Elder Care Record

South Dakota › Spink County › Redfield

Avantara Redfield

1015 Third Street East, Redfield, SD 57469

CCN 435054 · For-profit, limited liability company · 58 certified beds · chain Legacy Healthcare

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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 Redfield, in Redfield, South Dakota, is certified for 58 beds under for-profit, limited liability company ownership and belongs to the Legacy Healthcare chain.

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 17 health deficiencies across the three most recent survey cycles (6, 8, 3 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 29.3 per 100 beds, about the same as the state median of 23.9.

CMS lists 3 penalties in the period covered: fines totalling $23K.

Reported nurse staffing is 3.0 hours per resident per day (0.6 RN), close to the South Dakota median of 3.6; nursing staff turnover is 52.1%.

17health deficiencies, 3 survey cycles3 at actual harm or worse
$23Kfines listed by CMS3 penalties in period
3.0nurse hours per resident per daystate median 3.6
87%occupancy (residents ÷ beds)50 residents a day

Compared with county, state and nation

MeasureThis facilitySpink Co. medianSouth Dakota medianUS average
Overall star rating2433.0
Health citations, 3 cycles17171628.7
Citations per 100 beds29.329.323.926.8
Total nurse hours per resident day3.04.63.63.9
RN hours per resident day0.60.60.80.7
Nursing staff turnover52.1%52.1%46.6%45.8%
Fines listed$23,044$23,044$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

Cycle 1 (latest)6
Cycle 28
Cycle 33

Dark bar: this facility. Grey bar: South Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Jan 2026, 5 Dec 2024.

Severity mix: G ×3 D ×3 E ×10 F ×1

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
28 Jan 2026F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EComplaint investigation6 Mar 2026
28 Jan 2026F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard survey6 Mar 2026
28 Jan 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey6 Mar 2026
28 Jan 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey6 Mar 2026
28 Jan 2026F0880Provide and implement an infection prevention and control program.EStandard survey6 Mar 2026
28 Jan 2026F0641Ensure each resident receives an accurate assessment.DStandard survey6 Mar 2026
15 Apr 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation12 May 2025
17 Mar 2025F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.GComplaint investigation14 Mar 2025
5 Dec 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey13 Jan 2025
5 Dec 2024F0584Honor 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.EStandard survey13 Jan 2025
5 Dec 2024F0908Keep all essential equipment working safely.EStandard survey13 Jan 2025
5 Dec 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey13 Jan 2025
28 Aug 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation26 Aug 2024
28 Aug 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation19 Sep 2024
17 Jul 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint investigation8 Aug 2024
31 Aug 2023F0584Honor 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.EStandard survey6 Oct 2023
31 Aug 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint investigation6 Oct 2023

Penalties

DateTypeAmountDetail
17 Mar 2025Fine$7,008
28 Aug 2024Fine$8,018
28 Aug 2024Fine$8,018

Staffing

Total nursing3.03 h
Nurse aides2 h
LPN0.41 h
RN0.63 h
Weekend total2.46 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 52.1%, RNs 20.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilitySouth Dakota medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay18.2%20.7%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.6%1.7%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%2.2%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay9.3%4.8%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay7.8%1.5%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay10.0%19.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.0%3.9%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay32.7%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: Redfield Sd Skilled Nursing Facility, Llc. Chain: Legacy Healthcare (89 facilities).

OrganisationRole in the CMS recordInterestSince
Oakway Operations LLC5% or greater direct ownership interest15%07/01/2019
Redfield Sd Property Holdings, LLC5% or greater security interestNOT APPLICABLE07/01/2019
Legacy Healthcare Financial Services LLCAdp of the snfNOT APPLICABLE07/01/2001
Redfield Sd Property Holdings, LLCAdp of the snfNOT APPLICABLE07/01/2019
Roth & Co, LLPAdp of the snfNOT APPLICABLE01/01/2024

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 Spink County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Eastern Star Home of South Dakota, IncRedfield30445620.0$17K5 May 2026

All 2 facilities in Spink County

Questions and answers

How many deficiencies has Avantara Redfield been cited for?

17 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 Redfield been fined?

Yes. CMS lists fines totalling $23K in the period covered.

How does staffing at Avantara Redfield compare?

Reported total nurse staffing is 3.0 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.

Who operates Avantara Redfield?

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 Redfield last inspected?

The most recent survey or investigation in the CMS record is dated 28 Jan 2026; the most recent standard health survey was 28 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.