Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
AVERA MARYHOUSE LONG TERM CARE
PIERRE, SD · 80 certified beds · Last Life Safety survey September 11, 2025
CMS Certification Number 435034 · first certified August 1985
Ownership
Operated by AVERA HEALTH · Non profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within SD
12 citations — more than 95% 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
The latest survey found 6 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens November 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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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)
3 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 12 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in SD, and nationally. Surveyors differ markedly between states, so the SD figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 12 |
| Median facility in SD | 3 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| March 16, 2023 | 3 |
| March 21, 2024 | 3 |
| September 11, 2025 | 6 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0226 | Have horizontal exits used in accordance with safety requirements. | 3 | 2025-09-11 |
| K-0311 | Have an enclosure around a vertical opening shaft. | 3 | 2025-09-11 |
| K-0712 | Have simulated fire drills held at unexpected times. | 2 | 2025-09-11 |
| K-0531 | Have elevators that firefighters can control in the event of a fire. | 1 | 2025-09-11 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2024-03-21 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2025-09-11 |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 1 | 2025-09-11 |
What the citations cover
- Smoke Deficiencies 5
- Egress Deficiencies 3
- Miscellaneous Deficiencies 2
- Services Deficiencies 1
- Other 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 5 |
| Egress Deficiencies | 3 |
| Miscellaneous Deficiencies | 2 |
| Services Deficiencies | 1 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
September 11, 2025 — 6 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0226 | Have horizontal exits used in accordance with safety requirements. | No revisit needed (October 24, 2025) |
| K-0311 | Have an enclosure around a vertical opening shaft. | No revisit needed (October 24, 2025) |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | No revisit needed (October 24, 2025) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | No revisit needed (October 24, 2025) |
| K-0531 | Have elevators that firefighters can control in the event of a fire. | No revisit needed (October 24, 2025) |
| K-0712 | Have simulated fire drills held at unexpected times. | No revisit needed (October 24, 2025) |
March 21, 2024 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0226 | Have horizontal exits used in accordance with safety requirements. | Deficient, Provider has no plan of correction |
| K-0311 | Have an enclosure around a vertical opening shaft. | Deficient, Provider has no plan of correction |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has plan of correction (May 3, 2024) |
March 16, 2023 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0226 | Have horizontal exits used in accordance with safety requirements. | Fire Safety Evaluation Survey (May 4, 2023) |
| K-0311 | Have an enclosure around a vertical opening shaft. | Fire Safety Evaluation Survey (May 4, 2023) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (May 4, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.