All citations for Avera Mother Joseph Manor Retirement Community

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 Mother Joseph Manor Retirement Community

Last standard health inspection on record

December 17, 2025

Showing 1 to 17 of 17 citations

  1. Harm to a resident

    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 G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 28, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (July 31, 2024).

  2. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 23, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2023).

  3. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of March 23, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2023).

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

    Post nurse staffing information every day.

    Widespread (many residents). CMS level F.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of December 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2025).

  5. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2026).

  6. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 23, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2023).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of December 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 24, 2026).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of December 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 24, 2026).

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

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

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

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of August 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 18, 2025).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 16, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 23, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2023).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of December 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 24, 2026).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of December 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2026).

  14. 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 December 17, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2026).

  15. 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 June 4, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (May 27, 2025).

  16. 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 March 23, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2023).

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

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

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

    Health citation F-0849, Administration Deficiencies. Inspection of March 23, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2023).

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.