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Avera Mother Joseph Manor Retirement Community
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Ratings Deep Dive
5 Deficiencies found in last inspections
2 Penalties in last 3 years
2 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Dec 17, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| — | Dec 17, 2025 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D |
| — | Dec 17, 2025 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E |
| — | Dec 17, 2025 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| — | Dec 17, 2025 | Post nurse staffing information every day. | F |
0.9 RN Hours / Resident / Day
4.0 Total Nurse Hours / Resident / Day
31.3% RN Turnover Rate
1.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
77.3 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST AVERA HEALTH
OPERATIONAL/MANAGERIAL CONTROL AVERA HEALTH
OPERATIONAL/MANAGERIAL CONTROL BJERKNES, DANIEL
CORPORATE DIRECTOR BIERNE, KATHLEEN
CORPORATE DIRECTOR FAUTH, KRISTEN
CORPORATE DIRECTOR FRITZ, JOHN
CORPORATE DIRECTOR GOLZ, HEIDI
CORPORATE DIRECTOR HERMAN, MICHAEL
CORPORATE DIRECTOR INMAN, RICHARD
CORPORATE DIRECTOR JENSEN, PAULA
Recent Penalties
| Date | Type | Fine |
|---|---|---|
| Aug 28, 2024 | Fine | $8,824 |
| Mar 23, 2023 | Fine | $11,788 |
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