Avera Mother Joseph Manor Retirement Community

Inspection history (18)

• December 17, 2025 · E

  Citation F0585

  Federal surveyors cited this nursing home on 2025-12-17 under CMS tag F0585 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. The deficiency was recorded as corrected on 2026-01-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-17.GOV

• December 17, 2025 · E

  Citation F0725

  Federal surveyors cited this nursing home on 2025-12-17 under CMS tag F0725 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2026-01-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-17.GOV

• December 17, 2025 · D

  Citation F0695

  Federal surveyors cited this nursing home on 2025-12-17 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 2026-01-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-17.GOV

• December 17, 2025 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2025-12-17 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 2026-01-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-17.GOV

• December 17, 2025 · D

  Citation F0578

  Federal surveyors cited this nursing home on 2025-12-17 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. The deficiency was recorded as corrected on 2026-01-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-17.GOV

• December 17, 2025 · F

  Citation F0732

  Federal surveyors cited this nursing home on 2025-12-17 under CMS tag F0732 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2025-12-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-17.GOV

• December 17, 2025 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2025-12-17 under CMS tag F0880 (CMS scope/severity D: isolated, 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 2026-01-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-17.GOV

• August 1, 2025 · E

  Citation F0678

  Federal surveyors cited this nursing home on 2025-08-01 under CMS tag F0678 (CMS scope/severity E: pattern, 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 2025-09-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-01.GOV

• June 4, 2025 · D

  Citation F0658

  Federal surveyors cited this nursing home on 2025-06-04 under CMS tag F0658 (CMS scope/severity D: isolated, 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 2025-05-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-04.GOV

• August 28, 2024 · G

  Citation F0689

  Federal surveyors cited this nursing home on 2024-08-28 under CMS tag F0689 (CMS scope/severity G: isolated, actual 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 2024-07-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-28.GOV

• May 16, 2024 · E

  Citation F0755

  Federal surveyors cited this nursing home on 2024-05-16 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2024-06-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-16.GOV

• August 2, 2023 · D

  Citation F0583

  Federal surveyors cited this nursing home on 2023-08-02 under CMS tag F0583 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Keep residents' personal and medical records private and confidential. The deficiency was recorded as corrected on 2023-09-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-02.GOV

• March 23, 2023 · D

  Citation F0554

  Federal surveyors cited this nursing home on 2023-03-23 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 2023-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-23.GOV

• March 23, 2023 · G

  Citation F0684

  Federal surveyors cited this nursing home on 2023-03-23 under CMS tag F0684 (CMS scope/severity G: isolated, actual harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2023-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-23.GOV

• March 23, 2023 · E

  Citation F0880

  Federal surveyors cited this nursing home on 2023-03-23 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 2023-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-23.GOV

• March 23, 2023 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2023-03-23 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 2023-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-23.GOV

• March 23, 2023 · D

  Citation F0849

  Federal surveyors cited this nursing home on 2023-03-23 under CMS tag F0849 (CMS scope/severity D: isolated, 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 2023-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-23.GOV

• March 23, 2023 · G

  Citation F0686

  Federal surveyors cited this nursing home on 2023-03-23 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 2023-04-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-23.GOV

Penalties

Total fines on file: $8,824

Staffing

Latest: 4.22 nurse staffing hours per resident per day (2026-06-01)

Ownership

Non profit - Corporation

1. Parent organization: Avera Health

   chain · PAC 8224945860