South Dakota › Hughes County › Pierre
Avantara Pierre
950 East Park Street, Pierre, SD 57501
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 Pierre is a For-profit, limited liability company nursing home in Pierre, South Dakota, certified for 65 beds and caring for about 59 residents a day.
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 36 health deficiencies across the three most recent survey cycles (12, 10, 14 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 55.4 per 100 beds, more than the state median of 23.9.
CMS lists 1 penalty in the period covered: fines totalling $22K.
Reported nurse staffing is 2.8 hours per resident per day (0.6 RN), below the South Dakota median of 3.6; nursing staff turnover is 40.5%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Hughes Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 36 | 36 | 16 | 28.7 |
| Citations per 100 beds | 55.4 | 55.4 | 23.9 | 26.8 |
| Total nurse hours per resident day | 2.8 | 4.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.6 | 1.0 | 0.8 | 0.7 |
| Nursing staff turnover | 40.5% | 46.6% | 46.6% | 45.8% |
| Fines listed | $22,048 | $22,048 | $20,183 | — |
County and state figures are medians across facilities (2 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: 1 Jul 2026, 2 Apr 2025.
Severity mix: G ×3 D ×21 E ×7 F ×5
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 |
|---|---|---|---|---|---|
| 1 Jul 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 1 Aug 2026 |
| 1 Jul 2026 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 1 Aug 2026 |
| 1 Jul 2026 | F0761 | 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. | E | Standard survey | 1 Aug 2026 |
| 1 Jul 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 Aug 2026 |
| 1 Jul 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 1 Aug 2026 |
| 1 Jul 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 1 Aug 2026 |
| 1 Jul 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 17 Apr 2026 |
| 1 Jul 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 1 Aug 2026 |
| 1 Jul 2026 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 1 Aug 2026 |
| 1 Jul 2026 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 1 Aug 2026 |
| 1 Jul 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 1 Aug 2026 |
| 1 Jul 2026 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 1 Aug 2026 |
| 7 May 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 24 Apr 2025 |
| 2 Apr 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 1 May 2025 |
| 2 Apr 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 1 May 2025 |
| 2 Apr 2025 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | F | Standard survey | 1 May 2025 |
| 2 Apr 2025 | F0584 | 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. | E | Standard survey | 1 May 2025 |
| 2 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 1 May 2025 |
| 2 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 May 2025 |
| 2 Apr 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 1 May 2025 |
| 2 Apr 2025 | 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 | 1 May 2025 |
| 2 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 May 2025 |
| 9 Jan 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 | 20 Feb 2024 |
| 9 Jan 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 20 Feb 2024 |
| 9 Jan 2024 | F0849 | 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. | F | Standard survey | 20 Feb 2024 |
| 9 Jan 2024 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 20 Feb 2024 |
| 9 Jan 2024 | F0732 | Post nurse staffing information every day. | E | Standard survey | 20 Feb 2024 |
| 9 Jan 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 20 Feb 2024 |
| 9 Jan 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 | 20 Feb 2024 |
| 9 Jan 2024 | 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 | 20 Feb 2024 |
| 9 Jan 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Complaint investigation | 4 Jan 2024 |
| 9 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 20 Feb 2024 |
| 9 Jan 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 20 Feb 2024 |
| 9 Jan 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 20 Feb 2024 |
| 9 Jan 2024 | F0761 | 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. | D | Standard survey | 20 Feb 2024 |
| 9 Jan 2024 | F0803 | 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. | D | Standard survey | 20 Feb 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 2 Apr 2025 | Fine | $22,048 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 40.5%, RNs 14.3%; 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 | 27.8% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.5% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.3% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.5% | 4.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.9% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 30.4% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.9% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.8% | 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: Pierre 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% | 07/01/2019 |
| Pierre Sd Property Holdings, LLC | 5% or greater security interest | NOT APPLICABLE | 07/01/2019 |
| Truist Bank | 5% or greater security interest | NOT APPLICABLE | 04/01/2022 |
| Truist Bank | Operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| Legacy Healthcare Financial Services LLC | Adp of the snf | NOT APPLICABLE | 07/01/2019 |
| Pierre Sd Property Holdings, 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.
Other nursing homes in Hughes County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avera Maryhouse Long Term Care | Pierre | 80 | 5 | 5 | 5 | 9 | 11.3 | — | 11 Sep 2025 |
All 2 facilities in Hughes County
Questions and answers
How many deficiencies has Avantara Pierre been cited for?
36 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Avantara Pierre been fined?
Yes. CMS lists fines totalling $22K in the period covered.
How does staffing at Avantara Pierre compare?
Reported total nurse staffing is 2.8 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Avantara Pierre?
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 Truist Bank. Individual owners and managers are not listed on this site.
When was Avantara Pierre last inspected?
The most recent survey or investigation in the CMS record is dated 1 Jul 2026; the most recent standard health survey was 1 Jul 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.