Avera Rosebud Country Care Center sits in Gregory, South Dakota, and has operated for over 44 years as a nonprofit, church-related nursing home, owned by Avera McKennan and managed by Gregory Nursing Homes, and sits inside a hospital which makes access to care easier. The place has 42 licensed beds and serves both Medicare and Medicaid residents, with 36 people living in certified beds and a total of 40 residents at present, and it has skilled nursing, memory care for Alzheimer's and dementia, independent living, and adult daycare as care choices. The place gets an overall rating of 4 and holds a 3.8 out of 5 star Medicare rating, with a health inspection rating and QM rating of 3, and a staffing rating of 4, and posts no fines or penalties, though it was called a special focus facility after two survey cycles in which inspectors saw nine deficiencies the first time and a lower health deficiency score the second, dropping from 52 to 12, so there's some history but efforts to improve clearly happened over time.
Nursing staff put in an average of 3.92 hours per resident each day, with registered nurses covering 1.11 hours and CNAs 2.81 hours, and the RN staffing rating comes in at 5, so staff levels match or beat state averages. The center's skilled nursing covers help with daily activities like bathing, dressing, and moving, as well as medication management and special help for diabetes, colostomy, and catheter care, with physical, occupational, and speech therapy as part of rehab if needed, plus dialysis and heart care for those who qualify. Rooms come furnished and have cable TV, wifi, and regular housekeeping, while on-site amenities include a dining room with all-day meals, a small library, computers, salon, garden, outdoor space with walking paths, a pool, and guest parking, along with a 24-hour call system for emergencies and professional oversight.
Programming is steady, with scheduled activities like off-site outings, book clubs, movie nights, daily exercise, wellness classes, and both community-sponsored and resident-run groups to bring people together, and those who want can join spiritual or religious gatherings, with churches like St Joseph's Catholic and others nearby for visits. The clothing options show staff's attention to needs, since they provide easy-to-wear clothes-tops, pants, skirts, undergarments, special sleepwear, and items with open backs and assisted dressing styles for those who have trouble moving, and they've got mobility-friendly choices for wheelchair users. There aren't resident or family councils reported, but staff help with care planning, mental health support, and social services, and families can join in through outreach and education programs.
The property's location in a hospital supports quick medical care and connects residents to lab, pharmacy, and physician services, with on-site therapy and outpatient rehab available as health needs change. Emergency sprinklers cover all required areas and safety is a focus, while the nonprofit status and long local history make the facility steady and rooted in the community. Avera Rosebud Country Care Center accepts both Medicaid and Medicare, offers training for caregivers, and keeps up with current practices in senior care. It's a place for those who need skilled nursing in a homelike space, with a focus on supporting older adults across several levels of need.
