Nursing HomeInspections

Avantara Pierre

Nursing home in Pierre, SD

Medicare & Medicaid certified2★ overall (CMS)CMS abuse icon

Call (605) 224-8628Send a messageMap ↗

Public-record details

Address
950 East Park Street, Pierre, SD 57501
Phone
(605) 224-8628
Listed under
For-profit
Medicare CCN
435047
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
2 of 5
Certified beds
65
Average residents per day
59
Ownership
For-profit, limited Liability company
Legal business name
Pierre Sd Skilled Nursing Facility, LLC
Chain
Legacy Healthcare (89 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 1, 1991
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 435047. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 1, 2026. CMS lists 36 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 9, 2024 to Jul 1, 2026): 8 from complaint inspections, 3 at the “actual harm” level or higher. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Jul 1, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 1, 2026Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 1, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 1, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 1, 2026Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 1, 2026Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 1, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 1, 2026Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental		D
Potential for more than minimal harm, isolated
Jul 1, 2026Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Jul 1, 2026Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Jul 1, 2026Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Jul 1, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated

Showing the 12 most recent of 36. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $22,048 in the last three years.

Apr 2, 2025Fine: $22,048

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.81 hours
Registered nurse (RN) time per resident per day
0.60 hours
Nurse aide time per resident per day
1.69 hours
Total nurse staffing on weekends
2.28 hours
Nursing staff turnover (yearly)
41%
RN turnover (yearly)
14%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Pierre

Avera Maryhouse Long Term Care717 East Dakota · Pierre, SD 57501 · (605) 224-3163 · Nonprofit9 health citations in 3 inspection cycles · last standard inspection Sep 11, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)

All 2 in Pierre →