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HomeSouth DakotaAvantara Pierre

Avantara Pierre

950 East Park Street, Pierre, SD 575016052248628WebsiteGoogle Maps
4.3on Google(14 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
3/5
Quality
2/5
Beds
65
certified
1 fine(s) totaling $22,048

How Avantara Pierre Compares in South Dakota

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.

CMS overall rating
2/5
SD average
2.9/5
Below state average
Health inspection rating
2/5
SD average
2.8/5
Below state average
Staffing rating
3/5
SD average
3.6/5
Below state average
Nursing hours per resident
2.81 hrs/day
SD average
3.81 hrs/day
Below state average
RN hours per resident
0.60 hrs/day
SD average
0.80 hrs/day
Below state average
Staff turnover
40.5%
SD average
48.2%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the South Dakota average of 2.9/5.
Its 2/5 health inspection rating is below the South Dakota average of 2.8/5.
Reported nursing time is 2.81 hours per resident per day, below the state average of 3.81.
Reported RN time is 0.60 hours per resident per day, below the state average of 0.80.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
16
deficiency citations
Inspected Jan 9, 2024
Most recent cycle
8
deficiency citations
Inspected Apr 2, 2025
The most recent cycle recorded 8 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$8,122/mo
South Dakota median
Private Room
$9,429/mo
South Dakota median
Hughes County 65+
3,054
17.1% of county
County Population
17,812
Hughes County

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.

Beds
65
Avg Residents/Day
58.8
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Sep 1, 1991
Sprinklers
Yes
Council
Resident
County
Hughes
Last Inspection
Apr 2, 2025
Deficiencies (Cycle 1)
8
Weighted Score
87.0
Infection Citations
0

Deficiency Citations (33)

F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Apr 2, 2025Corrected: NoCycle: 1
F0847Potential for Harm

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Survey: Apr 2, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Apr 2, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Apr 2, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 2, 2025Corrected: NoCycle: 1
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Apr 2, 2025Corrected: NoCycle: 1
F0625Potential for Harm

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.

Survey: Apr 2, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 2, 2025Corrected: NoCycle: 1
F0697Potential for Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: May 7, 2025Corrected: NoCycle: 2
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Apr 2, 2025Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jan 9, 2024Corrected: NoCycle: 2
F0835Potential for Harm

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey: Jan 9, 2024Corrected: NoCycle: 2
F0849Potential for Harm

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.

Survey: Jan 9, 2024Corrected: NoCycle: 2
F0865Potential for Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey: Jan 9, 2024Corrected: NoCycle: 2
F0732Potential for Harm

Post nurse staffing information every day.

Survey: Jan 9, 2024Corrected: NoCycle: 2
F0561Potential for Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey: Jan 9, 2024Corrected: NoCycle: 2
F0625Potential for Harm

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.

Survey: Jan 9, 2024Corrected: NoCycle: 2
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Jan 9, 2024Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Jan 9, 2024Corrected: NoCycle: 2
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Jan 9, 2024Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Jan 9, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Jan 9, 2024Corrected: NoCycle: 2
F0803Potential for Harm

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.

Survey: Jan 9, 2024Corrected: NoCycle: 2
F0678Potential for Harm

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Survey: Jan 9, 2024Corrected: NoCycle: 3
F0675Actual Harm

Honor each resident's preferences, choices, values and beliefs.

Survey: Jan 13, 2023Corrected: NoCycle: 3
F0809Potential for Harm

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.

Survey: Jan 13, 2023Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jan 13, 2023Corrected: NoCycle: 3
F0865Potential for Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey: Jan 13, 2023Corrected: NoCycle: 3
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jan 13, 2023Corrected: NoCycle: 3
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Jan 13, 2023Corrected: NoCycle: 3

+ 3 more deficiencies

Total Fines
$22,048
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineApr 2, 2025
$22,048

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.69 hrs
National avg: 2.32 hrs
LPN0.53 hrs
National avg: 0.86 hrs
RN0.60 hrs
National avg: 0.69 hrs
Total Nursing2.81 hrs
National avg: 3.86 hrs
Weekend Total2.28 hrs
National avg: 0.00 hrs
Physical Therapist0.20 hrs
National avg: 0.07 hrs
Total Turnover
40.5%
RN Turnover
14.3%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (21)

