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Avera Mother Joseph Manor Retirement Community Inspection Report, Violations & Safety Grade (ABERDEEN, South Dakota)

1002 NORTH JAY STREET, ABERDEEN, South Dakota 57401

Phone: 6056225850

CMS Overall:3/5

Overview & Bed Count

Certified Beds
81
Avg Residents/Day
77.5
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Brown
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing4/5
Quality2/5

Nurse Staffing Check

MetricThis FacilitySouth Dakota AvgDifference
RN Hours per Resident per Day0.930.78+0.15
Total Nurse Hours per Resident per Day3.953.86+0.09
CMS Staffing Rating4/53.5/5-
Nursing Staff Turnover52.6%48.6%-

Health Citation History

17 health citations on record

DateCategoryDescriptionSeverity
2025-12-17Nursing and Physician Services DeficienciesPost nurse staffing information every day.F – Moderate Harm Potential
2025-12-17Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-12-17Resident Rights DeficienciesHonor 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 – Moderate Harm Potential
2025-12-17Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E – Moderate Harm Potential
2025-12-17Resident Rights DeficienciesHonor 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 – Moderate Harm Potential
2025-12-17Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2025-12-17Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-08-01Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.E – Moderate Harm Potential
2025-06-04Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2024-08-28Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2024-05-16Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2023-03-23Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.G – Actual Harm
2023-03-23Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.G – Actual Harm
2023-03-23Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2023-03-23Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2023-03-23Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2023-03-23Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D – Moderate Harm Potential

Fire Safety Citation History

7 fire safety citations on record

DateCategoryDescriptionSeverity
2025-12-17Egress DeficienciesHave correct number of accessible exits for each story.C – Minimal Harm Potential
2025-12-17Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.C – Minimal Harm Potential
2024-05-16Egress DeficienciesHave correct number of accessible exits for each story.C – Minimal Harm Potential
2024-05-16Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.C – Minimal Harm Potential
2023-03-23Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2023-03-23Egress DeficienciesHave correct number of accessible exits for each story.C – Minimal Harm Potential
2023-03-23Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.C – Minimal Harm Potential

Total Penalties & Fines

$8,824
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-08-28Fine$8,824-

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