Avera Maryhouse Long Term Care: Staffing, Turnover, and Inspection Record
Avera Maryhouse Long Term Care is a 80-bed nonprofit nursing home in Pierre, South Dakota, part of Avera Health. In the CMS August 2026 release it reported 2.79 nurse aide hours per resident per day, 11% above the South Dakota average of 2.52, and 46.6% nursing staff turnover (South Dakota average 48.2%).
Avera Maryhouse Long Term Care
717 East DakotaPierre, SD 57501
Hughes County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Avera Maryhouse Long Term Care, nurse aides logged 2.79 hours per resident per day, 11% above the South Dakota average. With about 58 residents a day, that works out to roughly 163 aide hours a day, or about 20 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.79 | 2.52 | 2.32 |
| Licensed practical nurses | 0.80 | 0.47 | 0.86 |
| Registered nurses | 1.02 | 0.80 | 0.69 |
| All nursing staff | 4.62 | 3.79 | 3.86 |
| All nursing staff, weekends | 3.90 | 3.26 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
46.6% of nursing staff at Avera Maryhouse Long Term Care left over the year CMS measured, against a South Dakota average of 48.2% and a US average of 45.8%. Registered nurse turnover was 16.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 11, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (South Dakota average 6.9). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Avera Maryhouse Long Term Care holds 5 of 5 overall; the South Dakota average is 2.9.
About Avera Maryhouse Long Term Care
- Ownership: Non profit - Corporation
- Chain: Avera Health, 13 homes
- Legal name: Avera St Marys
- Medicare and Medicaid certified since: Aug 26, 1985
- Located inside a hospital
- Councils: resident council
- Area: rural
Nursing homes near Avera Maryhouse Long Term Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avantara Pierre Pierre · abuse citation | 0.1 | 65 | 1.69 | 2.81 | 40.5% | 2 | $22,048 |
| Highmore Health Highmore | 45.7 | 39 | 2.08 | 3.09 | 51.6% | 3 | None |
| Avera Oahe Manor Gettysburg · many days without an RN | 49.0 | 53 | 2.01 | 3.50 | 43.8% | 2 | None |
| White River Health Care Center White River | 58.1 | 52 | 3.50 | 5.48 | 47.8% | 5 | $6,168 |
| Medicine Wheel Village Eagle Butte · SFF candidate | 62.3 | 50 | 2.69 | 4.79 | 31.4% | 2 | $22,636 |
| Sanford Chamberlain Care Center Chamberlain | 64.0 | 44 | 2.54 | 3.69 | 56.9% | 1 | $124,961 |
| Good Samaritan Society Miller Miller | 67.8 | 50 | 2.67 | 3.81 | 70.8% | 1 | $96,127 |
| Kadoka Nursing Home Kadoka | 68.4 | 31 | 2.88 | 4.25 | 38.2% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.