Avera Mother Joseph Manor Retirement Community faces challenges in its CMS ratings, earning a D grade with a score of 48/100. The facility ranks in the 51th percentile among South Dakota nursing homes, suggesting significant room for improvement.
Staffing at Avera Mother Joseph Manor Retirement Community is near the national average, with 4.02 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 18 deficiencies at Avera Mother Joseph Manor Retirement Community. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.02 | 3.8 | Average |
| Registered Nurses (RN) | 0.92 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.53 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.57 | 2.4 | Average |
| Weekend Total Nursing | 3.34 | 3.8 | Below Average |
| Weekend RN Hours | 0.56 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0732 Severity FPost nurse staffing information every day.Dec 16, 2025 · Nursing and Physician Services Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Dec 16, 2025 · Nutrition and Dietary Deficiencies
- Tag 0585 Severity EHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt eDec 16, 2025 · Resident Rights Deficiencies
- Tag 0725 Severity EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Dec 16, 2025 · Nursing and Physician Services Deficiencies
- Tag 0578 Severity DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andDec 16, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.2% | 4.5% | Worse |
| Falls with major injury | 8.5% | 3.0% | Worse |
| On antipsychotic medication | 22.4% | 14.5% | Worse |
| Urinary tract infections | 2.5% | 2.5% | Average |
| ADL decline (daily activities) | 25.2% | 14.0% | Worse |
| Excessive weight loss | 4.7% | 7.5% | Better |
| New/worsened incontinence | 25.5% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $20,612
How This Grade Was Calculated
This facility's grade of D is based on a score of 48 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 5★ → 20 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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