Nursing HomeInspections

Avantara Clark City

Nursing home in Clark, SD

Medicare & Medicaid certified4★ overall (CMS)

Call (605) 532-3431Send a messageMap ↗

Public-record details

Address
201 8th Avenue Nw, Clark, SD 57225
Phone
(605) 532-3431
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
435058
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
2 of 5
Quality measures rating
2 of 5
Certified beds
35
Average residents per day
29
Ownership
For-profit, limited Liability company
Legal business name
Clark City Sd Skilled Nursing Facility LLC
Chain
Legacy Healthcare (89 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 1, 1991
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 435058. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 8, 2026. CMS lists 7 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 15, 2023 to Jan 8, 2026): 2 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Jan 8, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Jan 8, 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		E
Potential for more than minimal harm, pattern
Jan 8, 2026Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Jul 17, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 12, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		G
Actual harm, isolated
Jun 15, 2023Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Jun 15, 2023Try 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…
Quality of Life and Care		E
Potential for more than minimal harm, pattern

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 $11,057 in the last three years.

Sep 12, 2024Fine: $11,057

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
4.17 hours
Registered nurse (RN) time per resident per day
0.73 hours
Nurse aide time per resident per day
2.72 hours
Total nurse staffing on weekends
3.49 hours
Nursing staff turnover (yearly)
42%
RN turnover (yearly)
40%
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.