Nursing homes › South Dakota › Avantara Pierre
950 East Park Street, Pierre, SD 57501 · (605) 224-8628 · 65 certified beds
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Open your comparisonCMS overall star rating: this provider 2/5; median among 93 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Legacy Healthcare, a group operating 89 facilities in 3 states. Group record: average rating 2.9/5, 12 abuse citation icons, 4 facilities on the Special Focus list, $3,742,782 in federal fines. This facility rates below its group average (2.9/5).
Total nurse staffing: 2.81 (South Dakota median: 3.62). RN hours: 0.60. Weekend total: 2.28. Nursing staff turnover: 40%.
In the downloaded CMS dataset: 36 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-07-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2026-08-01 |
| 2026-07-01 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Health | corrected 2026-08-01 |
| 2026-07-01 | 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. | E | Health | corrected 2026-08-01 |
| 2026-07-01 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-08-01 |
| 2026-07-01 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2026-08-01 |
| 2026-07-01 | Allow residents to self-administer drugs if determined clinically appropriate. | D | complaint | corrected 2026-08-01 |
| 2026-07-01 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-04-17 |
| 2026-07-01 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2026-08-01 |
| 2026-07-01 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2026-08-01 |
| 2026-07-01 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Health | corrected 2026-08-01 |
| 2026-07-01 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-08-01 |
| 2026-07-01 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Health | corrected 2026-08-01 |
| 2025-05-07 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2025-04-24 |
| 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 |
| 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 |
| 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 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 |
| 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 |
| 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 |
How to cite this page: CareRecords, “Avantara Pierre — compliance, penalty and ownership record” (CCN 435047), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/avantara-pierre-pierre-sd/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 435047. Corrections: data@carerecords.org.