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Nursing homeFAID #11673

Avantara Clark City

201 8TH AVENUE NW, CLARK, SD, 57225
(605) 532-3431
35 licensed beds
★★★★★4/5CMS Five-Star overall4/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
35
CMS facility ID
435058
Care type
Nursing home
County
Clark
Facility name
Avantara Clark City
Street address
201 8TH AVENUE NW
City / state / ZIP
Clark, SD 57225
Phone
(605) 532-3431

About this facility — Avantara Clark City

Avantara Clark City is a Medicare/Medicaid-certified skilled nursing facility in Clark, South Dakota. It is licensed for 35 beds — below the median for skilled nursing facilities in South Dakota (52 beds).

It is one of 3 senior care facilities in Clark and 96 skilled nursing facilities across South Dakota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Avantara Clark City 18 times across 8 inspections in the last three years, and CMS has imposed $11,057 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Legacy Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Doros Generation Trust U/a/d 1/3/12
Direct owner · Additional disclosable party — 43% stake — since 2019
Gpn Family Trust U/a/d 4/28/08
Direct owner · Additional disclosable party — 43% stake — since 2019
Oakway Operations Llc
Direct owner — 15% stake — since 2015
Bokf,na
Security-interest holder · Operational control — since 2024
Clark City Sd Property Holdings, Llc
Additional disclosable party — since 2019
Dickes, Edward
Operational control · Additional disclosable party — since 2025
Legacy Healthcare Financial Services Llc
Additional disclosable party — since 2019
Morehouse, Rachel
Operational control · Additional disclosable party — since 2020
Rajchenbach, Chaim
Governing body · Operational control · Additional disclosable party — since 2019
Roth & Co, Llp
Additional disclosable party — since 2024
Shabat, Menachem
Governing body · Operational control · Additional disclosable party — since 2019

Regulatory standing

Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1991-05-01
CMS overall rating
4 of 5 stars
Health deficiencies
3 at the last standard inspection
Federal fines
$11,057 total
Last standard inspection
2026-01-08
Nurse staffing
4.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$540 per day (≈ $16,420/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
57% Medicaid · 20% Medicare · 23% private/other
Occupancy
79% (fiscal year 2023)
Vs. state median
31% above the SD median of $412/day — full state cost breakdown

Services & coverage

Licensed beds
35
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-01-08Health inspectionComplaint-triggered3 citations
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-02-22
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-22
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-02-22
2025-07-17Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
4 earlier / fire-safety inspections (14 citations)
2024-09-12Health inspection1 citation
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-06
2023-06-15Health inspection2 citations
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-07-30
F-0700
E · No harm found
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.
Corrected 2023-07-30
2026-01-08Fire-safety inspection4 citations
K-0211
B · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-02-22
K-0345
C · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-02-22
K-0522
B · No harm found
Have an externally vented heating system.
Corrected 2026-02-22
K-0911
B · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2026-02-22
2023-06-15Fire-safety inspection7 citations
K-0226
E · No harm found
Have horizontal exits used in accordance with safety requirements.
Corrected 2023-07-17
K-0271
E · No harm found
Have exits that are accessible at all times.
Corrected 2023-07-30
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-07-03
K-0325
E · No harm found
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2023-07-03
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-07-05
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-07-13
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-07-05

Federal penalties

2024-09-12Fine$11,057
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 435058.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 18 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered