Clark County, South Dakota · Nursing home
Avantara Clark City
4 of 5 overall from CMS
201 8th Avenue NW, Clark, SD 57225
At a glance
- Overall rating 4 of 5 Above the state average of 2.9
- Nurse time per resident, per day 4.17 hours Above the state average of 3.79
- Nursing staff who left in a year 42.4% Below the state average of 48.2%
- Health citations, last 3 inspection cycles 7 1 at the harm level or above
- Fines in 3 years $11,057 1 fine
- Certified beds in use 83.7% of 35 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Avantara Clark City is a 35-bed nursing home in Clark, South Dakota (Clark County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 4.17 nurse staffing hours per resident per day, above the South Dakota average of 3.79. CMS lists 1 fine totaling $11,057 in the past three years.
- Certified beds
- 35
- Residents per day (average)
- 29.3
- Certified since
- 1991 (35 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Legacy Healthcare (95 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Avantara Clark City
Chosen from this home's public data.
- CMS lists 1 fine totaling $11,057 in the past three years. What changed after the most recent one?Penalties in CMS data
- Reported nurse staffing is 3.49 hours per resident on weekends against 4.17 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- Registered nurse time is 0.73 hours per resident per day; the South Dakota average is 0.80. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 South Dakota average 2.9
- Health inspections 4 of 5 South Dakota average 2.9
- Staffing 2 of 5 South Dakota average 3.5
- Quality measures 2 of 5 South Dakota average 2.7
The vertical line marks the South Dakota average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.17 h South Dakota average 3.79
- Nurse aides 2.72 h South Dakota average 2.52
- Licensed practical nurses 0.72 h South Dakota average 0.47
- Registered nurses 0.73 h South Dakota average 0.80
- All staff, weekends 3.49 h South Dakota average 3.26
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the South Dakota average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover42.4%
- South Dakota average48.2%
- Registered nurse turnover40.0%
- South Dakota average34.7%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the South Dakota and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | South Dakota | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 31.8% | 21.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 9.7% | 5.6% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.4% | 2.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 4.0% | 2.9% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 60.6% | 5.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.9% | 5.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.2% | 94.9% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 18.6% | 19.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.5% | 17.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.5% | 96.9% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.3% | 4.6% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.6% | 25.4% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 29.3% | 24.6% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.52 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.75 | 1.78 |
Short-stay residents
| Measure | This home | South Dakota | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 65.6% | 83.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% | 2.0% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 65.7% | 78.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 19.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 12.0% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 7 health deficiencies in the three most recent inspection cycles. Of these, 1 involved actual harm; the rest were graded as no actual harm. 2 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Sep 12, 2024: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jan 8, 2026 | 3 | 4 |
| Sep 12, 2024 | 2 | 0 |
| Jun 15, 2023 | 2 | 7 |
South Dakota homes averaged 6.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (7)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 22, 2026)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 22, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 22, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Past Non-Compliance
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 6, 2024)
Show 2 more
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 30, 2023)
-
EPotential for more than minimal harm, pattern
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.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 30, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Sep 12, 2024 | Fine | $11,057 |
South Dakota homes averaged 1.9 fines and $40,815 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within South Dakota
- Size90 of 96 by certified beds
- South Dakota average residents per day52.1
- ChainLegacy Healthcare
- Chain average overall rating2.9 of 5
- Resident or family councilBoth
- Homes in Clark County1
Common questions
What is the CMS star rating for Avantara Clark City?
Avantara Clark City has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 2 and quality measures is 2.
How many beds does Avantara Clark City have?
Avantara Clark City has 35 certified beds. It averages 29.3 residents per day, about 83.7% of its certified beds.
How much nursing care do residents get at Avantara Clark City?
The home reports 4.17 hours of nurse staffing per resident per day, including 0.73 hours from registered nurses. The South Dakota average is 3.79 hours and 0.80 hours from registered nurses.
Has Avantara Clark City been fined?
Yes. CMS lists 1 fine totaling $11,057 in the past three years.
Does Avantara Clark City accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 3 of 5 Jenkin's Living Center 110beds 65.5%in use 3.67nurse hours a day
- 1 of 5 Avantara Watertown 51beds 91.4%in use 3.57nurse hours a day
- 3 of 5 Sun Dial Manor 37beds 52.4%in use 4.08nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Clark County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 435058. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.