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Skilled nursing facility · CMS certified · CCN 435034

Avera Maryhouse Long Term Care

717 East Dakota, Pierre, SD 57501 · Hughes County · one of 96 skilled nursing facilities in South Dakota
CMS High Performing · Medicare's High Performing icon, the gold trophy on Care Compare: five-star buildings with clean recent inspections and no recent change of ownership.
80
certified beds
5 / 5
overall CMS rating
Nonprofit
ownership type
72.9%
occupancy, Oct 2026: 58 residents a day · South Dakota 84.5%
1.13
case mix, 0.80x the national average
4.62
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 Maryhouse Long Term Care compares

Hughes County has 1 other certified building, too few to compare, so this is against South Dakota. 96 buildings.

Better than most of South Dakota on 7 of 8 lines.

Occupancy, Oct 202672.9%Behind mostHigher than 17 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: 89.5%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day4.62Better than mostHigher than 78 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 rating5 / 5Better than mostHigher than 73 of the 93 other buildings in South Dakota, level with 20

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 rating5 / 5Better than mostHigher than 83 of the 93 other buildings in South Dakota, level with 10

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 rating5 / 5Better than mostHigher than 69 of the 93 other buildings in South Dakota, level with 24

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 rating4 / 5Better than mostHigher than 65 of the 93 other buildings in South Dakota, level with 20

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 day0.95Better than mostHigher than 71 of the 90 other buildings in South Dakota, level with 1

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 Maryhouse Long Term Care
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Street View
717 East Dakota, Pierre, SD
Map around Avera Maryhouse Long Term Care
Map · Hughes County
Hughes County, South Dakota
2 skilled nursing facilities; average overall rating 3.5, South Dakota 3.0.
See how Hughes 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 rating5 / 5 · state 3
Health inspection5 / 5 · state 2.9
Staffing5 / 5 · state 3.5
RN hours per resident per day0.95 · state 0.78
Overall rating, last 8 quarters
054Q3’244Q4’244Q1’254Q2’255Q3’255Q4’255Q1’265Q2’26latest
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 activities23.9%worse than state21.5%13.5%2025Q2: 31.1%2025Q3: 16.7%2025Q4: 30.0%2026Q1: 22.0%2026Q2: 27.8%
31.1% → 27.8%
Q2’25 to Q2’26
Catheter inserted and left in6.2%worse than state1.9%0.7%2025Q2: 8.5%2025Q3: 4.6%2025Q4: 7.2%2026Q1: 6.3%2026Q2: 6.4%
8.5% → 6.4%
Q2’25 to Q2’26
Urinary tract infection2.5%better than state2.9%1.5%2025Q2: 2.1%2025Q3: 4.3%2025Q4: 4.2%2026Q1: 0.0%2026Q2: 2.0%
2.1% → 2.0%
Q2’25 to Q2’26
Fall with major injury3.4%better than state5.5%3.2%2025Q2: 6.0%2025Q3: 6.0%2025Q4: 4.1%2026Q1: 1.8%2026Q2: 2.0%
6.0% → 2.0%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)1.0%better than state2.2%1.5%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 4.8%
0.0% → 4.8%
Q2’25 to Q2’26
Ability to walk independently worsened22.0%worse than state18.3%12.7%2025Q2: 20.7%2025Q3: 7.0%2025Q4: 33.4%2026Q1: 25.6%2026Q2: 20.8%
20.7% → 20.8%
Q2’25 to Q2’26
Pressure ulcers5.6%worse than state4.5%4.5%2025Q2: 12.2%2025Q3: 7.4%2025Q4: 8.1%2026Q1: 3.5%2026Q2: 3.7%
12.2% → 3.7%
Q2’25 to Q2’26
Given an antipsychotic16.6%better than state24.8%15.4%2025Q2: 20.5%2025Q3: 15.8%2025Q4: 15.0%2026Q1: 17.5%2026Q2: 18.2%
20.5% → 18.2%
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
Sep 2025
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 ›
Hughes County
buildingbedsoverallAvera Maryhouse Long Term Care805 / 5Avantara Pierre652 / 5
All South Dakota buildings in Hughes County ›
Also in Pierre, SD
1 other certified skilled nursing facility in Pierre
buildingbedsoverallAvantara Pierre652 / 5
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
buildingbedsoveralloccupancyAvantara PierrePierre · 0.1 mi652 / 5over 85%Highmore HealthHighmore · 45.7 mi393 / 5over 85%Avera Oahe ManorGettysburg · 49.1 mi404 / 570-85%White River Health Care CenterWhite River · 58.1 mi525 / 5under 70%Medicine Wheel VillageEagle Butte · 62.3 mi502 / 5under 70%Sanford Chamberlain Care CenterChamberlain · 64.0 mi441 / 5over 85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Avera Maryhouse Long Term Care?
Avera Maryhouse Long Term Care in Pierre, SD carries an overall CMS rating of 5 out of 5 stars in the Oct 2026 CMS file.
Is Avera Maryhouse Long Term Care a CMS High Performing nursing home?
Yes. Avera Maryhouse Long Term Care in Pierre, SD carries Medicare's High Performing icon, the gold trophy on Care Compare, given to five-star buildings with clean recent inspections and no recent change of ownership.
How many beds does Avera Maryhouse Long Term Care have?
Avera Maryhouse Long Term Care is certified for 80 beds in the Oct 2026 CMS file.
How full is Avera Maryhouse Long Term Care?
CMS's reported average residents put Avera Maryhouse Long Term Care's occupancy in the 70-85% 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.