AVERA BORMANN MANOR
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-06-26 — 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.
2025-03-31 — IMMEDIATE JEOPARDY (tag F0689, severity J)
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.
2024-07-11 — ACTUAL HARM (tag F0604, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
2024-01-30 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Staffing, from payroll records
Nursing hours / resident / day
3.17
state median 2.96
Weekend staffing gap
−18%
fewer nursing hours on weekends · state median −10%
RN hours / resident / day
0.77
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
43%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
4 enforcement action(s), totaling $47,187 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-06-26 | Fine | $12,438 |
| 2025-03-31 | Fine | $14,901 |
| 2024-07-11 | Fine | $10,839 |
| 2024-01-30 | Fine | $9,009 |
Ownership
Ownership type: Non profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-02-04 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2026-02-04 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-04 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-02-04 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-09-18 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-06-26 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-03-31 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-07-11 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-11 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2024-07-11 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-11 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-11 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-01-30 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2024-01-30 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-06-08 | F0583 | Resident Rights Deficiencies | E | not recorded |