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Complaint Investigation

Avera Oahe Manor

September 4, 2025 · Gettysburg, SD · 700 E Garfield
Citations 1
CMS Rating 1/5
Beds 53
Provider ID 43A113
Healthcare Facility
Avera Oahe Manor
Gettysburg, SD  ·  View full profile →
Inspection Summary

AVERA OAHE MANOR in GETTYSBURG, SD — inspection on September 4, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0658
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

be completed as below, in addition to vital signs.-Initially after the fall, every 30 minutes times two, every four hours times four, and daily times seven.

Review of the provider's February 2024 Fall Evaluation and Injury Prevention policy revealed:* Resident fall.-c.

Assessment of the resident will continue at least every shift for the next 72 hours.--a.

Reassessments should include vital signs, neurological assessments, review of systems as well as worsening or improving symptoms as well as any treatment provided.-d. If the resident hit their head or the fall was unwitnessed and the resident is not able to communicate if they hit their head, staff will complete the Neurological Assessment-LTC [long-term care] at least every 4 hours x [times] 4 then daily x 72 hours.

Facility ID:

43A113

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GETTYSBURG, SD, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from AVERA OAHE MANOR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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