South Dakota › Beadle County › Huron
Avantara Huron
1345 Michigan Avenue Sw, Huron, SD 57350
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.
Certified for 119 beds, Avantara Huron serves Huron in Beadle County, South Dakota and has taken Medicare and Medicaid residents since 1968.
CMS gives it 2 of 5 stars overall, below the South Dakota median of 3; the health inspection rating is 2, staffing 3 and quality measures 2.
Inspectors recorded 22 health deficiencies across the three most recent survey cycles (13, 8, 1 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 18.5 per 100 beds, fewer than the state median of 23.9.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 3.4 hours per resident per day (0.7 RN), close to the South Dakota median of 3.6; nursing staff turnover is 54.7%.
Compared with county, state and nation
| Measure | This facility | Beadle Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 22 | 22 | 16 | 28.7 |
| Citations per 100 beds | 18.5 | 18.5 | 23.9 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.4 | 3.6 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.8 | 0.7 |
| Nursing staff turnover | 54.7% | 54.7% | 46.6% | 45.8% |
| Fines listed | $8,338 | $8,338 | $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: 12 Mar 2026, 14 Nov 2024.
Severity mix: J ×1 G ×4 D ×11 E ×2 F ×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 |
|---|---|---|---|---|---|
| 24 Jun 2026 | 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 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation (under dispute review) | 16 Apr 2026 |
| 12 Mar 2026 | F0610 | Respond appropriately to all alleged violations. | G | Complaint investigation (under dispute review) | 16 Apr 2026 |
| 12 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 16 Apr 2026 |
| 12 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 5 Dec 2025 |
| 12 Mar 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | F | Complaint investigation (under dispute review) | 16 Apr 2026 |
| 12 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 16 Apr 2026 |
| 12 Mar 2026 | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | E | Standard survey | 16 Apr 2026 |
| 12 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 16 Apr 2026 |
| 12 Mar 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 16 Apr 2026 |
| 12 Mar 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 16 Apr 2026 |
| 12 Mar 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 16 Apr 2026 |
| 12 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Apr 2026 |
| 14 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 26 Oct 2024 |
| 14 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Dec 2024 |
| 14 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 12 Dec 2024 |
| 14 Nov 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 12 Dec 2024 |
| 14 Nov 2024 | F0625 | 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. | D | Standard survey | 12 Dec 2024 |
| 14 Nov 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 12 Dec 2024 |
| 14 Nov 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 12 Dec 2024 |
| 14 Nov 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 12 Dec 2024 |
| 19 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 3 Aug 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 Nov 2024 | Fine | $8,338 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 54.7%, RNs 12.5%; 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 | 31.1% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 9.6% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.8% | 4.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.3% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.1% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.0% | 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: Huron 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% | 10/02/2019 |
| Huron Sd Property Holdings, LLC | 5% or greater security interest | NOT APPLICABLE | 10/02/2019 |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | NOT APPLICABLE | 10/02/2019 |
| Huron Sd Property Holdings, LLC | Adp of the snf | NOT APPLICABLE | 10/02/2019 |
| Legacy Healthcare Financial Services LLC | Adp of the snf | NOT APPLICABLE | 11/21/2025 |
| 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 Huron been cited for?
22 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Avantara Huron been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Avantara Huron compare?
Reported total nurse staffing is 3.4 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Avantara Huron?
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 and Legacy Healthcare Financial Services LLC. Individual owners and managers are not listed on this site.
When was Avantara Huron last inspected?
The most recent survey or investigation in the CMS record is dated 24 Jun 2026; the most recent standard health survey was 12 Mar 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.