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Nursing HomeMedicaid Investigative

Avantara Huron

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1345 Michigan Avenue Sw, Huron, SD 57350119 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 22 Google reviews

5
4
3
2
1
Avantara Huron Nursing Home in Huron, SD — Street View
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2/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Above-median deficiencies (7 vs median 5.0)
  • High staff turnover (57%)

Above average in SD · Below recommended RN staffing · $8,338 in fines

Source: Medicare data

What this means for your family

The facility is consistently praised for its welcoming environment and attentive staff, making it a potentially comfortable choice for your loved one. However, because many positive reviews are brief and lack clinical detail, we recommend scheduling a tour during a weekend or evening shift to observe staffing levels and resident engagement firsthand.

Google Reviews

Google Reviews

22 reviews on Google
Avantara Huron receives consistent praise for its welcoming atmosphere and caring staff members who are noted for being attentive and respectful. While the facility is described as clean and inviting by recent visitors, the lack of detailed, long-term feedback makes it difficult to assess specific clinical outcomes or operational consistency.

Quality Themes

Tap a score for details
FoodN/AStaff9.0Clean9.0ActivitiesN/AMedsN/AMemoryN/AComms5.0ValueN/A

Strengths

  • Welcoming and friendly environment
  • Attentive and caring staff
  • Clean and well-maintained facility
  • Respectful professional conduct

Concerns

  • Administrative and billing issues with vendors (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.0'15(1)4.04.4'18(9)4.83.0'20(2)5.05.0'24(1)5.0'25(1)

Distribution · 23 analyzed

5
14
4
4
3
3
2
0
1
2

How They Respond to Reviews

23%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given that the facility has had some recent administrative and billing challenges, what is the best way for families to stay updated on account status and resolve any potential discrepancies?
  • 2With the current staffing rating, could you walk me through how you ensure consistent, personalized attention for each resident throughout the day?
  • 3I noticed the facility has had a few recent state violations; what specific steps has the leadership team taken to address those findings and improve quality of care?
  • 4The reviews frequently mention a very welcoming and friendly atmosphere; how do you foster that culture among the staff and residents on a daily basis?
  • 5What does a typical daily activity schedule look like for residents who enjoy staying active and social?
  • 6In the event of a medical emergency, what is your protocol for notifying family members and coordinating with local hospitals?

Personalized based on this facility's data


Key Review Excerpts

Every time I walk into the facility, all the staff are welcoming and kind! The building is clean and inviting! Everyone has smiles on their face and helpful with answering all questions!

Visitor · 2025★★★★★

When I walked into the facility it was very welcoming. The staff were attentive to the residents and are very caring. It is a great environment for your loved one!

Visitor · 2024★★★★★

Amazing CNA's and Hire Ups! Wonderful place to take your relatives and you wouldn't have to worries because they are in nothing but absolute good hands!

Family member · 2020★★★★★
Source: 22 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.66hrs
88%
Registered nurses for medical care
Total Nursing
3.47hrs
85%
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
25%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

5

measures

Worse Than Avg

9

measures

Mixed Results

3

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility34.6%
Worse than Avg
Here
34.6%
US
14.4%
SD
21.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility34.1%
Worse than Avg
Here
34.1%
US
19.4%
SD
25.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility19.9%
Worse than Avg
Here
19.9%
US
12.1%
SD
5.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility26.5%
Worse than Avg
Here
26.5%
US
15.3%
SD
20.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility8.6%
Better than Avg
Here
8.6%
US
19.5%
SD
17.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility87.7%
Worse than Avg
Here
87.7%
US
93.4%
SD
95.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility57.4%
Worse than Avg
Here
57.4%
US
79.7%
SD
78.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility75.1%
Worse than Avg
Here
75.1%
US
81.8%
SD
82.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.5%
Better than Avg
Here
1.5%
US
1.6%
SD
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
1penalties
Well above state avg (6.8)
6 complaint-triggered
$8,338 in fines

Avantara Huron has concerning patterns including a recent complaint-triggered finding of abuse/neglect protection failures and families have filed reports leading to two complaint investigations. The facility shows recurring issues with fire safety systems, food safety, and care planning that have persisted across multiple surveys, though all deficiencies have correction dates indicating the facility addresses problems when cited.

Mar 12, 2026Complaint
4
0600Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

0610Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0609Potential for harm · WidespreadCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Mar 12, 2026Routine
10
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0710Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0657Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Nov 14, 2024Complaint
1
0600Actual harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Nov 14, 2024Routine
16
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0655Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0655Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0657Potential for harm · IsolatedCorrected

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.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0657Potential for harm · IsolatedCorrected

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.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Jun 19, 2024Complaint
1
0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

Aug 3, 2023Routine
6
0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0325Potential for harm · PatternCorrected

Smoke Deficiencies

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

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0325Potential for harm · PatternCorrected

Smoke Deficiencies

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

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Federal Penalties

Fine

Nov 14, 2024

$8,338

Ownership & Operations

Who Operates This Facility

Owner / Operator

Avantara Huron

Organization Type

for profit

Chain Affiliation

Chain Name

Legacy Healthcare

Chain Size

89 facilities nationwide

Chain avg rating: 3.0/5 · Rank 55 of 89

Ownership & Management

Owners

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

Owner · Organization

43%

Gpn Fam Tr Ua 04282008

Owner · Organization

43%

Oakway Operations LLC

Owner · Organization

15%

Key personnel

Bokf,na5% or Greater Security InterestHuron Sd Property Holdings, LLC5% or Greater Security InterestShabat, MenachemManaging Control - Governing BodyBokf,naManagerLegacy Healthcare Financial Services LLCManager
Source: Medicare provider data

Contact

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References & Resources

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