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 12 of 12 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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.

  6. 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.

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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.