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Nursing homes / skilled nursing facilities

Avera Oahe Manor

Gettysburg, SD, 57442

700 E Garfield

Telephone 6057652461

CMS certification number (CCN) 43A113

Ownership, as reported by CMS: Non profit - Corporation

Last verified: 2026-09-29

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Professional snapshot

What am I walking into if I work here? CareRecon shows the evidence. You make the decision.

Facility scale

Certified beds
53
Average number of residents per day
35.4

Measurement period: 2026-01-01 through 2026-03-31

Workforce hours

Reported total nurse staffing hours per resident per day
3.49949

Measurement period: 2026-01-01 through 2026-03-31

Reported RN hours per resident per day
0.61622

Measurement period: 2026-01-01 through 2026-03-31

Reported LPN hours per resident per day
0.86958

Measurement period: 2026-01-01 through 2026-03-31

Reported nurse aide hours per resident per day
2.01370

Measurement period: 2026-01-01 through 2026-03-31

Weekend RN hours and weekend total nurse hours are listed in the workforce section, not in this snapshot.

Stability

Total nursing staff turnover
43.8

Measurement period: 2025-01-01 through 2025-12-31

RN turnover
28.6

Measurement period: 2025-01-01 through 2025-12-31

Administrators who left
0

Measurement period: 2025-01-01 through 2025-12-31

CMS regulatory history is in this record. It is listed below as separate inspections, deficiencies, penalties, and survey summaries. This is not a regulatory score.

Provider Information processing date: 2026-08-01. The Provider Information processing date is separate from the staffing period and the turnover period.

Source: CMS Provider Information (4pq5-n9py). Periods above are the stored measurement dates, not the processing date.

“Not reported in this source” is not zero, not none, and not a finding about this facility.

Workforce snapshot

These are reported hours per resident per day, not nurse-to-patient ratios.

“Not reported in this source” is not zero, not none, and not a finding about this facility.

Census

Certified beds
53

Why this may matter

Bed count reported for this nursing home on the CMS snapshot.

Number of certified beds on the CMS Provider Information file. This is not available beds and not a daily census.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-29; CMS processing date 2026-08-01

Average number of residents per day
35.4

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Resident census CMS used with the staffing hours for this period.

CMS census for the staffing measurement period. This is not current occupancy and not available beds.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-29; CMS processing date 2026-08-01

Reported hours

Reported total nurse staffing hours per resident per day
3.49949

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Workload context for total nurse staffing during this period.

CMS reported total nurse staffing hours per resident per day. This is not a nurse-to-patient ratio.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-29; CMS processing date 2026-08-01

Reported RN hours per resident per day
0.61622

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Workload context for registered-nurse staffing during this period.

CMS reported registered-nurse staffing hours per resident per day. This is not a nurse-to-patient ratio.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-29; CMS processing date 2026-08-01

Reported LPN hours per resident per day
0.86958

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Workload context for LPN staffing during this period.

CMS reported LPN staffing hours per resident per day. This is not a nurse-to-patient ratio.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-29; CMS processing date 2026-08-01

Reported nurse aide hours per resident per day
2.01370

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Workload context for nurse aide staffing during this period.

CMS reported nurse aide staffing hours per resident per day. This is not a nurse-to-patient ratio.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-29; CMS processing date 2026-08-01

Reported RN hours per resident per day on the weekend
0.41412

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Weekend workload context for registered-nurse staffing during this period.

CMS reported weekend registered-nurse hours per resident per day. This is not a nurse-to-patient ratio.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-29; CMS processing date 2026-08-01

Reported total nurse staff hours per resident per day on the weekend
3.02856

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Weekend workload context for total nurse staffing during this period.

CMS description for this column is “Total number of nurse staff hours per resident per day on the weekend.” The API column name is truncated. This is not a nurse-to-patient ratio.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-29; CMS processing date 2026-08-01

Workforce stability

Historical measures give context and do not predict an individual’s experience.

Administrators who left is a count, not a turnover rate.

“Not reported in this source” is not zero, not none, and not a finding about this facility.

Total nursing staff turnover
43.8

Measurement period: 2025-01-01 through 2025-12-31

Why this may matter

CMS-reported nursing staff turnover for this period, as staffing-stability context.

Turnover figure CMS reported for the turnover period. CareRecon does not recalculate it and does not treat it as a rating.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-29; CMS processing date 2026-08-01

RN turnover
28.6

Measurement period: 2025-01-01 through 2025-12-31

Why this may matter

CMS-reported RN turnover for this period, as staffing-stability context.

RN turnover figure CMS reported for the turnover period. CareRecon does not recalculate it and does not treat it as a rating.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-29; CMS processing date 2026-08-01

Administrators who left
0

Measurement period: 2025-01-01 through 2025-12-31

Why this may matter

How many administrators CMS counted as having left during the turnover period.

