AVERA BORMANN MANOR in Parkston, SD has an overall rating of 3 out of 5 stars. It has a strong staffing rating of 5 out of 5, but quality measures are low at 1 out of 5, reported nurse staffing is below the federal benchmark (3.63 vs. 4.1 hours per resident per day), and it had $38,178 in fines with a recent federal penalty.
Last inspection: February 4, 2026Penalties, last 24 months: $38,178recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6269.
Staffing detail
Registered nurses
1.10
Licensed practical nurses
0.01
Nurse aides
2.52
Weekend nursing
2.98
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 9%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
12.9%15.2%Worsening
Residents with a fall causing major injury
9.1%8.9%No change
Residents with pressure ulcers (bedsores)
4.8%6.7%Worsening
Residents with a urinary tract infection
4.5%0%Improving
Residents who lost too much weight
5.1%8.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.9%19.4%Worsening
Residents whose ability to walk got worse
13.3%22.2%Worsening
Long-stay residents on antianxiety or sleep medication
23.1%22.2%Improving
Residents with a long-term catheter
4.1%1.7%Improving
Residents with new or worsening incontinence
24.1%26%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—98%—
Long-stay residents given the pneumonia vaccine
97.7%100%Improving
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited July 2024 — isolated incident, actual harm.
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F-Tag 604 — 42 CFR §483.12 — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited January 2024 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited February 2026 — limited pattern, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to keep residents’ personal and medical records private and confidential. Cited June 2023 — limited pattern, potential for harm.
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F-Tag 583 — 42 CFR §483.10 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
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PENALTY
A federal fine of $12,438 was recorded.
PENALTY
A federal fine of $19,135 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $14,901 was recorded.
PENALTY
A federal fine of $10,839 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $47,187 in total fines.
Federal fine
Jun 26, 2025
$12,438
Federal fine
Mar 31, 2025
$14,901
Federal fine
Jul 11, 2024
$10,839
Federal fine
Jan 30, 2024
$9,009
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
46.8 residents on an average day (94% of 50 beds)
Resident voice
Resident council
Medicare history
Certified for 15 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.