Avera Rosebud Country Care Center
126 S LOGAN AVE, Gregory, SD 57533
Gregory, South Dakota · CMS verdict
CMS places Avera Rosebud Country Care Center in the above-average range 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 Rosebud Country Care Center in Gregory, South Dakota holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 71 of 100 (grade C). Its CMS inspection record lists a moderate number of deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (lighter deficiency book)
Its CMS deficiency count sits in the lighter U.S. deficiency tercile (≤16). 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 star rating shown at the top of the page. How this is calculated.
How the 71 is built
Each segment is a dimension's weighted points toward the score, summing to 71.
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.
Avera Rosebud Country Care Center's lighter CMS deficiency book
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) scores Avera Rosebud Country Care Center on three sub-ratings that roll up into the overall star: health inspection, staffing, and quality measures. Each is charted against the South Dakota average below.
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 Gregory, South Dakota. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 100% occupancy, this facility is running near full capacity, worth confirming current bed availability directly before visiting.
Same-ownership peers
Within South Dakota, Avera Rosebud Country Care Center is one of 50 non profit - corporation nursing homes CMS rates. Its 4-star overall rating sits above the non profit - corporation-segment average of 3.0 stars, ahead of roughly 64% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented a moderate number of deficiencies at this facility; the counts are in Facility details below. 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
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Avera Rosebud Country Care Center 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 Rosebud Country Care Center ranks in South Dakota
Among the 95 CMS-rated nursing homes in South Dakota, Avera Rosebud Country Care Center’s 4-star overall rating is higher than 65% of them. The bars show how all South Dakota homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
14 South Dakota homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 30 |
| Residents | 30 |
| Ownership | Non profit - Corporation |
| County | Gregory |
| 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 Rosebud Country Care Center? ▾
4 out of 5 stars is Avera Rosebud Country Care Center's current CMS overall rating. The chart on this page breaks it into health inspection, staffing, and quality measures against the South Dakota average.
How much does a nursing home cost per month in South Dakota? ▾
CareScout's 2025 survey puts South Dakota's median semi-private nursing home rate at $9,444 per month ($113,333 per year), with private rooms averaging $10,190 per month.
What services does Avera Rosebud Country Care Center offer? ▾
Avera Rosebud Country Care Center operates as a skilled nursing facility. For the specific care and therapy services, contact the facility: CMS data covers capacity, ownership, ratings, and inspections, not a service menu.
Does Avera Rosebud Country Care Center have any deficiencies or penalties? ▾
Avera Rosebud Country Care Center has multiple deficiencies and no penalties recorded by CMS; the counts are in the Facility details table. 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).
Keep reading
Also see the South Dakota elder-care overview and highest-rated states. Provider ID: 435029.
Read our methodology - how this data is sourced, computed, and verified.