NameRoleTypeOwnership %Since
DOROS GENERATION TRUST U/A/D 1/3/125% OR GREATER DIRECT OWNERSHIP INTERESTOrganization43%Jul 1, 2019
GPN FAMILY TRUST U/A/D 4/28/085% OR GREATER DIRECT OWNERSHIP INTERESTOrganization43%Jul 1, 2019
OAKWAY OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization15%Jul 1, 2019
PIERRE SD PROPERTY HOLDINGS, LLC5% OR GREATER SECURITY INTERESTOrganizationN/AJul 1, 2019
TRUIST BANK5% OR GREATER SECURITY INTERESTOrganizationN/AApr 1, 2022
RAJCHENBACH, CHAIMMANAGING CONTROL - GOVERNING BODYIndividualN/AJul 1, 2019
SHABAT, MENACHEMMANAGING CONTROL - GOVERNING BODYIndividualN/AJul 1, 2019
TRUIST BANKOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2022
PLUMAGE, DARRELLOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2019
RAJCHENBACH, CHAIMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2019
SHABAT, MENACHEMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2019
WATSON, CHASEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 25, 2021
DOROS GENERATION TRUST U/A/D 1/3/12ADP OF THE SNFOrganizationN/AJul 1, 2019
GPN FAMILY TRUST U/A/D 4/28/08ADP OF THE SNFOrganizationN/AJul 1, 2019
LEGACY HEALTHCARE FINANCIAL SERVICES LLCADP OF THE SNFOrganizationN/AJul 1, 2019
PIERRE SD PROPERTY HOLDINGS, LLCADP OF THE SNFOrganizationN/AJul 1, 2019
ROTH & CO, LLPADP OF THE SNFOrganizationN/AJan 1, 2024
PLUMAGE, DARRELLADP OF THE SNFIndividualN/AJul 1, 2019
RAJCHENBACH, CHAIMADP OF THE SNFIndividualN/AJul 1, 2019
SHABAT, MENACHEMADP OF THE SNFIndividualN/AJul 1, 2019
WATSON, CHASEADP OF THE SNFIndividualN/AMay 25, 2021

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Avantara Pierre and nearby alternatives.

All South Dakota facilities
Avantara Pierre
Pierre, SDCurrent facility
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $22,048
Avera Maryhouse Long Term Care
Pierre, SD528 ft
CMS
5/5
Health
5/5
Staffing
5/5
Recorded fines: None
Highmore Health
Highmore, SD45.7 mi
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: None
Avera Oahe Manor
Gettysburg, SD49.2 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: None
White River Health Care Center
White River, SD58.0 mi
CMS
5/5
Health
5/5
Staffing
5/5
Recorded fines: $6,168
Medicine Wheel Village
Eagle Butte, SD62.3 mi
CMS
2/5
Health
1/5
Staffing
5/5
Recorded fines: $22,636
Sanford Chamberlain Care Center
Chamberlain, SD63.9 mi
CMS
1/5
Health
2/5
Staffing
4/5
Recorded fines: $124,961
FacilityDistanceCMSHealthStaffingRecorded fines
Avantara Pierre
Pierre, SD · Current facility
—2/52/53/5$22,048
Avera Maryhouse Long Term Care
Pierre, SD
528 ft5/55/55/5None recorded
Highmore Health
Highmore, SD
45.7 mi3/53/53/5None recorded
Avera Oahe Manor
Gettysburg, SD
49.2 mi2/53/51/5None recorded
White River Health Care Center
White River, SD
58.0 mi5/55/55/5$6,168
Medicine Wheel Village
Eagle Butte, SD
62.3 mi2/51/55/5$22,636
Sanford Chamberlain Care Center
Chamberlain, SD
63.9 mi1/52/54/5$124,961

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.

Frequently Asked Questions

What is the CMS rating for Avantara Pierre?▾
Avantara Pierre has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 3/5, and quality measures rating of 2/5. This facility is rated below average.
How much does Avantara Pierre cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in South Dakota is $8,122/month for a semi-private room and $9,429/month for a private room (Genworth/CareScout 2024). Avantara Pierre participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Avantara Pierre had any health inspection violations?▾
Avantara Pierre had 8 deficiency citations in its most recent health inspection (Apr 2, 2025). The current CMS dataset records 1 fine(s) totaling $22,048.
What are the staffing levels at Avantara Pierre?▾
Avantara Pierre provides 2.81 total nursing staff hours per resident per day, including 0.60 RN hours, 0.53 LPN hours, and 1.69 nurse aide hours. The total staff turnover rate is 40.5%.
How many beds does Avantara Pierre have?▾
Avantara Pierre has 65 certified beds with an average of 58.8 residents per day, resulting in approximately 90% occupancy. The facility is For profit - Limited Liability company owned and is part of the Legacy Healthcare chain.
Are there other nursing homes near Avantara Pierre?▾
Yes. This page lists 6 nearby nursing homes in South Dakota, including 1 in Pierre. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Avantara Pierre?▾
On Google Maps, Avantara Pierre has a rating of 4.3 out of 5 based on 14 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of Legacy Healthcare

This chain operates 89 facilities. View all →