Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

AVERA BORMANN MANOR

PARKSTON, SD · 50 certified beds · Last Life Safety survey September 18, 2025

CMS Certification Number 43A137 · first certified July 2011

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

4
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within SD

4 citations — more than 60% of the 96 certified nursing homes in SD. Compared within SD rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 1. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 2 months from now. This facility’s last Life Safety survey was September 2025. Facilities in SD are typically surveyed 15–16 months after the last one (median 16), measured over 136 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 4 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in SD, and nationally. Surveyors differ markedly between states, so the SD figure is the meaningful one.

This facility4SD median3National median11
Citations on file over three years, compared
MeasureCitations
This facility4
Median facility in SD3
Median facility nationally11

Survey history

Citations at each Life Safety survey
22023-0602024-0722025-09
Citations at each Life Safety survey
Survey dateCitations
June 8, 20232
July 11, 20240
September 18, 20252

Most-cited tags

Most-cited tags at this facility
K-07122K-02931K-02261
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0712Have simulated fire drills held at unexpected times.22025-09-18
K-0293Have properly located and lighted "Exit" signs.12025-09-18
K-0226Have horizontal exits used in accordance with safety requirements.12023-06-08

What the citations cover

Citations by CMS category
  • Miscellaneous Deficiencies 2
  • Egress Deficiencies 2
Citations by CMS category
CategoryCitations
Miscellaneous Deficiencies2
Egress Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 18, 2025 — 2 citations

Citations issued on September 18, 2025
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (October 15, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (October 17, 2025)

June 8, 2023 — 2 citations

Citations issued on June 8, 2023
TagWhat the surveyor checksStatus
K-0226Have horizontal exits used in accordance with safety requirements.Deficient, Provider has date of correction (July 7, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 13, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.