Avera Mother Joseph Manor Retirement Community

ABERDEEN, SD · 81 beds · Non profit - Corporation

34 Trust Score
Grade: F HIGH Risk → Stable

Red Flags

  • 3 citation(s) where residents suffered actual harm

Green Flags

  • 5-star staffing rating

Quick Facts

★★★☆☆
CMS Overall
★★☆☆☆
Health Inspection
9
1.3x state avg
Deficiencies
$20,612
Fines (3-yr)
★★★★★
Staffing

Violation Timeline

December 16, 2025

7 deficiencyies
F0578 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0585 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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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.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0725 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

F0732 Potential Harm Scope/Severity: F

Nursing and Physician Services Deficiencies

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Post nurse staffing information every day.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

July 31, 2025

1 deficiency
F0678 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

June 3, 2025

1 deficiency
F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure services provided by the nursing facility meet professional standards of quality.

August 27, 2024

1 deficiency
F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

May 15, 2024

1 deficiency
F0755 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

August 1, 2023

1 deficiency
F0583 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Keep residents' personal and medical records private and confidential.

March 22, 2023

6 deficiencyies
F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Allow residents to self-administer drugs if determined clinically appropriate.

F0684 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0686 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0849 Potential Harm Scope/Severity: D

Administration Deficiencies

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Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

See full violation history →

Staffing

1.08
RN hrs/res/day
0.62
LPN hrs/res/day
3.00
CNA hrs/res/day
3.91
Weekend hrs/res/day
46%
Total nurse turnover
31%
RN turnover

A nurse checks on each resident roughly every 5.1 hours on average.

Fines & Penalties

  • Fine Aug 27, 2024
    $8,824
  • Fine Mar 22, 2023
    $11,788
Total $20,612

Ownership

Non profit - Corporation Chain: AVERA HEALTH
  • AVERA HEALTH

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 01/01/1998

    100% Organization
  • AVERA HEALTH

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/1998

    Organization
  • BJERKNES, DANIEL

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 08/15/2022

    Individual
  • BIERNE, KATHLEEN

    CORPORATE DIRECTOR

    Since since 07/01/2018

    Individual
  • FAUTH, KRISTEN

    CORPORATE DIRECTOR

    Since since 07/01/2022

    Individual
  • FRITZ, JOHN

    CORPORATE DIRECTOR

    Since since 07/01/2022

    Individual
  • GOLZ, HEIDI

    CORPORATE DIRECTOR

    Since since 07/01/2018

    Individual
  • HERMAN, MICHAEL

    CORPORATE DIRECTOR

    Since since 07/01/2022

    Individual
  • INMAN, RICHARD

    CORPORATE DIRECTOR

    Since since 07/01/2018

    Individual
  • JENSEN, PAULA

    CORPORATE DIRECTOR

    Since since 07/01/2023

    Individual
  • KERKVLIET, MARIETTA

    CORPORATE DIRECTOR

    Since since 07/01/2018

    Individual
  • LEFEBVRE, ADAM

    CORPORATE DIRECTOR

    Since since 07/01/2018

    Individual
  • PANOWICZ, KATHLEEN

    CORPORATE DIRECTOR

    Since since 07/01/2014

    Individual
  • REYNEN, DIANA

    CORPORATE DIRECTOR

    Since since 07/01/2016

    Individual
  • SEYER, THOMAS

    CORPORATE DIRECTOR

    Since since 07/01/2016

    Individual
  • WOBST, GARRET

    CORPORATE DIRECTOR

    Since since 07/01/2018

    Individual
  • BJERKNES, DANIEL

    CORPORATE OFFICER

    Since since 08/15/2022

    Individual
  • DOVER, JAMES

    CORPORATE OFFICER

    Since since 10/23/2023

    Individual
  • LAUTT, JULIE

    CORPORATE OFFICER

    Since since 03/01/2020

    Individual
  • SCHUTZ, AMANDA

    CORPORATE OFFICER

    Since since 07/01/2018

    Individual
  • WICKERSHAM, MARY

    CORPORATE OFFICER

    Since since 07/01/2018

    Individual

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