South Dakota › Clark County › Clark
Avantara Clark City
201 8th Avenue Nw, Clark, SD 57225
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Avantara Clark City, in Clark, South Dakota, is certified for 35 beds under for-profit, limited liability company ownership and belongs to the Legacy Healthcare chain.
CMS gives it 4 of 5 stars overall, above the South Dakota median of 3; the health inspection rating is 4, staffing 2 and quality measures 2.
Inspectors recorded 7 health deficiencies across the three most recent survey cycles (3, 2, 2 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 20.0 per 100 beds, about the same as the state median of 23.9.
CMS lists 1 penalty in the period covered: fines totalling $11K.
Reported nurse staffing is 4.2 hours per resident per day (0.7 RN), close to the South Dakota median of 3.6; nursing staff turnover is 42.4%.
Compared with county, state and nation
| Measure | This facility | Clark Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 7 | 7 | 16 | 28.7 |
| Citations per 100 beds | 20.0 | 20.0 | 23.9 | 26.8 |
| Total nurse hours per resident day | 4.2 | 4.2 | 3.6 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.8 | 0.7 |
| Nursing staff turnover | 42.4% | 42.4% | 46.6% | 45.8% |
| Fines listed | $11,057 | $11,057 | $20,183 | — |
County and state figures are medians across facilities (1 in the county, 96 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: South Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 Jan 2026, 12 Sep 2024.
Severity mix: G ×1 D ×2 E ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 8 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 22 Feb 2026 |
| 8 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 22 Feb 2026 |
| 8 Jan 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 22 Feb 2026 |
| 17 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | Past Non-Compliance |
| 12 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 6 Oct 2024 |
| 15 Jun 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 30 Jul 2023 |
| 15 Jun 2023 | F0700 | Try 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 the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard survey | 30 Jul 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 12 Sep 2024 | Fine | $11,057 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 42.4%, RNs 40.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | South Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 31.8% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 4.4% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.0% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.9% | 4.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.0% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.6% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.3% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 29.3% | 22.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Clark City Sd Skilled Nursing Facility Llc. Chain: Legacy Healthcare (89 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Oakway Operations LLC | 5% or greater direct ownership interest | 15% | 07/01/2015 |
| Clark City Sd Property Holdings, LLC | Adp of the snf | NOT APPLICABLE | 07/01/2019 |
| Legacy Healthcare Financial Services LLC | Adp of the snf | NOT APPLICABLE | 07/01/2019 |
| Roth & Co, LLP | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Avantara Clark City been cited for?
7 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Avantara Clark City been fined?
Yes. CMS lists fines totalling $11K in the period covered.
How does staffing at Avantara Clark City compare?
Reported total nurse staffing is 4.2 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Avantara Clark City?
It is part of the Legacy Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Oakway Operations LLC. Individual owners and managers are not listed on this site.
When was Avantara Clark City last inspected?
The most recent survey or investigation in the CMS record is dated 8 Jan 2026; the most recent standard health survey was 8 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.