Avera Maryhouse Long Term Care
Pierre · 0.1 mi · 80 beds
Citations0Substantiated0
Avantara Pierre
950 EAST PARK STREET, Pierre, SD, 57501
Nursing home65 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 8 deficiencies against Avantara Pierre in Pierre, South Dakota at its most recent standard inspection on 2025-04-02. 3 findings have been recorded at the actual-harm level. Medicare has fined it 1 time, totalling $22,048. Medicare rates it 2 out of 5 overall.
2 / 5Medicare overall rating
65certified beds
8deficiencies at the last inspection
0immediate-jeopardy findings on record
3actual-harm findings on record
1federal fines, $22,048
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.3
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.30
Potential for minimal harmThe least serious band.0
Most recentDGFEEEDDDGFFFFEDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · F0697 · 2025-05-07 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2025-04-02 · standard survey · Actual harm to a resident
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · F0847 · 2025-04-02 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · F0584 · 2025-04-02 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2025-04-02 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-04-02 · standard survey · No actual harm, potential for more than minimal harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · F0554 · 2025-04-02 · standard survey · No actual harm, potential for more than minimal harm
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · F0625 · 2025-04-02 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-04-02 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2025-04-02 · from a complaint · Actual harm to a resident
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-01-09 · standard survey · No actual harm, potential for more than minimal harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · F0835 · 2024-01-09 · standard survey · No actual harm, potential for more than minimal harm
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.
Administration Deficiencies · F0849 · 2024-01-09 · standard survey · No actual harm, potential for more than minimal harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · F0865 · 2024-01-09 · standard survey · No actual harm, potential for more than minimal harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · F0732 · 2024-01-09 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · F0561 · 2024-01-09 · standard survey · No actual harm, potential for more than minimal harm
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · F0625 · 2024-01-09 · standard survey · No actual harm, potential for more than minimal harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · F0655 · 2024-01-09 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-01-09 · standard survey · No actual harm, potential for more than minimal harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · F0692 · 2024-01-09 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS2.814
Nursing staff turnoverShare of nursing staff who left in a year40.5%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$22,048
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership
Who owns Avantara Pierre
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | 43% | since 07/01/2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | 43% | since 07/01/2019 |
| OAKWAY OPERATIONS LLC | Organization | 15% | since 07/01/2019 |
| PIERRE SD PROPERTY HOLDINGS, LLC | Organization | NOT APPLICABLE | since 07/01/2019 |
| TRUIST BANK | Organization | NOT APPLICABLE | since 04/01/2022 |
| RAJCHENBACH, CHAIM | Individual | NOT APPLICABLE | since 07/01/2019 |
| SHABAT, MENACHEM | Individual | NOT APPLICABLE | since 07/01/2019 |
| TRUIST BANK | Organization | NOT APPLICABLE | since 04/01/2022 |
| PLUMAGE, DARRELL | Individual | NOT APPLICABLE | since 07/01/2019 |
| RAJCHENBACH, CHAIM | Individual | NOT APPLICABLE | since 07/01/2019 |
| SHABAT, MENACHEM | Individual | NOT APPLICABLE | since 07/01/2019 |
| WATSON, CHASE | Individual | NOT APPLICABLE | since 05/25/2021 |
Part of the LEGACY HEALTHCARE group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Contact
Ask Avantara Pierre a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 435047.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction