Avera Maryhouse Long Term Care is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1985-08-26. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (605) 224-3163 or your local Medicaid office to verify current eligibility.

Avera Maryhouse Long Term Care holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (5★), Staffing (5★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 82.5/100, placing it #2624 of 14703 facilities nationally and #13 of 97 in South Dakota. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Avera Maryhouse Long Term Care receives a reported average of 4 hours 27 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 1 hour 5 minutes; Licensed Practical Nurse (LPN) — 44 minutes; Nurse Aide — 2 hours 38 minutes. On weekends, total nurse staffing is 3 hours 49 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 46.8%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 2 fine(s) over the 5-year period, totaling $6,500. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 13.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Avera Maryhouse Long Term Care ranks 2624th out of 14,703 facilities (composite score: 82.5/100), placing it in the top 25% nationwide. Within SD, it ranks 13th out of 97 nursing homes. In Pierre, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #2,568 nationally and RN hours rank #1,588 nationally (#9 in SD). Our composite quality score of 82.5/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Pierre, visit: https://nursinghomesnearme.org/south_dakota/pierre/