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 Pierre is a 2-star Medicare and Medicaid certified nursing home in Pierre, South Dakota with 65 certified beds. It has been operating since 1991. Its overall CMS rating is 2 out of 5.
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Allow residents to self-administer drugs if determined clinically appropriate.
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe, appropriate pain management for a resident who requires such services.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Have a plan that describes the process for conducting QAPI and QAA activities.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Have a plan that describes the process for conducting QAPI and QAA activities.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure services provided by the nursing facility meet professional standards of quality.
+ 3 more deficiencies
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, 2019 |
| PIERRE SD PROPERTY HOLDINGS, LLC | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Jul 1, 2019 |
| TRUIST BANK | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Apr 1, 2022 |
| RAJCHENBACH, CHAIM | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jul 1, 2019 |
| SHABAT, MENACHEM | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jul 1, 2019 |
| TRUIST BANK | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2022 |
| PLUMAGE, DARRELL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 1, 2019 |
| RAJCHENBACH, CHAIM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 1, 2019 |
| SHABAT, MENACHEM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 1, 2019 |
| WATSON, CHASE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 25, 2021 |
| 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 |
| PIERRE SD PROPERTY HOLDINGS, LLC | ADP OF THE SNF | Organization | N/A | Jul 1, 2019 |
| ROTH & CO, LLP | ADP OF THE SNF | Organization | N/A | Jan 1, 2024 |
| PLUMAGE, DARRELL | ADP OF THE SNF | Individual | N/A | Jul 1, 2019 |
| RAJCHENBACH, CHAIM | ADP OF THE SNF | Individual | N/A | Jul 1, 2019 |
| SHABAT, MENACHEM | ADP OF THE SNF | Individual | N/A | Jul 1, 2019 |
| WATSON, CHASE | ADP OF THE SNF | Individual | N/A | May 25, 2021 |
Compare CMS ratings and recorded fines for Avantara Pierre 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 →