The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: E
Nursing home report
AVERA BRADY HEALTH AND REHAB
MITCHELL, SD · Medicare-certified · 84 beds
In good standing
Non-profitChain member
5 of 5 overall
5 out of 5 stars overall. Avera Brady Health and Rehab has strong staffing and quality scores, reported nurse staffing above the federal benchmark (4.26 vs. 4.1 hours per resident per day), no fines in the last 24 months, and a 4-star health inspection rating with some cited issues.
Facility ratings
Health inspections
Staffing
4.2575 hrs/resident/day
Quality measures
Last inspection: February 26, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2575.
Staffing detail
- Registered nurses
- 1.44
- Licensed practical nurses
- 0.19
- Nurse aides
- 2.63
- Weekend nursing
- 3.68
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 24%
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).
Long-stay residents on antipsychotic medication
10.6%13%Worsening
Residents with a fall causing major injury
1.7%9%Worsening
Residents with pressure ulcers (bedsores)
3.6%1.3%Improving
Residents with a urinary tract infection
3.4%0%Improving
Residents who lost too much weight
1.9%5.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.8%16.7%Worsening
Residents whose ability to walk got worse
3.3%5.8%Worsening
Long-stay residents on antianxiety or sleep medication
18.5%16.7%Improving
Short-stay residents newly given an antipsychotic
0%2.6%Worsening
Residents with a long-term catheter
2.3%0%Improving
Residents with new or worsening incontinence
27.2%23.4%Improving
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).
Long-stay residents given the seasonal flu vaccine
—98.5%—
Long-stay residents given the pneumonia vaccine
98.3%98.5%No change
Short-stay residents given the seasonal flu vaccine
—93.8%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2026 — isolated incident, potential for harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: D
The nursing home failed to ensure residents were free from significant medication errors. Cited December 2024 — isolated incident, potential for harm.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: D
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited August 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of AVERA HEALTH · 13 homes · 3.5 stars avg
- Occupancy
- 78.1 residents on an average day (93% of 84 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 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.