Avera Missouri River Health Center

Avera Missouri River Health Center, located in Gettysburg, SD, is a state-of-the-art 21,800-square-foot medical center dedicated to providing innovative healthcare close to home. As a seven-bed critical access hospital and clinic, we offer a leading-edge emergency department with telemedicine capabilities, a surgical suite, advanced imaging services, and a therapy gym. Our facility includes a meditation room and integrates Avera's telemedicine program, ensuring access to specialized expertise. Experience patient-centered care with a focus on safety, comfort, and optimal outcomes at Avera Missouri River Health Center.

Identifiers

Hospital Name Avera Missouri River Health Center
Facility ID 431302

Location

Address 606 EAST GARFIELD
City/Town Gettysburg
State SD
ZIP Code 57442
County/Parish POTTER

Health System

Health System Avera Health
Health System Website Domain avera.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 35
Health System Total Beds 1519
Health System Hospital Locations Iowa, Minnesota, Nebraska and South Dakota

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Avera Health
Emergency Services Yes

Rena Robbennolt

Administrator

Served as interim administrator since June 2024, becoming Administrator in September 2024. [2, 3] Experienced as a nurse practitioner with knowledge of the Potter County area. [3] Worked in healthcare since 1990, including roles at Avera St Luke's and Avera McKennan. [2, 3] Completed Master's in Nursing through SDSU. [2, 3] Moved to Gettysburg in 1996 to begin as a Certified Nurse Practitioner, serving patients in Gettysburg for 14 years and in Pierre for 12 years before returning to Avera Medical Group Gettysburg in 2022. [2, 3] Provides strategic direction and is accountable for the day-to-day operations of the hospital, clinic, and long-term care facilities in Gettysburg. [3]

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs No
Pediatric Residency Program No

Capacity & Services

Licensed Beds 7

Staffing & Personnel

FTE Employees on Payroll 48.28
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 507
Inpatient Days (Title XIX) 2
Total Inpatient Days 670
Bed Count 7
Available Bed Days 2555
Discharges (Title V) NA
Discharges (Title XVIII) 57
Discharges (Title XIX) 1
Total Discharges 80

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 144
Inpatient Days (Title XIX; Adults & Peds) 2
Total Inpatient Days (Adults & Peds) 193
Bed Count (Adults & Peds) 7
Available Bed Days (Adults & Peds) 2555
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 57
Discharges (Title XIX; Adults & Peds) 1
Total Discharges (Adults & Peds) 80

Quality Summary

Care Quality Stengths The hospital is average in every measured mortality rate Hospital has a low ER wait and treatment time of less than 2 hours
Care Quality Concerns NA

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients
Mortality Group – Death Rate for Heart Attack Patients
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients
Mortality Group – Death Rate for Heart Failure Patients
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients
Mortality Group – Pressure Ulcer Rate
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate
Mortality Group – Postoperative Respiratory Failure Rate
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate
Mortality Group – Postoperative Sepsis Rate
Mortality Group – Postoperative Wound Dehiscence Rate
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 117

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients Not Available
Readmission Score Hospital Return Days for Pneumonia Patients Not Available
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Not Available
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Not Available
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Not Available
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients Not Available
Readmission Score Heart Failure (HF) 30-Day Readmission Rate Not Available
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.6
Readmission Score Pneumonia (PN) 30-Day Readmission Rate Not Available
Readmission Group Hospital Return Days for Heart Attack Patients Not Available
Readmission Group Hospital Return Days for Heart Failure Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Pneumonia Patients Number of Cases Too Small
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Not Available
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Not Available
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Not Available
Readmission Group Rate of Readmission for CABG Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients Number of Cases Too Small
Readmission Group Heart Failure (HF) 30-Day Readmission Rate Number of Cases Too Small
Readmission Group Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate Number of Cases Too Small

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) NA
CAUTI SIR (Standardized Infection Ratio) NA
SSI SIR (Standardized Infection Ratio) NA
CDI SIR (Standardized Infection Ratio) NA
MRSA SIR (Standardized Infection Ratio) NA

Fiscal Period

Fiscal Year Begin Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $53
Bad Debt Expense $144
Uncompensated Care Cost $187
Total Uncompensated Care $266

Operating Expenses ($ thousands)

Total Salaries $5,067
Overhead Expenses (Non-Salary) $7,703
Depreciation Expense $917
Total Operating Costs $13,241

Charges ($ thousands)

Inpatient Charges $5,191
Outpatient Charges $8,475
Total Patient Charges $13,666

Wage-Related Details ($ thousands)

Core Wage Costs
Wage Costs (RHC/FQHC)
Adjusted Salaries
Contract Labor (Patient Care)
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $22
Short-Term Investments
Notes Receivable
Accounts Receivable $1,809
Allowance for Doubtful Accounts $-420
Inventory $121
Prepaid Expenses $30
Other Current Assets
Total Current Assets $2,465

Balance Sheet – Fixed Assets ($ thousands)

Land Value $325
Land Improvements Value $416
Building Value $14,563
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $2,800
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $11,622

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $10,455
Other Assets
Total Other Assets $10,455
Total Assets $24,542

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $232
Salaries & Wages Payable $204
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities $2
Total Current Liabilities $10,402

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities
Total Liabilities $10,402

Balance Sheet – Equity ($ thousands)

General Fund Balance $14,139
Total Fund Balances $14,139
Total Liabilities & Equity $24,542

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)
DRG (Post-Oct 1)
Outlier Payments
DSH Adjustment
Eligible DSH %
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $5,193
Outpatient Revenue $9,144
Total Patient Revenue $14,337
Contractual Allowances & Discounts $2,366
Net Patient Revenue $11,971
Total Operating Expenses $12,770
Net Service Income $-799
Other Income $1,132
Total Income $333
Other Expenses
Net Income $333

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $131
Medicaid Charges $213
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic
EHR Version EpicCare Inpatient (not Community Connect)
EHR is Changing Yes--In Process of Replacing

ERP Information

ERP Workday
ERP Version NA
EHR is Changing Yes--In Process of Replacing