Count of administrators CMS reports as having left the nursing home. This is not a turnover rate.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-29; CMS processing date 2026-08-01

Regulatory history

Inspections, health deficiencies, fire-safety findings, survey-summary counts, and penalties are separate CMS records. A deficiency is not proof of ongoing unsafe conditions. A penalty is not a deficiency. An inspection is not a deficiency.

A complaint-survey mark means CMS reported that the deficiency came from a complaint survey. It does not say the complaint was substantiated. Standard survey is shown only when CMS reported yes or no for that deficiency.

Inspections

Survey dates and survey types reported by CMS. An inspection date is not a deficiency.

  • Health Complaint · 2025-09-04

    Survey cycle 1

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Health Standard · 2025-07-31

    Survey cycle 1

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Fire Safety Standard · 2024-01-25

    Survey cycle 1

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Health Standard · 2024-01-25

    Survey cycle 2

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Fire Safety Standard · 2022-12-07

    Survey cycle 2

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Health Standard · 2022-12-07

    Survey cycle 3

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Fire Safety Standard · 2021-07-15

    Survey cycle 3

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

Health deficiencies

Health citations from the CMS health deficiencies file. A deficiency is not proof of ongoing unsafe conditions.

  • Tag 0658 · 2025-09-04

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

    • Survey type: Health
    • Scope and severity code: D
    • Complaint survey: Yes
    • Standard survey: No
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2025-10-10

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0657 · 2025-07-31

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    • Survey type: Health
    • Scope and severity code: E
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2025-08-28

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0658 · 2025-07-31

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

    • Survey type: Health
    • Scope and severity code: D
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2025-09-03

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0689 · 2025-07-31

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

    • Survey type: Health
    • Scope and severity code: D
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2025-08-28

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0727 · 2025-07-31

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    • Survey type: Health
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2025-08-28

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0880 · 2025-07-31

    Provide and implement an infection prevention and control program.

    • Survey type: Health
    • Scope and severity code: E
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2025-09-02

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0550 · 2024-01-25

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    • Survey type: Health
    • Scope and severity code: D
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2024-03-10

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0655 · 2024-01-25

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    • Survey type: Health
    • Scope and severity code: E
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2024-03-10

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

Showing the 8 most recent rows in this snapshot. 9 rows are indexed.

Fire-safety findings

Fire-safety citations. These are not health deficiencies.

  • Tag 0321 · 2024-01-25

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    • Survey type: Fire Safety
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2024-03-08

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0241 · 2022-12-07

    Have correct number of accessible exits for each story.

    • Survey type: Fire Safety
    • Scope and severity code: C
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Fire Safety Evaluation Survey
    • Correction date: 2023-01-25

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0293 · 2022-12-07

    Have properly located and lighted "Exit" signs.

    • Survey type: Fire Safety
    • Scope and severity code: C
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2023-01-09

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0916 · 2022-12-07

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    • Survey type: Fire Safety
    • Scope and severity code: D
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2023-01-25

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0241 · 2021-07-15

    Have correct number of accessible exits for each story.

    • Survey type: Fire Safety
    • Scope and severity code: C
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Fire Safety Evaluation Survey
    • Correction date: 2021-09-03

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0324 · 2021-07-15

    Provide properly protected cooking facilities.

    • Survey type: Fire Safety
    • Scope and severity code: D
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2021-07-15

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

Survey summary

Category totals from the CMS survey summary. These counts are not the citation list.

  • Inspection cycle 1

    Counts from the CMS survey summary. A count is not a citation narrative.

    • Health survey date: 2025-07-31
    • Fire-safety survey date: 2024-01-25
    • Health deficiencies in this survey summary: 6
    • Fire-safety deficiencies in this survey summary: 1
    • Infection-control deficiencies in this survey summary: 1

    Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Inspection cycle 2

    Counts from the CMS survey summary. A count is not a citation narrative.

    • Health survey date: 2024-01-25
    • Fire-safety survey date: 2022-12-07
    • Health deficiencies in this survey summary: 3
    • Fire-safety deficiencies in this survey summary: 3
    • Infection-control deficiencies in this survey summary: 0

    Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Inspection cycle 3

    Counts from the CMS survey summary. A count is not a citation narrative.

    • Health survey date: 2022-12-07
    • Fire-safety survey date: 2021-07-15
    • Health deficiencies in this survey summary: 0
    • Fire-safety deficiencies in this survey summary: 2
    • Infection-control deficiencies in this survey summary: 0

    Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.

Job openings, pay, shifts, satisfaction, reviews, and workplace scores are not in this record. That is a limit of the catalog, not a finding about this facility.

Where this data came from

Source
CMS
Dataset
Provider Information
Last verified
2026-09-29
CMS dataset modified
2026-08-01

Last verified is when CareRecon last included this facility in a successful CMS import. It is not a CMS endorsement of CareRecon. Empty sections are omitted. Missing source values are not shown as “no” or “not offered.”

About the data

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