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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeSouth DakotaAvantara Pierre

Avantara Pierre

950 East Park Street, Pierre, SD 575016052248628
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
3/5
Quality
2/5
Beds
65
certified
This facility has been flagged for abuse.
1 fine(s) totaling $33,920

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 65 certified beds with an average of 53.7 residents per day (83% occupancy)

• Last health inspection found 10 deficiencies (inspected Apr 2, 2025)

• Has been fined a total of $33,920 across 1 fine(s)

• Total nursing staff: 2.92 hours per resident per day

• Staff turnover rate: 41.5%

• Part of the Legacy Healthcare chain (90 facilities)

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. The facility scored below average compared to South Dakota facilities.

Beds
65
Avg Residents/Day
53.7
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)
10
Weighted Score
101.0
Infection Citations
0

Deficiency Citations (35)

F0697Potential for Harm

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

Survey: May 7, 2025Corrected: NoCycle: 1
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: 1
F0554Potential for Harm

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

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
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
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
F0686Actual Harm

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

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
F0847Potential for Harm

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

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

Provide and implement an infection prevention and control program.

Survey: Apr 2, 2025Corrected: NoCycle: 1
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
F0732Potential for Harm

Post nurse staffing information every day.

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
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
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
F0684Potential for Harm

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

Survey: Jun 16, 2023Corrected: NoCycle: 3
F0776Potential for Harm

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Survey: Jun 16, 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
F0675Actual Harm

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

Survey: Jan 13, 2023Corrected: NoCycle: 3
F0686Potential for Harm

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

Survey: Jan 13, 2023Corrected: NoCycle: 3

+ 5 more deficiencies

Total Fines
$33,920
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineApr 2, 2025
$33,920

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

Nurse Aide1.76 hrs
National avg: 2.35 hrs
LPN0.44 hrs
National avg: 0.86 hrs
RN0.71 hrs
National avg: 0.68 hrs
Total Nursing2.92 hrs
National avg: 3.89 hrs
Weekend Total2.45 hrs
National avg: 0.00 hrs
Physical Therapist0.19 hrs
National avg: 0.07 hrs
Total Turnover
41.5%
RN Turnover
28.6%
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 (10)

NameRoleTypeOwnership %Since
DOROS GENERATION TRUST U/A/D 1/3/125% OR GREATER DIRECT OWNERSHIP INTERESTOrganization43%Jul 1, 2019
GPN FAM TR UA 042820085% OR GREATER DIRECT OWNERSHIP INTERESTOrganization43%Jul 1, 2019
OAKWAY OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization15%Jul 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
PIERRE SD PROPERTY HOLDINGS, LLC5% OR GREATER SECURITY INTERESTOrganizationN/AJul 1, 2019
TRUIST BANK5% OR GREATER SECURITY INTERESTOrganizationN/AApr 1, 2022

Nearby Nursing Homes

All South Dakota facilities

Avera Maryhouse Long Term Care

Pierre, SD · 80 beds

Non profit
Health
Staffing
Quality
584 ft

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.
Has Avantara Pierre had any health inspection violations?▾
Avantara Pierre had 10 deficiency citations in its most recent health inspection (Apr 2, 2025). The facility has been fined a total of $33,920 across 1 fine(s).
What are the staffing levels at Avantara Pierre?▾
Avantara Pierre provides 2.92 total nursing staff hours per resident per day, including 0.71 RN hours, 0.44 LPN hours, and 1.76 nurse aide hours. The total staff turnover rate is 41.5%.
How many beds does Avantara Pierre have?▾
Avantara Pierre has 65 certified beds with an average of 53.7 residents per day, resulting in approximately 83% 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, there are 1 other nursing home in Pierre, South Dakota with an average rating of 3.5/5. You can compare all facilities on the Pierre nursing homes page.

Part of Legacy Healthcare

This chain operates 90 facilities. View all →