Nursing home report
GETTYSBURG, SD · Medicare-certified · 53 beds
AVERA OAHE MANOR (Gettysburg, SD) has an overall rating of 1 out of 5 stars, with low staffing and quality measures ratings of 1 star each and staffing below the federal benchmark (3.82 vs. 4.1 hours per resident per day). The facility has no fines in the last 24 months, but it is flagged for the lowest overall rating and recent inspection issues included RN coverage, care planning, and infection prevention and control.
Health inspections
Staffing
3.8208 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8208.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited July 2025 — widespread issue, potential for harm.
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited July 2025 — limited pattern, potential for harm.
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2025 — limited pattern, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited January 2024 — limited pattern, potential for harm.
F-Tag 655 — 42 CFR §483.21 — S/S: E
The nursing home failed to regularly check beds, mattresses, and bed rails to make sure they were safely attached and safe to use. Cited January 2024 — limited pattern, potential for harm.
F-Tag 909 — 42 CFR §483.90 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 5 health deficiencies.
Health inspection found 3 health deficiencies.
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.
