4513 SOUTH PRINCE OF PEACE PLACE, SIOUX FALLS, SD 57103
126 beds · Non profit - Church related Wheelchair accessible
CMS Provider #435066
Data updated: March 1, 2026
Overall Rating
★★★★★
Health Rating
★★★★★
Staffing Rating
★★★★★
Quality Rating
★★★★★
Daily nursing care
5.4 hrs/resident
Getting better
Inspection findings
13
More issues
Ownership changes
0
Non-profit, church-related ownership under the Avera Health chain.
Complaint trend
More complaints
Four complaint-related inspection findings in the most recent survey cycle.
Overall Rating
Health Inspection
Staffing Rating
Quality Rating
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This facility features high staffing volume and high staff retention rates relative to state averages, though recent public records show an increase in health inspection findings.
The data indicates that this facility maintains staffing levels significantly above both state and national averages. Records show 5.39 total hours of nursing care per resident per day, compared to the South Dakota average of 3.89 hours. Registered nurse care specifically is nearly double the state benchmark. Analysis of nursing stability shows a 27.7% annual turnover rate, which is considerably lower than the state average of 49.7%, and the facility uses almost no contract or agency staff (0.2%), which supports consistency of care. Weekend staffing levels show a 7.5% decrease compared to weekday levels, which is within a stable range relative to industry norms.
Despite high staffing metrics, inspection history reflects a recent decline in health compliance. The most recent survey identified 13 health findings, a sharp increase from the 2 findings recorded in the previous year. These findings included issues regarding the use of psychotropic medications, resident assessment accuracy, and one incident classified at a 'G' severity level, indicating actual harm to a resident. The facility currently holds a health inspection rating that is lower than the state average, though its quality measures in areas like short-term and long-term resident outcomes remain above average. No federal fines or payment denials have been issued in the most recent three-year period.
Registered nurse staffing levels of 1.38 hours per resident per day are 74% higher than the South Dakota state average of 0.80 hours.
The facility reported 27.7% total nursing staff turnover, which is significantly lower than the state average of 49.7%, indicating higher staff retention.
Inspection records show an increase from 2 health findings in 2024 to 13 findings in 2025, including one severity level G incident (actual harm).
This shows how the facility's federal ratings have changed over the past 24 months. Consistent high ratings suggest stable quality, while declining trends may warrant further investigation.
| Category | Apr 24 | Jun 24 | Aug 24 | Oct 24 | Dec 24 | Mar 25 | May 25 | Jul 25 | Nov 25 | Jan 26 | Mar 26 | Trend |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall | 5★ | 5★ | 5★ | 5★ | 5★ | 4★ | 5★ | 5★ | 3★ | 3★ | 3★ | |
| Staffing | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | 5★ | |
| Health | 3★ | 3★ | 3★ | 3★ | 3★ | 3★ | 3★ | 5★ | 2★ | 2★ | 2★ |
Staffing depth is the strongest predictor of care quality. Facilities routinely cut staff on evenings and weekends — the shifts when falls happen and call lights go unanswered.
RN Hours Specifically
State avg total staffing: 3.9 hrs/resident/day
1
administrator departed in past year
Some change27.7%
State avg: 49.7%
10.8%
State avg: 38.9%
0.2%
of nursing hours from contract/agency staff
Low — good continuitySource: PBJ data, 2025Q3
A facility's location matters — nearby hospitals, pharmacies, and public transit can make visits easier and ensure quick access to emergency care.
Walk Score
14
Car-Dependent
Transit Score
0
Minimal Transit
Median Income
$70,668
Median Home Value
$228,400
Poverty Rate
12.1%
Age 65+
14.9%
Median Age
36
Pop. Density
35,785/mi²
Median Rent
$907
Google reviews provide firsthand accounts from residents' families and visitors.
★★★★★
21 reviews
"My mother was a resident of long term care for over 3 years. As she aged and her health became worsemember , along with going blind, she was ignored by the staff quite often. Items of clothing, special candy, jewelry, knick knacks were removed from her room. When my sister found the nurse in the hallway, she asked if she could visit about mom. The nurse said she was busy with another patient and would come later. After waiting 2.5 HOURS, the nurse never came to my mother's room. I was told by a staff at POP that a new regulation was to not answer mom's light or go in her from from 6-7 p.m. because they were "understaffed" and it took two staff members to use the mechanical life to put mom in bed. This was filed as a complaint with the State of South Dakota. As mom was moving very close to death, we removed her from the nursing home because she was crying from pain. Although my mom contributed a significant amount when the POP hospice opened, she never got to use the facility. We moved her out to a Sanford hospice houses, where she was given immediate pain relief and loving care and she died peacefully in her sleep. The staff at POP only said they did not realize how close mom was to death. That alone is scary. If you love a friend or family member, do NOT leave them here. Everyday for 2 weeks when I was there in June, I heard "short staffed" every time I had a request. One of the nurses helping mom did not even realize she was blind and just placed her pills at the dinner table and told her to take them. I explained she was blind and the nurse in charged was very surprised! How can that occur that the nurse in charge of my mom didn't even know she was blind. I could give you many more horror stories, but will run out of space."
