All citations for Avera Maryhouse Long Term Care

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 Maryhouse Long Term Care

Last standard health inspection on record

September 11, 2025

Showing 1 to 21 of 21 citations

No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pattern (more than a few residents). CMS level E.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 6, 2024).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 4, 2023).
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 September 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (October 24, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Isolated (one or a few residents). CMS level D.
Health citation F-0880, Infection Control Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (October 24, 2025).
No harm, with potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Isolated (one or a few residents). CMS level D.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 2, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (August 15, 2025).
No harm, with potential for more than minimal harm
Provide safe, appropriate pain management for a resident who requires such services.
Isolated (one or a few residents). CMS level D.
Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 6, 2024).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Isolated (one or a few residents). CMS level D.
Health citation F-0880, Infection Control Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (May 6, 2024).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Isolated (one or a few residents). CMS level D.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 4, 2023).
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 March 16, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 4, 2023).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Isolated (one or a few residents). CMS level D.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 4, 2023).
No harm, with potential for minimal harm
Have horizontal exits used in accordance with safety requirements.
Widespread (many residents). CMS level C.
Fire safety citation K-0226, Egress Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.
No follow-up visit needed (October 24, 2025).
No harm, with potential for minimal harm
Have an enclosure around a vertical opening shaft.
Widespread (many residents). CMS level C.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.
No follow-up visit needed (October 24, 2025).
No harm, with potential for minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level C.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.
No follow-up visit needed (October 24, 2025).
No harm, with potential for minimal harm
Have horizontal exits used in accordance with safety requirements.
Widespread (many residents). CMS level C.
Fire safety citation K-0226, Egress Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.
No plan of correction on record.
No harm, with potential for minimal harm
Have an enclosure around a vertical opening shaft.
Widespread (many residents). CMS level C.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.
No plan of correction on record.
No harm, with potential for minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level C.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 21, 2024. Found during a standard inspection.
The home has a plan to correct it (May 3, 2024).
No harm, with potential for minimal harm
Have horizontal exits used in accordance with safety requirements.
Widespread (many residents). CMS level C.
Fire safety citation K-0226, Egress Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.
Fire Safety Evaluation Survey (May 4, 2023).
No harm, with potential for minimal harm
Have an enclosure around a vertical opening shaft.
Widespread (many residents). CMS level C.
Fire safety citation K-0311, Smoke Deficiencies. Inspection of March 16, 2023. Found during a standard inspection.
Fire Safety Evaluation Survey (May 4, 2023).
No harm, with potential for minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Pattern (more than a few residents). CMS level B.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.
No follow-up visit needed (October 24, 2025).
No harm, with potential for minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Pattern (more than a few residents). CMS level B.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.
No follow-up visit needed (October 24, 2025).
No harm, with potential for minimal harm
Have elevators that firefighters can control in the event of a fire.
Pattern (more than a few residents). CMS level B.
Fire safety citation K-0531, Services Deficiencies. Inspection of September 11, 2025. Found during a standard inspection.
No follow-up visit needed (October 24, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.