Avera Mother Joseph Manor Retirement Community
State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2024-08-28 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-03-23 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2023-03-23 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing, from payroll records
Nursing hours / resident / day
3.48
state median 2.96
Weekend staffing gap
−10%
fewer nursing hours on weekends · state median −10%
RN hours / resident / day
0.60
registered nurses only
Contract (agency) staff
21%
share of all nursing hours
Nursing staff turnover
56%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $8,824 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-08-28 | Fine | $8,824 |
Ownership
Ownership type: Non profit - Corporation. Part of the AVERA HEALTH chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Avera Morningside Heights Care Center (MARSHALL, MN) —
- AVERA GRANITE FALLS CARE CENTER (GRANITE FALLS, MN) —
- AVERA SUNRISE MANOR (TYLER, MN) —
- Avera Creighton Care Centre (Creighton, NE) —
- Avera Rosebud Country Care Center (GREGORY, SD) —
- AVERA MARYHOUSE LONG TERM CARE (PIERRE, SD) —
- AVERA BRADY HEALTH AND REHAB (MITCHELL, SD) —
- AVERA PRINCE OF PEACE (SIOUX FALLS, SD) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-12-17 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2025-12-17 | F0585 | Resident Rights Deficiencies | E | not recorded |
| 2025-12-17 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-17 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2025-12-17 | F0732 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-12-17 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-12-17 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-08-01 | F0678 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-06-04 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-08-28 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-05-16 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-08-02 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2023-03-23 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2023-03-23 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-03-23 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-03-23 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-03-23 | F0849 | Administration Deficiencies | D | not recorded |
| 2023-03-23 | F0880 | Infection Control Deficiencies | E | not recorded |