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Nursing HomeMedicaid

Avantara Clark City

Strong Medicare quality ratings; families often praise friendly and helpful staff. Still worth an in-person visit.

201 8th Avenue Nw, Clark, SD 5722535 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 5 Google reviews

5
4
3
2
1
Avantara Clark City Nursing Home in Clark, SD — Street View
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What this means for your family

Avantara Clark City receives high marks for its welcoming environment and attentive staff, making it a strong candidate for both rehabilitation and long-term care. Since current reviews are universally positive, families should schedule a tour to observe the staff-resident interactions firsthand to ensure the culture aligns with their loved one's specific needs.

Google Reviews

Google Reviews

5 reviews analyzed
Avantara Clark City is consistently praised for its warm, inviting atmosphere and friendly, helpful staff. Reviewers frequently highlight the quality of the food and the cleanliness of the facility, noting that it is well-maintained and provides a comfortable environment for residents and visitors alike.

Quality Themes

Tap a score for details
Food10.0Staff10.0Clean10.0ActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Friendly and helpful staff
  • Clean and well-maintained facility
  • High-quality food
  • Warm and inviting atmosphere

Rating Trends

Tap a year to see what changed

Distribution

5
5
4
0
3
0
2
0
1
0

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed you have a 100% response rate to online feedback; how do you incorporate that kind of open communication into your daily relationship with families?
  • 2With a capacity of 35 residents, how does the team ensure that each person receives consistent, personalized attention throughout the day?
  • 3Since the facility is known for its high-quality food and inviting atmosphere, could you tell me how you involve residents in planning the menu or social activities?
  • 4I see there have been a few recent state violations; could you walk me through the steps you’ve taken to address those and prevent them from recurring?
  • 5Given the staffing rating, what is your approach to maintaining the high level of care and cleanliness that residents currently enjoy?
  • 6How does your nursing team coordinate with local hospitals or specialists if a resident experiences a sudden change in their medical needs?

Personalized based on this facility's data


Key Review Excerpts

The staff is nice and helpful. When you walk in it is warm and inviting. The food is great. Everyone treats you like family.

Visitor · 2025★★★★★

Our father moved to Avantara Clark in 2022. He had suffered a severe stroke and needed skilled nursing care. I am forever grateful to the staff for providing our dad excellent care and a safe and truly loving place to live out his years.

Long-term resident's family · 2025★★★★★

When I was getting close to going home after being rehabilitated from multiple surgeries, I was wondering how long it would be before i started missing the great people there after I went home.

Rehab patient · 2025★★★★★
Source: 5 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.78hrs
OK
Registered nurses for medical care
Total Nursing
3.98hrs
97%
All nurses + aides combined
Staff Turnover
47%
Lower is better (< 30% = good)
RN Turnover
0%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 34 measures

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

26

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility64.5%
Worse than Avg
Here
64.5%
US
12.1%
SD
5.3%
Clark
16.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility64.5%
Worse than Avg
Here
64.5%
US
12.1%
SD
5.3%
Clark
16.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility31.8%
Worse than Avg
Here
31.8%
US
14.4%
SD
21.4%
Clark
11.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility31.8%
Worse than Avg
Here
31.8%
US
14.4%
SD
21.4%
Clark
11.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility9.7%
Better than Avg
Here
9.7%
US
19.5%
SD
17.5%
Clark
22.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility9.7%
Better than Avg
Here
9.7%
US
19.5%
SD
17.5%
Clark
22.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility67.6%
Worse than Avg
Here
67.6%
US
81.8%
SD
82.7%
Clark
80.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility67.6%
Worse than Avg
Here
67.6%
US
81.8%
SD
82.7%
Clark
80.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility65.7%
Worse than Avg
Here
65.7%
US
79.7%
SD
78.2%
Clark
78.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility65.7%
Worse than Avg
Here
65.7%
US
79.7%
SD
78.2%
Clark
78.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
SD
1.9%
Clark
1.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
SD
1.9%
Clark
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
1penalties
Near state avg (6.8)
2 complaint-triggered
$11,057 in fines

This facility shows a concerning pattern with recurring accident hazard deficiencies appearing in three different surveys, including two complaint-triggered reports where families filed concerns about resident safety. The main problem areas involve accident prevention and supervision, fire safety systems, and infection control. While most issues have correction dates, the repeated accident hazard violations and family complaints suggest ongoing safety challenges that warrant careful consideration during your visit.

Jan 8, 2026Routine
6
0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0345Minor

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0211Minor

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0522Minor

Services Deficiencies

Have an externally vented heating system.

0911Minor

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

Jan 8, 2026Complaint
1
0689ModerateCorrected

Quality of Life and Care Deficiencies

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

Jul 17, 2025Complaint
1
0689Minor

Quality of Life and Care Deficiencies

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

Sep 12, 2024Routine
1
0689ModerateCorrected

Quality of Life and Care Deficiencies

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

Jun 15, 2023Routine
9
0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0657ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0700ModerateCorrected

Quality of Life and Care Deficiencies

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.

0226ModerateCorrected

Egress Deficiencies

Have horizontal exits used in accordance with safety requirements.

0271ModerateCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0325ModerateCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0355ModerateCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0321MinorCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Federal Penalties

Fine

Sep 12, 2024

$11,057

Ownership & Operations

Who Operates This Facility

Owner / Operator

Avantara Clark City

Organization Type

for profit

Chain Affiliation

Chain Name

Legacy Healthcare

Chain Size

90 facilities nationwide

Chain avg rating: 3.0/5 · Rank 33 of 89

Ownership & Management

Owners

Doros Generation Trust U/a/d 1/3/12

Owner · Organization

50%

Gpn Fam Tr Ua 04282008

Owner · Organization

50%

Key personnel

Cibc Bank USA5% or Greater Security InterestSchlomer, TiffanyW-2 Managing EmployeeRajchenbach, ChaimOfficer / DirectorShabat, MenachemOfficer / DirectorLegacy Healthcare Financial Services LLCManager
Source: Medicare provider data

Contact

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References & Resources

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