Avera Maryhouse Long Term Care
Pierre, SD · Medicare and Medicaid-certified nursing home (CCN 435034) · 80 certified beds
Health inspection: 5 · Quality measures: 4 · Staffing: 5
Federal fines: none on current record
Phone: (605) 224-3163 · Verify on Medicare Care Compare ↗
Avera Maryhouse Long Term Care holds a 5-star overall CMS rating, above South Dakota's state average of 2.88 stars. It also earns 5 stars for health inspections and 5 stars for staffing.
Avera Maryhouse Long Term Care reports 4.62 total nurse hours per resident per day, including 1.02 RN hours per resident per day, earning a 5-star CMS staffing rating. Nursing staff turnover is reported at 46.6%.
Avera Maryhouse Long Term Care has no federal fines on record — 0 fines totaling $0.00 — and no payment denials. CMS does not display an abuse icon for this facility, and it is not part of CMS's Special Focus Facility program.
About this facility
Avera Maryhouse Long Term Care is a non-profit nursing home in Pierre, Hughes County, South Dakota, certified for both Medicare and Medicaid since August 1985. The facility is certified for 80 beds and reports an average of 58.3 residents.
According to CMS Care Compare, Avera Maryhouse holds an overall rating of 5 stars, above the South Dakota state average of 2.88. Its component ratings are: 5 stars for health inspections, 4 stars for quality measures, and 5 stars for staffing.
Nurse staffing totals 4.62 hours per resident per day, including 1.02 RN hours per resident per day. Nursing staff turnover is reported at 46.6%.
On penalties, CMS records show no federal fines on record (0 fines, $0.00 total) and no payment denials for this facility.
CMS does not display an abuse warning icon for this facility, and it is not listed under CMS's Special Focus Facility program, which designates homes with a history of persistent poor performance placed under increased inspection scrutiny.
Avera Maryhouse is part of the Avera Health chain, which operates 13 facilities nationally with an average CMS rating of 3.7 stars across the chain — notably below this facility's individual 5-star rating. There has been no change of ownership in the past 12 months, so current ratings reflect the current operator.
Data sourced from CMS Medicare Care Compare.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
It has a 5-star overall CMS rating, above South Dakota's state average of 2.88 stars.
Does this facility accept Medicare, Medicaid, or both?
It accepts both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 4.62 hours per resident per day, including 1.02 RN hours, with a 5-star staffing rating; nursing turnover is 46.6%.
Does this facility have federal fines or penalties on record?
No — CMS records show 0 fines totaling $0.00 and no payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
No, CMS does not display an abuse icon for this facility, and it is not in the Special Focus Facility program.
How large is this facility and how many residents live there?
It is certified for 80 beds with an average of 58.3 residents.
Who owns this facility — and is it part of a chain?
It is a non-profit corporation and part of the Avera Health chain, which operates 13 facilities with an average CMS rating of 3.7 stars.
How long has this facility been Medicare/Medicaid certified?
It has been certified since August 26, 1985.
What do the four different CMS star ratings mean?
CMS rates facilities on overall, health inspection, staffing, and quality measures; this facility scores 5, 5, 5, and 4 stars respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify; contact the facility at (605) 224-3163 and verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not cover tour details; contact the facility at (605) 224-3163 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can review the full current record at https://www.medicare.gov/care-compare/details/nursing-home/435034?state=SD.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.