All citations for Avera Bormann Manor

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Avera Bormann Manor

Last standard health inspection on record

September 18, 2025

Showing 1 to 7 of 7 citations

  1. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of February 4, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 5, 2026).

  2. No harm, with potential for more than minimal harm

    Allow residents to self-administer drugs if determined clinically appropriate.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of February 4, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 5, 2026).

  3. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of February 4, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 5, 2026).

  4. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 4, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 5, 2026).

  5. No harm, with potential for more than minimal harm

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of September 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2025).

  6. No harm, with potential for more than minimal harm

    Have properly located and lighted "Exit" signs.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of September 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2025).

  7. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 18, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.