Quick answers
- Where is Avera Eureka Health Care Center?
- 202 J Avenue, Eureka, SD 57437, in Mc Pherson County, South Dakota.
- What is the phone number of Avera Eureka Health Care Center?
- (605) 284-2145, as listed by Medicare (CMS).
- What is the Medicare star rating of Avera Eureka Health Care Center?
- Medicare overall rating: 5 out of 5 stars (CMS data updated 2026-10-01).
- Has Avera Eureka Health Care Center been fined?
- Medicare lists 1 fine totaling $12,252.
- What did inspectors find at Avera Eureka Health Care Center?
- In its last three inspection cycles (October 19, 2023 to June 11, 2026), Medicare lists 10 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (October 19, 2023 to June 11, 2026), Avera Eureka Health Care Center had 10 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $12,252 in total (1 fine, the latest on February 13, 2025). Nurse staffing is 3.30 hours per resident per day; the South Dakota average is 3.86 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: June 11, 2026 — 3 health citations
Inspections in this cycle: June 11, 2026 (standard health inspection).
Show 3 citations (levels A to F, no actual harm)
F0578 Level E
“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.”
F0700 Level E
“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.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
Previous cycle: February 13, 2025 — 5 health citations
Inspections in this cycle: February 13, 2025 (standard health inspection).
F0692 Level G
“Provide enough food/fluids to maintain a resident's health.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 4 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0761 Level E
“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.”
Earlier cycle: October 19, 2023 — 2 health citations
Inspections in this cycle: October 19, 2023 (standard health inspection).
Show 2 citations (levels A to F, no actual harm)
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0761 Level D
“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.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (2)
K0100 Level B
“Meet other general requirements.”
K0291 Level C
“Install emergency lighting that can last at least 1 1/2 hours.”
Fines and payment denials
Total fines over about the last three years: $12,252 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| February 13, 2025 | Fine | $12,252 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | South Dakota | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.77 | 0.78 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.36 | 0.50 | 0.86 |
| Nurse aide hours per resident per day | 2.16 | 2.58 | 2.35 |
| Total nurse staff hours per resident per day | 3.30 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.65 | 3.28 | 3.43 |
| RN hours per resident per day on the weekend | 0.47 | 0.49 | 0.48 |
| Nursing staff turnover (per year) | 25.0% | 48.6% | 45.3% |
| RN turnover (per year) | 0.0% | 37.5% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.3 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 13 nursing homes: Avera Health.
Legal business name: Avera St Lukes.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Avera Health | Direct owner | 100% | January 1, 2008 |
| Avera Health | Management company (operational or managerial control) | NOT APPLICABLE | January 1, 2000 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 56 |
| Average residents per day | 49.9 |
| Takes part in | Medicare and Medicaid |
| Ownership | Non-profit – corporation |
| Group or chain (affiliated entity) | Avera Health |
| Legal business name | Avera St Lukes |
| First approved by Medicare/Medicaid | 1994-05-02 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 202 J Avenue, Eureka, SD 57437 |
| County | Mc Pherson County |
| State | South Dakota |
| Phone | (605) 284‑2145 |
| CMS Certification Number | 435078 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Ashley Medical Center Nursing Home22 mi · Ashley, ND · 5 of 5 stars
- Bowdle Nursing Home22 mi · Bowdle, SD · 2 of 5 stars
- Walworth County Care Center, Inc27 mi · Selby, SD · 5 of 5 stars
Nearest hospital emergency rooms
- Eureka Community Health Services - CAH0.0 mi · Eureka, SD · Critical Access Hospital
- Ashley Medical Center22 mi · Ashley, ND · Critical Access Hospital
- Bowdle Hospital - CAH22 mi · Bowdle, SD · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13