Nursing homes › South Dakota › Avantara Pierre
950 East Park Street, Pierre, SD 57501 · 6052248628 · 65 certified beds
Per CMS filings, this facility is affiliated with Legacy Healthcare, a group operating 89 facilities in 3 states. Group record: average rating 3.0/5, 7 abuse citation icons, 4 facilities on the Special Focus list, $3,703,514 in federal fines. This facility rates below its group average (3.0/5).
Total nurse staffing: 2.81 (South Dakota median: 3.63). RN hours: 0.60. Weekend total: 2.28. Nursing staff turnover: 40%.
All-time on record: 33 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-05-07 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2025-04-24 |
| 2025-04-02 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2025-05-01 |
| 2025-04-02 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | F | Health | corrected 2025-05-01 |
| 2025-04-02 | 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. | E | Health | corrected 2025-05-01 |
| 2025-04-02 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2025-05-01 |
| 2025-04-02 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-05-01 |
| 2025-04-02 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2025-05-01 |
| 2025-04-02 | 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. | D | Health | corrected 2025-05-01 |
| 2025-04-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-05-01 |
| 2025-04-02 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2025-05-01 |
| 2024-01-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-02-20 |
| 2024-01-09 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Health | corrected 2024-02-20 |
| 2024-01-09 | 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. | F | Health | corrected 2024-02-20 |
| 2024-01-09 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Health | corrected 2024-02-20 |
| 2024-01-09 | Post nurse staffing information every day. | E | Health | corrected 2024-02-20 |
| 2024-01-09 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2024-02-20 |
| 2024-01-09 | 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. | D | Health | corrected 2024-02-20 |
| 2024-01-09 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2024-02-20 |
| 2024-01-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-02-20 |
| 2024-01-09 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2024-02-20 |
| 2024-01-09 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-02-20 |
| 2024-01-09 | 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. | D | Health | corrected 2024-02-20 |
| 2024-01-09 | 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. | D | Health | corrected 2024-02-20 |
| 2024-01-09 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | complaint | corrected 2024-01-04 |
| 2023-01-13 | Honor each resident's preferences, choices, values and beliefs. | G | Health | corrected 2023-02-11 |
| 2023-01-13 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | Health | corrected 2023-02-11 |
| 2023-01-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-02-11 |
| 2023-01-13 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Health | corrected 2023-02-11 |
| 2023-01-13 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2023-02-11 |
| 2023-01-13 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2023-02-11 |
| 2023-01-13 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2023-02-11 |
| 2023-01-13 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2023-02-11 |
| 2023-01-13 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Health | corrected 2023-02-11 |
| Date | Type | Amount |
|---|---|---|
| 2025-04-02 | Fine | $22,048 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | 5% Or Greater Direct Ownership Interest | Organization | 43% | since 07/01/2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 | 5% Or Greater Direct Ownership Interest | Organization | 43% | since 07/01/2019 |
| OAKWAY OPERATIONS LLC | 5% Or Greater Direct Ownership Interest | Organization | 15% | since 07/01/2019 |
| RAJCHENBACH, CHAIM | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/01/2019 |
| SHABAT, MENACHEM | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/01/2019 |
| TRUIST BANK | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2022 |
| PLUMAGE, DARRELL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2019 |
| RAJCHENBACH, CHAIM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2019 |
| SHABAT, MENACHEM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2019 |
| WATSON, CHASE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/25/2021 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 435047. Corrections: data@carerecords.org.