AVERA BORMANN MANOR has an overall rating of 3 out of 5 stars. Its staffing rating is 5 stars, but reported nurse staffing is 3.53 hours per resident per day, below the federal benchmark of 4.1; it also has a low quality measures rating of 1 star, $44,875 in fines in the last 24 months, and a recent federal penalty.
Last inspection: February 4, 2026Penalties, last 24 months: $44,875recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.526.
Staffing detail
Registered nurses
1.09
Licensed practical nurses
0.01
Nurse aides
2.42
Weekend nursing
2.85
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 17%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
11.8%Worsening
Residents with a fall causing major injury
9.8%Worsening
Residents with pressure ulcers (bedsores)
4.7%Worsening
Residents with a urinary tract infection
4.9%Worsening
Residents who lost too much weight
6.2%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
24.2%Worsening
Residents whose ability to walk got worse
15.6%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
21.8%Improving
Residents with a long-term catheter
3.3%Improving
Residents with new or worsening incontinence
23.7%Improving
Residents with depressive symptoms
0.6%Improving
Long-stay residents given the seasonal flu vaccine
98%Steady
Long-stay residents given the pneumonia vaccine
98.4%Improving
Short-stay residents given the pneumonia vaccine
100%Steady
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.
View the original federal record
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 $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 · $53,884 in total fines.
Federal fine
Jun 26, 2025
$19,135
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
48 residents on an average day (96% of 50 beds)
Resident voice
Resident council
Medicare history
Certified for 14 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.