Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Avera Eureka Health Care Center during CMS and state inspections, most recent first.
A resident with Dupuytren's contracture, anorexia, and other health issues experienced significant weight loss due to inadequate nutritional care. The facility failed to provide necessary adaptive silverware and consistent meal assistance, despite recommendations. Nutritional interventions were not effectively implemented, and there was confusion among staff about the resident's inclusion in the enhanced food program. Additionally, timely physician notification of weight changes was not ensured, contributing to the deficiency.
The facility failed to maintain proper food storage and sanitation practices, with items improperly stored under the food preparation sink, inadequate documentation for dishwasher sanitation, and inconsistent testing of sanitation levels. Staff did not follow proper food handling processes, and resident refrigerators were not consistently monitored for temperature, leading to expired food being found. The facility's policies on food safety and sanitation were not adhered to.
A LTC facility failed to follow infection prevention practices, including improper use of PPE for residents on enhanced barrier precautions, inadequate nebulizer tubing changes, and poor hand hygiene. Observations revealed unclean multi-use items in the beauty shop and tub room, and vital signs equipment was not disinfected between uses. Staff interviews confirmed gaps in training and adherence to facility policies.
The facility failed to properly store hazardous products and sharp objects in the beauty shop, leaving them accessible to residents. The beauty shop door was left open and unattended, with various products labeled as flammable or irritants stored in unsecured cupboards. A resident was observed looking into the open beauty shop before being redirected by staff. The DON was unsure who was responsible for maintaining the beauty shop's safety, and the facility's storage policy did not cover this area.
The facility failed to properly identify, reconcile, and secure scheduled controlled medications. Observations revealed a lack of reconciliation records for these medications, except for PRN controlled medications and Fentanyl patches. Interviews with staff, including the DON and consultant pharmacist, confirmed that scheduled controlled medications were not consistently tracked, and the EMR system did not automatically reconcile them. Nurses had to manually check medication bubble packs to identify residents receiving these medications, contrary to the facility's policy.
Deficiency in Nutritional Care for Resident with Significant Weight Loss
Penalty
Summary
The report identifies a deficiency in the nutritional care provided to a resident at risk of significant weight loss. The resident, who has a history of Dupuytren's contracture, anorexia, chronic kidney disease, diabetes, and Alzheimer's Dementia, was observed struggling to eat independently due to his physical limitations. Despite recommendations for an occupational therapy evaluation for adaptive silverware, this was not completed due to the unavailability of an occupational therapist. The resident's care plan indicated he was independent with eating, but observations showed he required assistance, which was not consistently provided. The facility failed to implement and monitor nutritional interventions effectively. The resident experienced significant weight loss over several months, dropping from 134 pounds to 117 pounds. Although the registered dietitian noted the weight loss and recommended nutritional supplements and an enhanced food program, these interventions were not consistently applied. The resident was not always provided with the necessary dietary supplements, and there was confusion among staff about whether he was on the enhanced food program. Communication and policy adherence issues were also evident. The facility's policies required timely physician notification of significant weight changes, but there was uncertainty among staff about who was responsible for this task. The resident's weight loss was not promptly communicated to the physician, and the facility's reweigh policy was not consistently followed. Additionally, the resident's dietary needs, such as the provision of adaptive silverware and consistent meal assistance, were not adequately addressed, contributing to the deficiency in care.
