Avera Maryhouse Long Term Care
717 EAST DAKOTA, Pierre, SD 57501
Pierre, South Dakota · CMS verdict
CMS rates Avera Maryhouse Long Term Care at 5 of 5 stars overall - above-average on the federal scale, and above the South Dakota average of 2.9.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Avera Maryhouse Long Term Care in Pierre, South Dakota holds a CMS overall rating of 5 of 5 stars and a PlainElderCare Quality & Compliance Index of 91 of 100 (grade A). The 80-bed facility operates where a semi-private nursing-home room in South Dakota runs a median of $9,444 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 5 of 5 stars. How this is calculated.
How the 91 is built
Each segment is a dimension's weighted points toward the score, summing to 91.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
On Care Compare (data as of April 2026), Avera Maryhouse Long Term Care carries an overall CMS quality rating of 5 out of 5 stars. That figure rolls up three sub-ratings tracked separately: health inspection (5/5), staffing (5/5), and quality measures (4/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Pierre, South Dakota, this facility operates 80 certified beds with an average daily census of roughly 56 residents - an occupancy rate of about 70%. The facility is classified under non profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 70% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within South Dakota, Avera Maryhouse Long Term Care is one of 50 non profit - corporation nursing homes CMS rates. Its 5-star overall rating sits above the non profit - corporation-segment average of 3.0 stars, ahead of roughly 78% of same-ownership peers in the state. This ownership-segment comparison controls for business-model differences, so what's left mostly reflects how this facility runs relative to similar operators, not the type of operator it is.
Inspection record
On the regulatory side, federal and state surveyors have documented a moderate number of deficiencies at this facility (9 total). CMS has levied no enforcement penalties over the equivalent window. This volume of findings is worth reading past the count: CMS's F-tag scale separates isolated, low-harm citations from widespread or immediate-jeopardy ones, and only the full report shows which this facility has.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Avera Maryhouse Long Term Care compares to South Dakota
CMS five-star sub-ratings (0–5) for this facility against the South Dakota facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = South Dakota state average. Higher is better on all four CMS measures.
Where Avera Maryhouse Long Term Care ranks in South Dakota
Among the 95 CMS-rated nursing homes in South Dakota, Avera Maryhouse Long Term Care’s 5-star overall rating is higher than 80% of them. The bars show how all South Dakota homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
19 South Dakota homes share this 5-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 80 |
| Residents | 56 |
| Ownership | Non profit - Corporation |
| County | Hughes |
| Penalties | 0 |
| Deficiencies | 9 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Avera Maryhouse Long Term Care? ▾
5 out of 5 stars is Avera Maryhouse Long Term Care's current CMS overall rating, built from a health inspection rating of 5/5, a staffing rating of 5/5, and a quality measures rating of 4/5.
How much does a nursing home cost per month in South Dakota? ▾
In South Dakota, a semi-private nursing home room runs a median $9,444/month ($113,333/year) per the CareScout 2025 survey; private rooms average $10,190/month.
What services does Avera Maryhouse Long Term Care offer? ▾
With 80 beds with approximately 56 current residents, Avera Maryhouse Long Term Care is a skilled nursing facility. It operates under non profit - corporation ownership, and CMS's inspection record shows 9 deficiencies and 0 penalties.
Does Avera Maryhouse Long Term Care have any deficiencies or penalties? ▾
Avera Maryhouse Long Term Care has multiple deficiencies (9 total) and 0 penalties recorded by CMS. A count in this range makes it worth asking staff or the facility directly which findings were minor paperwork versus resident-care issues.
What are the alternatives to a nursing home in South Dakota? ▾
In South Dakota, alternatives include assisted living ($4,900/mo), home health aides ($8,437/mo), and adult day care (N/A/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the South Dakota elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 435034.
Read our methodology - how this data is sourced, computed, and verified.