Avantara Clark City
Nursing Home · Clark, SD
CMS certification number435058
Contact & location
201 8TH Avenue NWClark, SD 57225
Clark County
- Phone
- (605) 532-3431
- ZIP code
- 57225 – all care providers
Facility details
- Certified beds
- 35
- Residents per day
- 29.3 (84% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Clark City SD Skilled Nursing Facility LLC
- Chain
- Legacy Healthcare (89 facilities, avg 2.9★)
- Medicare certified since
- May 1, 1991
- Participates in
- Medicare and Medicaid
- Council
- Both 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
- 4.17 (state 3.79 · U.S. 3.86)
- Registered nurses (RN)
- 0.73 (state 0.80 · U.S. 0.69)
- Licensed practical nurses
- 0.72 (state 0.47 · U.S. 0.86)
- Nurse aides
- 2.72 (state 2.52 · U.S. 2.32)
- Weekend total
- 3.49 (state 3.26 · U.S. 3.42)
- Nursing staff turnover
- 42.4 (state 48.2 · U.S. 45.8)%
- RN turnover
- 40.0 (state 34.7 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- January 8, 2026
- Health deficiencies (last cycle)
- 3.0 (state 6.9 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 7 health · 11 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-01-08 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-22 |
| 2026-01-08 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-22 |
| 2026-01-08 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-22 |
| 2025-07-17 | 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 |
D No actual harm, potential for more than minimal harm |
Past Non-Compliance |
| 2024-09-12 | 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 |
G Actual harm |
Corrected 2024-10-06 |
| 2023-06-15 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-30 |
| 2023-06-15 | 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. F0700 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-30 |
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 $11,057 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-09-12 | Fine | $11,057 |
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% | |
| Bokf,Na (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Clark City SD Property Holdings, LLC (organization) | Administrator · NOT APPLICABLE | |
| Dickes, Edward (individual) | Administrator · 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 | |
| Morehouse, Rachel (individual) | Administrator · NOT APPLICABLE | |
| Rajchenbach, Chaim (individual) | Administrator · NOT APPLICABLE | |
| Roth & Co, LLP (organization) | Administrator · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Administrator · NOT APPLICABLE | |
| Rajchenbach, Chaim (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Bokf,Na (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Dickes, Edward (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Morehouse, Rachel (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Rajchenbach, Chaim (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Avantara Clark City?
Avantara Clark City has a 4-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 Clark City have?
It has 35 certified beds and cares for about 29 residents per day.
Has Avantara Clark City been fined?
Yes. CMS lists 1 penalty totaling $11,057 in the last three years.
Who owns Avantara Clark City?
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 Clark City?
(605) 532-3431. The facility is located at 201 8TH Avenue NW, Clark, SD 57225.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.