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Skilled nursing facility · CMS certified · CCN 435029

Avera Rosebud Country Care Center

126 S Logan Ave, Gregory, SD 57533 · Gregory County · one of 96 skilled nursing facilities in South Dakota
30
certified beds
4 / 5
overall CMS rating
Nonprofit
ownership type
92.0%
occupancy, Oct 2026: 28 residents a day · South Dakota 84.5%
1.18
case mix, 0.83x the national average
5.39
nurse hours per resident day · South Dakota 3.79
What if · run the numbers

There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

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How Avera Rosebud Country Care Center compares

Gregory County has 0 other certified buildings, too few to compare, so this is against South Dakota. 96 buildings.

Better than most of South Dakota on 6 of 8 lines.

Occupancy, Oct 202692.0%Better than mostHigher than 61 of the 89 other buildings in South Dakota

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 89.1%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day5.39Better than mostHigher than 87 of the 90 other buildings in South Dakota

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.62. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating4 / 5Better than mostHigher than 58 of the 93 other buildings in South Dakota, level with 14

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating4 / 5Better than mostHigher than 58 of the 93 other buildings in South Dakota, level with 24

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating4 / 5Mid-packHigher than 38 of the 93 other buildings in South Dakota, level with 30

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating2 / 5Mid-packHigher than 19 of the 93 other buildings in South Dakota, level with 28

CMS's star rating for resident-care quality measures. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day1.18Better than mostHigher than 85 of the 90 other buildings in South Dakota

Registered nurse hours for each resident, each day. The middle of the set: 0.73. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited6Better than mostFewer than 68 of the 95 other buildings in South Dakota, the same as 7

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 9. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against South Dakota
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Avera Rosebud Country Care Center
Google Street View · opens in Maps
Street View
126 S Logan Ave, Gregory, SD
Map around Avera Rosebud Country Care Center
Map · Gregory County
Gregory County, South Dakota
1 skilled nursing facility; average overall rating 4.0, South Dakota 3.0.
See how Gregory County compares ›
Cost report, against South Dakota
Each line is what this building filed with Medicare for its latest full year, beside the middle building in South Dakota. The rank counts from the top: 1st is the highest figure among South Dakota's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

No full-year Medicare cost report on file for this building for FY2025 to FY2026. What the buildings in South Dakota that did file reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
85.8%
62
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
7.8%
68
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
53.6%
68
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$344
68
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$335
68
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$15
68
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
4.5%
66
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating4 / 5 · state 3
Health inspection4 / 5 · state 2.9
Staffing4 / 5 · state 3.5
RN hours per resident per day1.18 · state 0.78
Overall rating, last 8 quarters
053Q3’243Q4’244Q1’254Q2’253Q3’254Q4’254Q1’264Q2’26latest
up 1 star over the 8 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingSouth Dakotanationrecent quarters
Needed more help with daily activities19.2%better than state21.5%13.5%2025Q2: 4.5%2025Q3: 17.4%2025Q4: 16.7%2026Q1: 34.6%2026Q2: 7.7%
4.5% → 7.7%
Q2’25 to Q2’26
Catheter inserted and left in5.0%worse than state1.9%0.7%2025Q2: 4.1%2025Q3: 10.9%2025Q4: 8.1%2026Q1: 0.0%2026Q2: 0.0%
4.1% → 0.0%
Q2’25 to Q2’26
Urinary tract infection0.0%better than state2.9%1.5%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Fall with major injury0.9%better than state5.5%3.2%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 3.6%
0.0% → 3.6%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)too few residents to report2.2%1.5%too few quarters to chart
Ability to walk independently worsened31.4%worse than state18.3%12.7%too few quarters to chart
Pressure ulcers0.0%better than state4.5%4.5%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q2’25 to Q2’26
Given an antipsychotic20.7%better than state24.8%15.4%2025Q2: 22.7%2025Q3: 25.0%2025Q4: 20.0%2026Q1: 18.2%2026Q2: 19.0%
22.7% → 19.0%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
May 2026
last standard survey
6
deficiencies cited · South Dakota avg 10.1
$0
fines, last 3 years
Reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in South Dakota
state rate files
$249
median daily rate across the South Dakota buildings in our rate book, Jul 2026 file
South Dakota rates and what changed ›
Gregory County
buildingbedsoverallAvera Rosebud Country Care Center304 / 5
All South Dakota buildings in Gregory County ›
South Dakota at a glance
96
buildings
5,835
licensed beds
84%
occupancy
32%
for-profit
South Dakota market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyWinner Regional Healthcare CenterWinner · 23.4 mi401 / 5under 70%Platte Care CenterPlatte · 31.3 mi485 / 570-85%Sanford Chamberlain Care CenterChamberlain · 38.9 mi441 / 5over 85%Lake Andes Senior LivingLake Andes · 45.0 mi434 / 5over 85%Parkside ManorStuart · 45.5 mi405 / 5under 70%Rock County Hospital Long Term CareBassett · 45.6 mi302 / 5under 70%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Avera Rosebud Country Care Center?
Avera Rosebud Country Care Center in Gregory, SD carries an overall CMS rating of 4 out of 5 stars in the Oct 2026 CMS file.
How many beds does Avera Rosebud Country Care Center have?
Avera Rosebud Country Care Center is certified for 30 beds in the Oct 2026 CMS file.
How full is Avera Rosebud Country Care Center?
CMS's reported average residents put Avera Rosebud Country Care Center's occupancy in the over 85% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.