The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
Weskota Manor Avera
Registered name: Weskota Manor Inc
WESSINGTON SPRINGS, SD · Medicare-certified · 40 beds
In good standing
Non-profit
Data as of July 1, 2026
4 of 5 overall
Weskota Manor Avera has an overall rating of 4 out of 5 stars, with 4-star health inspection and staffing ratings and 3-star quality measures. It reported 3.40 nursing hours per resident per day, below the federal benchmark of 4.1, and had no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.3957 hrs/resident/day
Quality measures
Last inspection: January 15, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3957.
Staffing detail
- Registered nurses
- 1.10
- Licensed practical nurses
- 0.06
- Nurse aides
- 2.24
- Weekend nursing
- 3.01
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 17%
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
18.2%22.7%Worsening
Residents with a fall causing major injury
0%11.5%Worsening
Residents with pressure ulcers (bedsores)
0%3.7%Worsening
Residents with a urinary tract infection
3.2%3.8%Worsening
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20%27.3%Worsening
Residents whose ability to walk got worse
16.2%16.2%No change
Long-stay residents on antianxiety or sleep medication
18.5%16.7%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
9.3%15%Worsening
Residents with depressive symptoms
20%8%Improving
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
—100%—
What the inspectors found
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: E
The home failed to provide care or services that were trauma-informed and culturally competent. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 699 — 42 CFR §483.25 — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited January 2026 — isolated incident, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — 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 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 31.1 residents on an average day (78% of 40 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 8 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.