CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in South Dakota. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Avantara Clark City is a 4-star Medicare and Medicaid certified nursing home in Clark, South Dakota with 35 certified beds. It has been operating since 1991. Its overall CMS rating is 4 out of 5.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 43% | Jul 1, 2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 43% | Jul 1, 2019 |
| OAKWAY OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 15% | Jul 1, 2015 |
| BOKF,NA | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Mar 4, 2024 |
| RAJCHENBACH, CHAIM | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jul 1, 2019 |
| SHABAT, MENACHEM | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jul 1, 2019 |
| BOKF,NA | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Mar 4, 2024 |
| DICKES, EDWARD | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2025 |
| MOREHOUSE, RACHEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 6, 2020 |
| RAJCHENBACH, CHAIM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 1, 2019 |
| SHABAT, MENACHEM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 1, 2019 |
| CLARK CITY SD PROPERTY HOLDINGS, LLC | ADP OF THE SNF | Organization | N/A | Jul 1, 2019 |
| DOROS GENERATION TRUST U/A/D 1/3/12 | ADP OF THE SNF | Organization | N/A | Jul 1, 2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 | ADP OF THE SNF | Organization | N/A | Jul 1, 2019 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | ADP OF THE SNF | Organization | N/A | Jul 1, 2019 |
| ROTH & CO, LLP | ADP OF THE SNF | Organization | N/A | Jan 1, 2024 |
| DICKES, EDWARD | ADP OF THE SNF | Individual | N/A | Jan 1, 2025 |
| MOREHOUSE, RACHEL | ADP OF THE SNF | Individual | N/A | Jan 6, 2020 |
| RAJCHENBACH, CHAIM | ADP OF THE SNF | Individual | N/A | Jul 1, 2019 |
| SHABAT, MENACHEM | ADP OF THE SNF | Individual | N/A | Jul 1, 2019 |
Compare CMS ratings and recorded fines for Avantara Clark City and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 89 facilities. View all →