Facility profile · CCN 435042
Avera Mother Joseph Manor Retirement Community
18 federal citations on record , and 2 federal enforcement actions totaling $20,612.
Record summary
Federal record · Q1 202618
Total citations
12
Last 3 years
3
Actual harm+
2
Federal penalties
$20,612
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
18 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 17, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Dec 17, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Dec 17, 2025 | F732 | Post nurse staffing information every day. | F | Standard |
| Dec 17, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard |
| Dec 17, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Dec 17, 2025 | F585 | 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 | Standard |
| Dec 17, 2025 | F578 | 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 | Standard |
| Aug 1, 2025 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Complaint |
| Jun 4, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Aug 28, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| May 16, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Aug 2, 2023 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Mar 23, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Mar 23, 2023 | F849 | 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. | D | Standard |
| Mar 23, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Mar 23, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Mar 23, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard |
| Mar 23, 2023 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $20,612 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 28, 2024 | Fine | $8,824 | — |
| Mar 23, 2023 | Fine | $11,788 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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