The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Wakonda Heritage Manor Avera
Registered name: Wakonda Heritage Manor
WAKONDA, SD · Medicare-certified · 38 beds
Needs attention
Non-profitChain member
Data as of July 1, 2026
5 of 5 overall
Wakonda Heritage Manor Avera has a 5-star overall rating, with 4 stars for health inspections, 5 stars for staffing, and 3 stars for quality measures. It reports 3.85 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $12,675 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.8496 hrs/resident/day
Quality measures
Last inspection: May 7, 2026Penalties, last 24 months: $12,675recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8496.
Staffing detail
- Registered nurses
- 0.66
- Licensed practical nurses
- 0.60
- Nurse aides
- 2.59
- Weekend nursing
- 3.12
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 33%
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
35%38.1%Worsening
Residents with a fall causing major injury
3.4%11.4%Worsening
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%2.9%Worsening
Residents who lost too much weight
4%14.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.7%18.5%Worsening
Residents whose ability to walk got worse
—20.4%—
Long-stay residents on antianxiety or sleep medication
15.4%25.9%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
29.9%20.9%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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—87.5%—
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited May 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited May 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited May 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: D
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
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $12,675 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $12,675 in total fines.
- $12,675
Federal fine
Feb 13, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of AVERA HEALTH · 13 homes · 3.4 stars avg
- Occupancy
- 36.2 residents on an average day (95% of 38 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 30 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.