Avera Prince of Peace: Documentation Failures - SD
The nursing home's January 2024 admission agreement addendum required residents entering rehabilitation, transitional care, or ventilator units to sign documents stating they "consent to fully cooperate" with transfers to long-term care facilities that "may be outside the Sioux Falls area."
By signing the addendum, residents agreed in advance that an interdisciplinary care team could determine their condition no longer benefited from specialized unit placement and required long-term residential care elsewhere.
The agreement went further. It stated that if residents "cannot be safely discharged as you require long term residential care," the facility would begin making referrals to other facilities outside the city. Residents and their representatives had to "consent to such transfer understanding the long-term residential care facility may be outside the Sioux Falls area."
Federal regulations require nursing homes to provide proper notice and justification before any transfer or discharge. Residents have the right to appeal such decisions to the state.
The facility's own June 2024 transfer and discharge policy acknowledged residents' right to remain in the facility unless specific conditions are met, including when transfers are necessary for resident welfare or when their needs cannot be met at the current facility.
But the admission agreements circumvented these protections by securing consent before residents experienced any decline in condition or change in care needs.
The inspection found the facility's discharge conditions included standard regulatory language about resident welfare, safety concerns, and payment failures. However, the pre-signed consent agreements essentially waived residents' rights to challenge transfers, particularly when those moves would separate them from their Sioux Falls community.
Inspectors classified the violation as causing minimal harm with few residents affected.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Avera Prince of Peace from 2025-11-06 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
AVERA PRINCE OF PEACE in SIOUX FALLS, SD was cited for violations during a health inspection on November 6, 2025.
Residents have the right to appeal such decisions to the state.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.