Avera Prince Of Peace
AVERA PRINCE OF PEACE in SIOUX FALLS, SD — inspection on November 6, 2025.
Found 2 citations. 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.
Inspection Findings
Review of the provider's revised January 2024 admission Agreement Addendum for Residents admitted to Rehabilitation, Transitional Care, or Ventilator Units indicated:* By signing this admission Agreement Addendum, you are consenting to be transferred from the Unit when you have met the goals set out in the plan of care.
The determination will be made by an interdisciplinary care team that either: (i) your condition has improved to the point where you can be discharged from the Unit in accordance with your post-discharge plan of care; or (ii) your condition is such that you will no longer benefit from placement within, but require long-term residential care.*If we determine that you can be discharged from the Unit, both you and the Resident Representative consent to discharge from the Facility Unit and agree to fully cooperate with the Facility discharge planning staff in conjunction with your discharge.
You will receive advance notice of discharge regarding this decision along with a notice of termination of Medicare Part A benefits, if applicable.*If you can not [cannot] be safely discharged as you require long term residential care, the Facility will provide notification to both the Resident and Resident Representative and begin making referrals to other long term residential care facilities.
You and the Resident Representative consent to fully cooperate with the facility discharge planning staff in transferring to a long term residential care facility.
Resident and Resident Representative are advised and consent to such transfer understanding the long-term residential care facility may be outside the Sioux Falls area.*This Addendum is integrated into the admission Agreement of this same date.
Review of the provider's revised June 2024 LTC [Long Term Care] Transfer & [and] Discharge policy revealed:* It is the policy of this facility that each resident has the right to remain in the facility and not transfer or discharge a resident unless a transfer or discharge from the facility is:- The transfer or discharge is necessary for the resident's welfare and the resident's needs cannot be met in the facility;- The resident required immediate transfer or discharge based on the resident's urgent medical need.- The transfer or discharge is appropriate because the resident's health has improved sufficiently so that the resident no longer needs the services provided by the facility;- The safety of individuals in the facility is endangered due to the clinical or behavioral status of the resident;- The health of individuals in the facility would otherwise be endangered;- The resident has failed, after reasonable and appropriate notice, to pay for (or to have paid under Medicare or Medicaid) a stay at the facility .- The facility ceases to operate.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/06/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Avera Prince of Peace
4513 South Prince of Peace Place Sioux Falls, SD 57103
SUMMARY STATEMENT OF DEFICIENCIES
Review of the provider's revised June 2024 LTC [Long Term Care] Transfer & [and] Discharge policy revealed:*The objective of the transfer/discharge policy is to ensure that the resident is informed of an impending discharge and their right to appeal the discharge. *.The facility must provide notice of discharge to the resident and resident representative along with a copy of the notice to the Office of the State LTC Ombudsman at least 30 days prior to the discharge or as soon as possible.
The copy of the notice to the Ombudsman must be sent at the same time the notice is provided to the resident representative.*The notice contains information about the transfer and information about the resident's appeal rights.
The facility will assist the resident to obtain, complete and submit an appeal form at the resident's request.
Facility ID: