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Medicare-certifiedSkilled Nursing

Avantara Pierre

Pierre, South DakotaMedicare inspection record
(605) 224-8628

About Avantara Pierre

AVANTARA PIERRE provides skilled nursing and rehabilitation services to South Dakota residents who need professional medical care and recovery support. Our team focuses on helping patients regain independence through personalized treatment plans and compassionate clinical expertise in Pierre.

Community at a glance

Capacity

65 residents

Location

Pierre, SD

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

950 EAST PARK STREET, Pierre, South Dakota 57501

(605) 224-8628

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Medicare flags Avantara Pierre for a citation related to abuse of residents in its recent inspections.

At its most recent standard inspection, on July 1, 2026, state inspectors cited 12 health deficiencies (the South Dakota average is 6.7).

Nurses and nurse aides spend 2 hours 49 minutes with each resident a day, below the South Dakota average of 3 hours 47 minutes.

Medicare fined Avantara Pierre once in the last three years, $22,048 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day2 hours 49 minutesBelow the South Dakota average
Registered nurse time per resident, per day36 minutesBelow the South Dakota average
Nursing staff who left in the past year41%Below the South Dakota average

Inspections

36 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

July 1, 2026 · Complaint investigation · 2 citations

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

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Aug 1, 2026
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Apr 17, 2026

July 1, 2026 · Standard inspection · 10 citations

  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Aug 1, 2026
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Aug 1, 2026
  • Assure that each resident’s assessment is updated at least once every 3 months.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Aug 1, 2026
  • Provide care or services that was trauma informed and/or culturally competent.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 1, 2026
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 1, 2026
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 1, 2026
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Aug 1, 2026
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Aug 1, 2026
  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 1, 2026
  • Allow residents to self-administer drugs if determined clinically appropriate.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Aug 1, 2026
May 7, 2025 · Complaint investigation · 1 citation+
  • Provide safe, appropriate pain management for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintAlready fixed by Apr 24, 2025
April 2, 2025 · Complaint investigation · 1 citation+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 1, 2025
April 2, 2025 · Standard inspection · 8 citations+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected May 1, 2025
  • Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected May 1, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected May 1, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected May 1, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected May 1, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 1, 2025
  • Allow residents to self-administer drugs if determined clinically appropriate.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 1, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 1, 2025
January 9, 2024 · Standard inspection · 13 citations+
  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Feb 20, 2024
  • 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.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Feb 20, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Feb 20, 2024
  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Feb 20, 2024
  • Post nurse staffing information every day.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Feb 20, 2024
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 20, 2024
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 20, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 20, 2024
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 20, 2024
  • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 20, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Feb 20, 2024
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 20, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 20, 2024
January 9, 2024 · Complaint investigation · 1 citation+
  • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintAlready fixed by Jan 4, 2024

Fines and payment denials

1 fine totaling $22,048 in the last three years.

  • April 2, 2025Fine: $22,048

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Pierre Sd Skilled Nursing Facility, LLC
Medicare-certified beds
65
Average residents per day
59
Accepts
Medicare and Medicaid
First certified
September 1, 1991
Part of a chain
Legacy Healthcare, 95 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
435047

Location

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950 EAST PARK STREETPierre, SD 57501

4 other communities within 10 miles

Senior living near Pierre

Questions about Avantara Pierre

How did Avantara Pierre do on its last inspection?+

State inspectors visited on July 1, 2026 and cited 12 health deficiencies, 5 of them from complaint investigations. The South Dakota average is 6.7.

How much nursing care does each resident get at Avantara Pierre?+

Nurses and aides spend 2 hours 49 minutes with each resident per day, including 36 minutes from registered nurses. 41% of nursing staff left over the past year.

Has Avantara Pierre been fined by Medicare?+

Yes. Medicare fined Avantara Pierre once in the last three years, totaling $22,048.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Pierre Skilled Nursing in South Dakota Skilled Nursing guide Information last updated October 2026