All citations for Avera Oahe 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 Oahe Manor

Last standard health inspection on record

July 31, 2025

Showing 1 to 15 of 15 citations

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of July 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2025).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 8, 2024).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of July 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2025).

  4. 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 July 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 2, 2025).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2024).

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

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

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

    Health citation F-0909, Environmental Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2024).

  7. 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 September 4, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 10, 2025).

  8. 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 July 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 3, 2025).

  9. 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 July 31, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 28, 2025).

  10. 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.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2024).

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

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

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

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2023).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of July 15, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2021).

  13. No harm, with potential for minimal harm

    Have correct number of accessible exits for each story.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0241, Egress Deficiencies. Inspection of December 7, 2022. Found during a standard inspection.

    Fire Safety Evaluation Survey (January 25, 2023).

  14. No harm, with potential for minimal harm

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of December 7, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2023).

  15. No harm, with potential for minimal harm

    Have correct number of accessible exits for each story.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0241, Egress Deficiencies. Inspection of July 15, 2021. Found during a standard inspection.

    Fire Safety Evaluation Survey (September 3, 2021).

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.