Pierre, SD · less than 1 mile away
Avera Maryhouse Long Term Care
Inside a hospital. This nursing unit is part of a hospital. Units like this often care for that hospital’s patients for a short stay after an admission, and may have their own admission rules. Ask before you plan around it.
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⌖ Pierre, SD · Hughes County
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Medicare overall rating 5 of 5 stars
Certified beds80
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)
About Avera Maryhouse Long Term Care
Avera Maryhouse Long Term Care is a 80-bed nonprofit nursing home in Pierre, SD. Medicare rates it 5 out of 5 stars overall (much above average); the average in South Dakota is 2.9. At its last full inspection (Sep 2025), inspectors found 2 problems, fewer than the South Dakota average of 6.7. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 37 min a day with each resident, more than the South Dakota average of 3 hr 47 min. About 47% of its nursing staff left in the past year. It has had no federal fines in the last three years. Its quality ratings are stronger for short-term rehab than for long-term care.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameAvera Maryhouse Long Term Care
LocationHughes County, South Dakota
Phone(605) 224-3163
Address717 East Dakota, Pierre, SD 57501 · Hughes County
CMS provider number435034
Ownership typeNon-profit (corporation)
Operating companyAvera Health · 13 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceAugust 26, 1985 (41 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
5 strengths in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Sep 2025.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection2 (Sep 2025)South Dakota average: 6.7. Most citations are minor and corrected within weeks.Strength
- Nurse staffing per resident4 hr 37 min a daySouth Dakota average: 3 hr 47 minStrength
- Registered nurse time per resident1 hr 01 min a daySouth Dakota average: 48 minStrength
About average
- Nursing staff turnover47% a yearSouth Dakota average: 48%About average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the South Dakota average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital17.4%State average: 19.9%About average
- Needed an emergency room visit6.8%State average: 12.0%Better than average
- Newly given antipsychotic drugs0.0%State average: 2.0%Better than average
Physical therapist time: about 3 minutes per resident a day. That is about the same as the state average of 3 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury4.4%State average: 5.5%About average
- Pressure sores (bedsores)7.7%State average: 4.6%Worse than average
- Given antipsychotic drugs17.0%State average: 24.6%Better than average
- Hospital stays per 1,000 resident days1.0State average: 1.5Better than average
Source: Medicare (CMS) quality measures, compared with the South Dakota average. Lower is better for every rate shown.
Ratings over time
Its overall Medicare rating is 5 stars now, up from 3 stars in January 2019. It has ranged from 3 to 5 stars and changed 6 times.
Overall rating5★
Health inspections5★
Staffing5★
Quality of care4★
Nurse hours per resident per day4.6
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 3 | 2 | 5 | 4 | 4.1 |
| Jan 2020 | 4 | 2 | 5 | 5 | 4.1 |
| Jan 2021 | 4 | 2 | 5 | 5 | 3.7 |
| Jan 2022 | 4 | 3 | 5 | 3 | 4.2 |
| Jan 2023 | 4 | 3 | 5 | 3 | 4.6 |
| Jan 2024 | 4 | 3 | 5 | 3 | 4.3 |
| Feb 2025 | 4 | 3 | 5 | 4 | 4.3 |
| Feb 2026 | 5 | 5 | 5 | 4 | 4.5 |
| Sep 2026 | 5 | 5 | 5 | 4 | 4.6 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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See all nearby homes →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.