Avantara Pierre
Nursing Home · Pierre, SD
CMS certification number435047
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
950 East Park StreetPierre, SD 57501
Hughes County
- Phone
- (605) 224-8628
- ZIP code
- 57501 – all care providers
Facility details
- Certified beds
- 65
- Residents per day
- 58.8 (90% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Pierre SD Skilled Nursing Facility, LLC
- Chain
- Legacy Healthcare (89 facilities, avg 2.9★)
- Medicare certified since
- September 1, 1991
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.81 (state 3.79 · U.S. 3.86)
- Registered nurses (RN)
- 0.60 (state 0.80 · U.S. 0.69)
- Licensed practical nurses
- 0.53 (state 0.47 · U.S. 0.86)
- Nurse aides
- 1.69 (state 2.52 · U.S. 2.32)
- Weekend total
- 2.28 (state 3.26 · U.S. 3.42)
- Nursing staff turnover
- 40.5 (state 48.2 · U.S. 45.8)%
- RN turnover
- 14.3 (state 34.7 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- July 1, 2026
- Health deficiencies (last cycle)
- 12.0 (state 6.9 · U.S. 9.3)
- From complaints
- 5
- Citations on record (3 years)
- 36 health · 2 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-07-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-08-01 |
| 2026-07-01 | Assure that each resident’s assessment is updated at least once every 3 months. F0638 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-08-01 |
| 2026-07-01 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-08-01 |
| 2026-07-01 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-08-01 |
| 2026-07-01 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-08-01 |
| 2026-07-01 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-08-01 |
| 2026-07-01 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-17 |
| 2026-07-01 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-08-01 |
| 2026-07-01 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-08-01 |
| 2026-07-01 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-08-01 |
| 2026-07-01 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-08-01 |
| 2026-07-01 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-08-01 |
| 2025-05-07 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-24 |
| 2025-04-02 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-05-01 |
| 2025-04-02 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2025-05-01 |
| 2025-04-02 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. F0847 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-05-01 |
| 2025-04-02 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-01 |
| 2025-04-02 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-01 |
| 2025-04-02 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-01 |
| 2025-04-02 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-01 |
| 2025-04-02 | 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. F0625 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-01 |
| 2025-04-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-01 |
| 2024-01-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-01-09 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-01-09 | 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. F0849 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-01-09 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-01-09 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-01-09 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-01-09 | 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. F0625 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-01-09 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-01-09 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-04 |
| 2024-01-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-01-09 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-01-09 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-01-09 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
| 2024-01-09 | 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. F0803 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-20 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $22,048 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-04-02 | Fine | $22,048 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Doros Generation Trust U/A/D 1/3/12 (organization) | 5%+ Direct Ownership Interest · 43% | |
| GPN Family Trust U/A/D 4/28/08 (organization) | 5%+ Direct Ownership Interest · 43% | |
| Oakway Operations LLC (organization) | 5%+ Direct Ownership Interest · 15% | |
| Pierre SD Property Holdings, LLC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Truist Bank (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Doros Generation Trust U/A/D 1/3/12 (organization) | Administrator · NOT APPLICABLE | |
| GPN Family Trust U/A/D 4/28/08 (organization) | Administrator · NOT APPLICABLE | |
| Legacy Healthcare Financial Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Pierre SD Property Holdings, LLC (organization) | Administrator · NOT APPLICABLE | |
| Plumage, Darrell (individual) | Administrator · NOT APPLICABLE | |
| Rajchenbach, Chaim (individual) | Administrator · NOT APPLICABLE | |
| Roth & Co, LLP (organization) | Administrator · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Administrator · NOT APPLICABLE | |
| Watson, Chase (individual) | Administrator · NOT APPLICABLE | |
| Rajchenbach, Chaim (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Plumage, Darrell (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Rajchenbach, Chaim (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Truist Bank (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Watson, Chase (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Avantara Pierre?
Avantara Pierre has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in South Dakota.
How many beds does Avantara Pierre have?
It has 65 certified beds and cares for about 59 residents per day.
Has Avantara Pierre been fined?
Yes. CMS lists 1 penalty totaling $22,048 in the last three years.
Who owns Avantara Pierre?
It is part of Legacy Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Avantara Pierre?
(605) 224-8628. The facility is located at 950 East Park Street, Pierre, SD 57501.
Other nursing homes in Pierre
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Avera Maryhouse Long Term Care
Nursing Home · Pierre, SD · 80 beds
★★★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.