Home›South Dakota›Gregory County›Avera Rosebud Country Care Center
A
Very Good

Avera Rosebud Country Care Center

126 S LOGAN AVE · GREGORY, SD 57533

6058358296 · Non profit - Corporation

30 beds29.6 residents71 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A+
Excellent
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Avera Rosebud Country Care Center receives an overall staffing grade of A (Very Good). With 4.7153 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.82 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 21.21% compared to weekdays. The facility relies heavily on temporary agency staff (16.52% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

⚠️16.52% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.7153hrs/resident/day▲ 0.82
CMS benchmark: 3.48
RN HPRD
1.1485hrs/resident/day▲ 0.47
Recommended: 0.75
Weekend Drop-off
21.21%
5.016 weekday → 3.952 weekend
⚠ Significant weekend reduction
Agency Staff
16.52%
19.37% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.6265hrs/resident/day
Direct care aides
LPN HPRD
0.5636hrs/resident/day
Licensed practical nurses
Consistency
0.6353std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Gregory County Average+0.00 HPRD
4.72
04.72 HPRD
vs. South Dakota State Average+0.89 HPRD
3.83
04.72 HPRD
vs. National Average+0.82 HPRD
3.90
04.72 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Avera Rosebud Country Care Center ★
GREGORY · This facility
—
A
4.71531.1485★★★★☆
WINNER REGIONAL HEALTHCARE CENTER
WINNER
23.4 mi
B
4.7550.5704★★☆☆☆
Platte Care Center
PLATTE
31.3 mi
C
3.36030.8966★★★★☆
SANFORD CHAMBERLAIN CARE CENTER
CHAMBERLAIN
38.8 mi
B
3.63340.8204★☆☆☆☆
LAKE ANDES SENIOR LIVING
LAKE ANDES
44.9 mi
C
3.14510.5703★☆☆☆☆
AURORA BRULE NURSING HOME INC
WHITE LAKE
49.4 mi
C
3.22610.5054★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
9
Total Deficiencies
$0
Fines Assessed
Feb 13, 2025Health
5 deficiencies cited
▼
Jan 23, 2024Health
2 deficiencies cited
▼
Oct 26, 2023Health
1 deficiency cited
▼
Aug 25, 2022Health
1 deficiency cited· Includes actual harm
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.