"If I could rate below a one, I would. My mother was staying in POP ,4/27 to 5/27. My mother had suffered a fall,as a result of a stroke. During her stay, she had fell...in the bathroom. NO ONE responded to her alert. She was discovered by my Father, who had come to visit. She had been laying in the bathroom for 30 +minutes or more. AFTER my Father discovered her per his morning visit. Returned her to her bed, showered himself, still had to look for a nurse. The nurse came into the room, after pulling herself off of her phone, to berate my Mother in front of my Father. After discussing with the Administrator Justin, she was eventually turned down for continues care. "Too much of a risk". This women was sent home, and fell a few weeks later.. and was again denied treatment. Rest assured we are taking this to a State level. Beware, of your loved ones in this facility."
"Just called to ask for information on the facility and the person hung up on me in frustration.. not sure if I will seek any more information."
"This is for the Rehab facility. I found Avera POP to truly be the best caregiver in the area. As with all centers, there will be an occasional employee who cares little for their job, but it was very minimal here. Moreover, the PT staff was quite engaged in seeking recovery and there are attempts made to give people interaction. The social worker was significantly below expectation in setting up a forward plan, using facilities and bringing forth options and thus I'm taking away one star, but the overall facility is quality."
"My Dad was in the rehab unit (after knee replacement surgery) at Prince of Peace, from 11/04/2021-11/11/2021, when he passed away. 1. On one occasion my Dad called my Mom to ask her to call the nurses station as he believed his call button was not working. He had pushed it 25 minutes before and no one was answering. He was needing to use the restroom. My Mom called the nurses station and someone told her that they were delivering meals and someone would check on him shortly? Later when she got to the facility, she had them check his call button to make sure it was working, and it was. 2. On a separate occasion my Mom arrived at my Dad's room to find him asleep on the toilet. Unassisted. No one knew why he was left alone? 3. My Dad had below the knee compression socks, but was prescribed above the knee compression socks due to severe swelling on his knee. He was there for 1 week and never recieved the above the knee socks. My Mom had to tell them daily to put on his compression socks he had, as per doctor's orders, to keep the swelling down and prevent blood clots. I would NOT recommend this facility for rehab. My Dad was in amazing health and the knee surgery was so he could continue to live his life doing the things he loved, fishing, gardening, hunting and spending time with his family. His mind was very sharp! He was on minimal medications. He made it through the surgery, but not the rehab? I believe he passed away from a blood clot."
"I've seen drunk employees on shift several different times and it's been different people each time while I've been there visiting family. Strong smell of vodka on one of the staff members nearly made me sick. Saw one employee stumbling in the parking lot."
"I have met the administrator and director of nursing, as well as other staff members; they are so nice and want to continue to make this already wonderful facility better! I’m glad to be apart of their growth!"
"I’ve been looking for a home to put my grandma in and Kim who does admissions won’t call back. called 3 times within 2 weeks and never once got a call back. Whoever answered the phone both times did not sound like she was even happy to be at work. so disappointed in Avera"
"VERY unprofessional, nurses are rude, don’t help the residents. LAZY. talk bad about the residents where EVERYONE can hear. Unbelievable."
"Don't send your loved ones here its restraint free facility and people fall out of bed the night shift are cruel and mean they refuse people's food the coordinator is vicious and sticks up for the staff"
Federal and state inspectors conduct regular surveys of every nursing home. Deficiencies listed here are problems found during those inspections.
| Date | Tag | Category | Description | Severity | Corrected | Type | IC |
|---|---|---|---|---|---|---|---|
| 11/6/2025 | 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Minimal harm | 1/22/2026 | Complaint | |
| 11/6/2025 | 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Minimal harm | 1/22/2026 | Complaint | |
| 8/21/2025 | 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | Minimal harm | 10/4/2025 | Standard | |
| 8/21/2025 | 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Actual harm | 10/4/2025 | Standard | |
| 8/21/2025 | 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Minimal harm | 10/4/2025 | Standard | |
| 8/21/2025 | 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | Minimal harm | 10/4/2025 | Standard | |
| 8/21/2025 | 0761 | Pharmacy Service Deficiencies | 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. | Actual harm | 10/4/2025 | Standard | |
| 8/21/2025 | 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Actual harm | 10/4/2025 | Standard | |
| 8/21/2025 | 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | Actual harm | 10/4/2025 | Standard | |
| 8/21/2025 | 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | Actual harm | 10/4/2025 | Standard |
When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.
No penalties or fines recorded for this facility.
Ownership structure and changes can affect facility quality.
Facilities in Chain
12
Chain Avg Rating
3.7 ★
Years Operating
33
| Owner Name | Type | Role | Ownership % | Association Date |
|---|---|---|---|---|
| AVERA HEALTH | Organization | — | 100% | 6/15/1992 |
| AVERA HEALTH | Organization | — | — | 6/15/1992 |
| PLACE, RONALD | Individual | — | — | 6/5/2023 |
| BIEGLER, JOSEPH | Individual | — | — | 7/1/2016 |
| BUNKERS, JENNIFER | Individual | — | — | 7/1/2021 |
| CHRYSTAL, CANDYCE | Individual | — | — | 7/1/2023 |
| COSTELLO, JOSEPH | Individual | — | — | 7/1/2017 |
| CURRAN, MARY | Individual | — | — | 7/1/2015 |
| FISHBACK, VAN | Individual | — | — | 7/1/2018 |
| GORDON, JEFFREY | Individual | — | — | 7/1/2023 |
| HILL JENSEN, CRISTINA | Individual | — | — | 7/1/2018 |
| KALLEMEYN, BRENDA | Individual | — | — | 7/1/2023 |
| KIRBY, JENNIFER | Individual | — | — | 7/1/2020 |
| KNECHT, RANDY | Individual | — | — | 7/1/2018 |
| KNUTSON, LAURIE | Individual | — | — | 7/1/2017 |
| NAZIR, JAWAD | Individual | — | — | 7/1/2020 |
| RAMIREZ, ALEJANDRO | Individual | — | — | 7/1/2016 |
| REINDL, ALISA | Individual | — | — | 7/1/2021 |
| SEIFERT, ROXANNE | Individual | — | — | 7/1/2022 |
| SOLOMON, BENJAMIN | Individual | — | — | 7/1/2022 |
| WELBIG, LUCILLE | Individual | — | — | 7/1/2014 |
| YOCUM, HARRIET | Individual | — | — | 7/1/2021 |
| LAUTT, JULIE | Individual | — | — | 3/1/2020 |
| PLACE, RONALD | Individual | — | — | 6/5/2023 |
| SUTTON, BOBBY | Individual | — | — | 6/18/2018 |
| HINKER, JUSTIN | Individual | — | — | 7/21/2008 |
| AVERA HEALTH | Organization | — | 100% | 6/15/1992 |
| AVERA HEALTH | Organization | — | — | 6/15/1992 |
| PLACE, RONALD | Individual | — | — | 6/5/2023 |
| BIEGLER, JOSEPH | Individual | — | — | 7/1/2016 |
| BUNKERS, JENNIFER | Individual | — | — | 7/1/2021 |
| CHRYSTAL, CANDYCE | Individual | — | — | 7/1/2023 |
| COSTELLO, JOSEPH | Individual | — | — | 7/1/2017 |
| CURRAN, MARY | Individual | — | — | 7/1/2015 |
| FISHBACK, VAN | Individual | — | — | 7/1/2018 |
| GORDON, JEFFREY | Individual | — | — | 7/1/2023 |
| HILL JENSEN, CRISTINA | Individual | — | — | 7/1/2018 |
| KALLEMEYN, BRENDA | Individual | — | — | 7/1/2023 |
| KIRBY, JENNIFER | Individual | — | — | 7/1/2020 |
| KNECHT, RANDY | Individual | — | — | 7/1/2018 |
| KNUTSON, LAURIE | Individual | — | — | 7/1/2017 |
| NAZIR, JAWAD | Individual | — | — | 7/1/2020 |
| RAMIREZ, ALEJANDRO | Individual | — | — | 7/1/2016 |
| REINDL, ALISA | Individual | — | — | 7/1/2021 |
| SEIFERT, ROXANNE | Individual | — | — | 7/1/2022 |
| SOLOMON, BENJAMIN | Individual | — | — | 7/1/2022 |
| WELBIG, LUCILLE | Individual | — | — | 7/1/2014 |
| YOCUM, HARRIET | Individual | — | — | 7/1/2021 |
| LAUTT, JULIE | Individual | — | — | 3/1/2020 |
| PLACE, RONALD | Individual | — | — | 6/5/2023 |
| SUTTON, BOBBY | Individual | — | — | 6/18/2018 |
| HINKER, JUSTIN | Individual | — | — | 7/21/2008 |
Recent news articles, lawsuits, and media coverage mentioning this facility.
No recent news coverage found for this facility.
Data updated: March 1, 2026 · CMS, OSCAR, state inspection records
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