The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2022 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Avera Rosebud Country Care Center
GREGORY, SD · Medicare-certified · 30 beds
In good standing
Non-profitChain member
4 of 5 overall
Avera Rosebud Country Care Center in Gregory, SD has a 4-out-of-5 overall rating, with 4-star health inspection and staffing scores and 3 stars for quality measures. It reported 4.85 nurse staffing hours per resident day versus the 4.1 federal benchmark, with no fines in the last 24 months; recent inspection citations included treatment and care orders, admission planning within 48 hours, and meeting professional standards of quality.
Facility ratings
Health inspections
Staffing
4.8541 hrs/resident/day
Quality measures
Last inspection: February 13, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.8541.
Staffing detail
- Registered nurses
- 1.06
- Licensed practical nurses
- 0.64
- Nurse aides
- 3.15
- Weekend nursing
- 4.15
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
21.4%Improving
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
0%Steady
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
3.6%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
12.5%Worsening
Residents whose ability to walk got worse
27.5%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
29.5%Worsening
Residents with a long-term catheter
7.2%Worsening
Residents with new or worsening incontinence
15.2%Worsening
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
93.8%Steady
What the inspectors found
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 655 — 42 CFR §483.21 — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — 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 February 2025 — limited pattern, potential for harm.
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F-Tag 909 — 42 CFR §483.90 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
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- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of AVERA HEALTH · 13 homes · 3.5 stars avg
- Occupancy
- 29.5 residents on an average day (98% of 30 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 50 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.