NursingHomeGrade

Avera Eureka Health Care Center

202 J AVENUE, EUREKA, SD 57437

Operator

AVERA HEALTH · 11 facilities

Provider number (CCN)
435078
Certification
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified beds
56
Phone
(605) 284-2145
CMS data as of
September 1, 2026
A
▲
improving

Staffing 0% · Deficiencies -40% over tracking period

What the records show

CMS rates Avera Eureka Health Care Center 4 out of 5 stars overall, with 4 of 5 for health inspections, 4 of 5 for staffing, 4 of 5 for quality measures. Federal inspectors cited 10 health deficiencies across the last three survey cycles, most recently surveyed in 2026, 1 at actual-harm level or higher. CMS enforcement records list 1 fine totalling $12,252.

Facility Assessment Inspectors recorded 1 citation at the actual-harm level or worse in the last three survey cycles. This facility is on an upward trend: deficiencies have fallen by 40%. This facility is operated by AVERA HEALTH, which scores 24 points above the national average.

Reviews, Ratings and Official Records

This page reviews Avera Eureka Health Care Center using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.

At or above the 2024 benchmark — review the inspection and enforcement records below for the safety history behind the grade.

Ratings and Grade Breakdown

RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
 0.80 — At or above the repealed 0.55 hr benchmark

The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
Total 10
Outstanding 0
Actual harm or worse (G–L) 1
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
Overall: ★★★★☆ (4/5)
Health inspection: ★★★★☆ (4/5)
Quality: ★★★★☆ (4/5)
Staffing: ★★★★☆ (4/5)
NursingHomeGrade Score
 84/100

Loaded into NursingHomeGrade on October 19, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.

CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.

Staffing Compared With State and National Levels

This facility0.80 hrs
SD median0.76 hrs
National average0.69 hrs

Registered nurse turnover: 11.1% · Total nursing staff turnover: 32.5%

Staffing figures are the values CMS published in its file processed September 1, 2026, drawn from payroll-based journal reporting.

Inspection Records Covered

Source records: CMS Care Compare profile for provider 435078 ↗ · the federal files we load and when.

Inspection Deficiencies

Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).

1 actual harm issue found among 10 total deficiencies. 10 corrected.

Most recent inspection (June 11, 2026)

D Potential harm — isolated F0812 Status: Corrected

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

Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected July 26, 2026

E Potential harm — pattern F0700 Status: Corrected

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected July 26, 2026

E Potential harm — pattern F0578 Status: Corrected

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.

Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected July 13, 2026

Inspection cycle 2 (February 13, 2025)

F Potential harm — widespread F0880 Status: Corrected

Provide and implement an infection prevention and control program.

Infection Control Deficiencies — Deficient, Provider has date of correction, corrected March 14, 2025

F Potential harm — widespread F0812 Status: Corrected

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

Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected March 14, 2025

E Potential harm — pattern F0761 Status: Corrected

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected March 14, 2025

G Actual harm — isolated F0692 Status: Corrected

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected March 14, 2025

E Potential harm — pattern F0689 Status: Corrected

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

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected March 14, 2025

Inspection cycle 3 (October 19, 2023)

E Potential harm — pattern F0880 Status: Corrected

Provide and implement an infection prevention and control program.

Infection Control Deficiencies — Deficient, Provider has date of correction, corrected November 10, 2023

D Potential harm — isolated F0761 Status: Corrected

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected November 10, 2023

Fines and Enforcement Actions

Penalties CMS has imposed on this facility. A fine is a civil money penalty; a payment denial suspends Medicare or Medicaid payment for new admissions.

Date Action Amount or length
February 13, 2025 Fine $12,252

1 fine totalling $12,252.

Source: CMS Penalties file (dataset g6vv-u9sr).

Ownership and Contact Information

Facility name
Avera Eureka Health Care Center
Legal business name
AVERA ST LUKES
Address
202 J AVENUE, EUREKA, SD 57437
Phone
(605) 284-2145
Provider number (CCN)
435078
Ownership type
Non profit - Corporation
Operator
AVERA HEALTH · 11 facilities
Medicare/Medicaid certified since
May 2, 1994
Official record
CMS Care Compare profile ↗
Details verified against CMS data dated
September 1, 2026

The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.

How We Stay Independent

NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.

Learn about our data methodology →

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Sources and Methodology

The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.

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