Avera Rosebud Country Care Center
126 S LOGAN AVE, Gregory, SD 57533
Gregory, South Dakota · CMS verdict
CMS rates Avera Rosebud Country Care Center at 4 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 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). The 30-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 4 of 5 stars. 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.
Data insights
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Avera Rosebud Country Care Center's overall quality rating at 4 out of 5 stars, a composite of three sub-ratings: health inspection (4/5), staffing (4/5), and quality measures (3/5).
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 Gregory, South Dakota, this facility operates 30 certified beds with an average daily census of roughly 30 residents - an occupancy rate of about 100%. The facility is classified under non profit - corporation ownership, a designation that 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 (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 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, built from a health inspection rating of 4/5, a staffing rating of 4/5, and a quality measures rating of 3/5.
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? ▾
With 30 beds with approximately 30 current residents, Avera Rosebud Country Care Center 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 Rosebud Country Care Center have any deficiencies or penalties? ▾
Avera Rosebud Country Care Center 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: 435029.
Read our methodology - how this data is sourced, computed, and verified.