
Citation F0865Federal surveyors cited this nursing home on 2023-01-13 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 2023-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 13, 2023 · E
Citation F0657Federal surveyors cited this nursing home on 2023-01-13 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2023-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 13, 2023 · G
Citation F0675Federal surveyors cited this nursing home on 2023-01-13 under CMS tag F0675 (CMS scope/severity G: isolated, actual harm) for Honor each resident's preferences, choices, values and beliefs. The deficiency was recorded as corrected on 2023-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 13, 2023 · D
Citation F0802Federal surveyors cited this nursing home on 2023-01-13 under CMS tag F0802 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. The deficiency was recorded as corrected on 2023-02-11. 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
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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.
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