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Nursing homeFAID #11668

Avantara Pierre

950 EAST PARK STREET, PIERRE, SD, 57501

(605) 224-8628

65 licensed beds

★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing2/5 quality measuresSource: CMS Care Compare

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Address

950 East Park Street

Pierre, SD 57501

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

435047

Care type

Nursing home

County

Hughes

Facility name

Avantara Pierre

Street address

950 EAST PARK STREET

City / state / ZIP

Pierre, SD 57501

Phone

(605) 224-8628

About this facility — Avantara Pierre

Avantara Pierre is a Medicare/Medicaid-certified skilled nursing facility in Pierre, South Dakota. It is licensed for 65 beds — above the median for skilled nursing facilities in South Dakota (52 beds).

It is one of 9 senior care facilities in Pierre 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 Pierre 38 times across 10 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $22,048 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 2019

Legacy Healthcare Financial Services Llc

Additional disclosable party — since 2019

Pierre Sd Property Holdings, Llc

Security-interest holder · Additional disclosable party — since 2019

Plumage, Darrell

Operational control · Additional disclosable party — since 2019

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

Truist Bank

Security-interest holder · Operational control — since 2022

Watson, Chase

Operational control · Additional disclosable party — since 2021

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

1991-09-01

CMS overall rating

2 of 5 stars

Health deficiencies

12 at the last standard inspection

Federal fines

$22,048 total

Last standard inspection

2026-07-01

Nurse staffing

2.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$538 per day (≈ $16,360/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

55% Medicaid · 15% Medicare · 30% 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

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

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-01Health inspectionComplaint-triggered12 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-08-01

F-0554

D · No harm foundFrom a complaint

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2026-08-01

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-04-17

F-0638

E · No harm found

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2026-08-01

F-0658

D · No harm foundFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-08-01

F-0689

G · Actual harmFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-08-01

F-0699

D · No harm found

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2026-08-01

F-0740

D · No harm found

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2026-08-01

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-08-01

F-0761

E · No harm found

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.

Corrected 2026-08-01

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-08-01

F-0919

D · No harm found

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2026-08-01

2025-05-07Health inspectionComplaint-triggered1 citation

F-0697

D · No harm foundFrom a complaint

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-04-24

3 earlier / fire-safety inspections (25 citations)

2025-04-02Health inspectionComplaint-triggered9 citations

F-0554

D · No harm found

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-05-01

F-0584

E · No harm found

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.

Corrected 2025-05-01

F-0600

G · Actual harmFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-05-01

F-0625

D · No harm found

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.

Corrected 2025-05-01

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-05-01

F-0686

G · Actual harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-05-01

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-05-01

F-0847

F · No harm found

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2025-05-01

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-05-01

2024-01-09Health inspectionComplaint-triggered14 citations

F-0561

D · No harm found

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-02-20

F-0625

D · No harm found

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.

Corrected 2024-02-20

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-02-20

F-0678

D · No harm foundFrom a complaint

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2024-01-04

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-02-20

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-02-20

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-02-20

F-0732

E · No harm found

Post nurse staffing information every day.

Corrected 2024-02-20

F-0761

D · No harm found

Corrected 2024-02-20

F-0803

D · No harm foundFood safety

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.

Corrected 2024-02-20

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-02-20

F-0835

F · No harm found

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-02-20

F-0849

F · No harm found

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.

Corrected 2024-02-20

F-0865

F · No harm found

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2024-02-20

2025-04-02Fire-safety inspection2 citations

E-0004

D · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-04-28

E-0006

D · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2025-04-28

Federal penalties

2025-04-02Fine$22,048

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 435047.

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 38 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

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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