Deficiencies in Food Storage and Sanitation Practices
Penalty
Summary
The facility failed to maintain proper food storage and sanitation practices in the kitchen, as observed during a survey. Items were improperly stored under the food preparation sink, including a green bucket with an unknown black liquid, a rusted pie plate, and various kitchen utensils. Additionally, the facility did not maintain adequate documentation for the cleaning and sanitation of the dishwasher, with missing records for chemical concentrations and cleaning logs over several days. The facility also lacked a process to test and document sanitation levels in sanitation buckets, which were used to wipe surfaces in the kitchen. Observations revealed that staff did not consistently test the chemical concentration of the sanitizing solution, and there was no log to document these concentrations. Furthermore, refrigerator and freezer temperatures were not consistently documented, with several days missing records, and food temperatures were not measured or documented prior to serving. During meal services, proper food handling processes were not followed by CNAs and dietary staff. Staff were observed using gloves inappropriately, such as not changing gloves between tasks or failing to perform hand hygiene. Additionally, resident refrigerators were not consistently monitored for temperature, and expired food was found in some refrigerators. The facility's policies on food safety and sanitation were not adhered to, contributing to these deficiencies.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to adhere to infection prevention practices, as evidenced by multiple observations and interviews. A resident on enhanced barrier precautions did not have the required personal protective equipment (PPE) used by staff during care. Specifically, an LPN did not wear a gown while changing a dressing, and hand hygiene was not performed after glove removal. Another resident with a pressure ulcer was not placed on enhanced barrier precautions, and staff did not wear gowns during wound care or other personal care activities. Additionally, the facility did not follow its policy for nebulizer tubing changes. A resident's nebulizer set was not replaced as required, and documentation discrepancies were noted regarding the tubing change. The facility's beauty shop and tub room were found to have improperly stored and unclean multi-use items, with visibly soiled containers and equipment. Staff interviews revealed inappropriate cleaning practices, such as using alcohol pads instead of the recommended disinfectant wipes. Hand hygiene and equipment disinfection were also inadequate. An RN was observed placing supplies on a soiled surface without cleaning it or using a barrier, and vital signs equipment was not disinfected between resident uses. The infection preventionist confirmed gaps in staff training and monitoring, and the facility's policies on enhanced barrier precautions, hand hygiene, and equipment disinfection were not consistently followed.
Improper Storage of Hazardous Materials in Beauty Shop
Penalty
Summary
The facility failed to ensure the proper storage of hazardous products and sharp objects in the beauty shop, leading to potential accident hazards. During an observation, it was noted that the beauty shop door was open and unattended, with various beauty products and supplies stored in unsecured cupboards and drawers. These products included items with warning labels indicating they should be kept out of reach of children, were flammable, or could cause irritation. Additionally, cutting scissors were found in an unsecured drawer, accessible to residents. A specific incident involved a resident who was observed looking into the open beauty shop door before being redirected by staff to the dining room. The Director of Nursing (DON) was interviewed and revealed uncertainty about who was responsible for maintaining the beauty shop's safety, suggesting it might be the activities department. The facility's storage policy did not cover the beauty shop or resident environment areas, indicating a lack of clear guidelines for the safe storage of hazardous materials in these areas.
Deficiency in Controlled Medication Management
Penalty
Summary
The facility failed to establish and maintain a process to accurately identify, reconcile, and appropriately secure and store scheduled controlled medications. During an observation and interview, it was revealed that the medication storage room used a keyless lock entry system, and two medication carts were stored inside. These carts contained drawers with residents' individualized medication cards and stock medications, including scheduled controlled medications. However, there were no reconciliation or tracking records for these scheduled controlled medications, except for PRN controlled medications and Fentanyl patches. Interviews with the Director of Nursing (DON) and other staff members highlighted a lack of reconciliation and tracking for scheduled controlled medications. The DON admitted that while PRN controlled medications were tracked, scheduled controlled medications were not. The process required two nurses to count and reconcile these medications each shift, but this was not consistently followed. Additionally, the consultant pharmacist confirmed that the facility did not have reconciliation records for scheduled controlled medications, and the responsibility for monitoring these medications was left to the nurses. Further interviews and observations revealed that the facility's electronic medical record (EMR) system did not automatically reconcile scheduled controlled medications, and there was no report available to identify residents with ordered controlled medications. Nurses had to manually check each medication bubble pack to identify residents receiving scheduled controlled medications. The facility's policy required controlled substances to be properly acquired, stored, and reconciled, but these procedures were not adequately implemented, leading to the deficiency.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Eureka
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ashley Medical Center Nursing Home | 22.1 mi | ★★★★★ | 0 | 0 |
| Bowdle Nursing Home | 22.1 mi | ★★★★★ | 0 | 0 |
| Walworth County Care Center, Inc | 27 mi | ★★★★★ | 6 | 0 |
| Wishek Living Center | 33.8 mi | ★★★★★ | 0 | 0 |
| Strasburg Nursing Home | 36.6 mi | ★★★★★ | 6 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.