nursing home in Clark, SD
Avantara Clark City
201 8th Avenue NW, Clark, SD 57225 · (605) 532-3431
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avantara Clark City at a glance
Avantara Clark City is a 35-bed for-profit nursing home in Clark, South Dakota (Clark County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the South Dakota average of 2.9.
Residents receive about 4.2 hours of nursing care per day (0.7 of them from registered nurses), better than the state average of 3.8 hours.
Its most recent standard health inspection (January 8, 2026) found 3 health citations. The South Dakota average is 6.7.
Federal regulators fined it 1 time in the past three years, totaling $11,057.
Nursing staff turnover is 42.4% per year (state average 48.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 35
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Legacy Healthcare
- Medicare-certified since
- May 1, 1991
- Resident/family council
- Both
- County
- Clark County
- CMS Certification Number
- 435058
Ratings
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 2.6 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.17 hrs | 3.79 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.73 hrs | 0.80 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.72 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.49 hrs | 3.26 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 42.4% | 48.2% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 40% | 34.7% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 21 | 72.2 | 80.6 | Better |
Penalties
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $11,057 | $40,815 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 35 | 61 | 107 | |
| Average residents per day | 29 | 52 | 86 | |
| Occupancy | 83.7% | 85.2% | 80.9% |
Long-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.9% | 5.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.3% | 4.6% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 29.3% | 24.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 4% | 2.9% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 4.4% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 31.8% | 21.3% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 18.6% | 19.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 9.7% | 5.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 60.6% | 5.7% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 10.5% | 17.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 31.6% | 25.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 87.5% | 96.9% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 88.2% | 94.9% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2% | 2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 65.7% | 78.2% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 65.6% | 83.5% | 82% | Worse |
Inspection citations
State inspectors cited this home for 7 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 8, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | C No harm, widespread | Corrected February 22, 2026 |
| January 8, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | B No harm, pattern | Corrected February 22, 2026 |
| January 8, 2026 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | B No harm, pattern | Corrected February 22, 2026 |
| January 8, 2026 Fire safety | Have an externally vented heating system. Services Deficiencies · Tag K0522 | B No harm, pattern | Corrected February 22, 2026 |
| January 8, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected February 22, 2026 |
| January 8, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected February 22, 2026 |
| January 8, 2026 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected February 22, 2026 |
| July 17, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Past Non-Compliance |
| September 12, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected October 6, 2024 |
| June 15, 2023 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected July 5, 2023 |
| June 15, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 13, 2023 |
| June 15, 2023 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | E Potential harm, pattern | Corrected July 3, 2023 |
| June 15, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected July 5, 2023 |
| June 15, 2023 Fire safety | Have horizontal exits used in accordance with safety requirements. Egress Deficiencies · Tag K0226 | E Potential harm, pattern | Corrected July 17, 2023 |
| June 15, 2023 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | E Potential harm, pattern | Corrected July 30, 2023 |
| June 15, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected July 3, 2023 |
| June 15, 2023 Standard | 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 Deficiencies · Tag F0700 | E Potential harm, pattern | Corrected July 30, 2023 |
| June 15, 2023 Standard | 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 Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected July 30, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $11,057 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 12, 2024 | Fine | $11,057 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 Organization | 5% or greater direct ownership interest | 43% | 07/01/2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 Organization | 5% or greater direct ownership interest | 43% | 07/01/2019 |
| OAKWAY OPERATIONS LLC Organization | 5% or greater direct ownership interest | 15% | 07/01/2015 |
| BOKF,NA Organization | 5% or greater security interest | NOT APPLICABLE | 03/04/2024 |
| CLARK CITY SD PROPERTY HOLDINGS, LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| DICKES, EDWARD Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| DOROS GENERATION TRUST U/A/D 1/3/12 Organization | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 Organization | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| MOREHOUSE, RACHEL Individual | adp of the snf | NOT APPLICABLE | 01/06/2020 |
| RAJCHENBACH, CHAIM Individual | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| ROTH & CO, LLP Organization | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| SHABAT, MENACHEM Individual | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| RAJCHENBACH, CHAIM Individual | managing control - governing body | NOT APPLICABLE | 07/01/2019 |
| SHABAT, MENACHEM Individual | managing control - governing body | NOT APPLICABLE | 07/01/2019 |
| BOKF,NA Organization | operational/managerial control | NOT APPLICABLE | 03/04/2024 |
| DICKES, EDWARD Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| MOREHOUSE, RACHEL Individual | operational/managerial control | NOT APPLICABLE | 01/06/2020 |
| RAJCHENBACH, CHAIM Individual | operational/managerial control | NOT APPLICABLE | 07/01/2019 |
| SHABAT, MENACHEM Individual | operational/managerial control | NOT APPLICABLE | 07/01/2019 |
Other nursing homes near Avantara Clark City
- ★★★★★3Average
Avantara Watertown
415 Fourth Ave NE, Watertown, SD 57201 · 30.9 mi
For-profit · 51 beds · Part of Legacy Healthcare
- Special Focus candidate
- Abuse citation
★★★★★1Much below average- ★★★★★3Average
- ★★★★★5Much above average
Avantara Lake Norden
803 Park Street, Lake Norden, SD 57248 · 33.1 mi
For-profit · 50 beds · Part of Legacy Healthcare
★★★★★5Much above averageGood Samaritan Society de Smet
411 Calumet Avenue NW, De Smet, SD 57231 · 35.8 mi
Non-profit · 46 beds · Part of Good Samaritan Society
★★★★★1Much below average
Frequently asked questions
What is Avantara Clark City's rating?
Avantara Clark City has 4 out of 5 stars on the CMS overall star rating. The average for South Dakota nursing homes is 2.9 stars.
How many inspection citations did Avantara Clark City receive?
Its most recent standard health inspection found 3 citations, compared with a South Dakota average of 6.7. Every citation is listed on this page with its severity.
Does Avantara Clark City accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Avantara Clark City?
It is for profit - limited liability company and part of Legacy Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Avantara Clark City and how do I contact it?
Avantara Clark City is at 201 8th Avenue NW, Clark, SD 57225. Phone: (605) 532-3431.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.