Avantara Pierre
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 15 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (2/5 stars)
- Above-median deficiencies (10 vs median 5.0)
Below average in SD · Below recommended RN staffing · Significantly below average staffing · Below chain average · $22,048 in fines · Abuse citation
What this means for your family
The facility is highly regarded for its nursing staff and cleanliness, making it a strong candidate for those prioritizing bedside care and environment. However, because many recent positive reviews lack detail, we recommend scheduling an in-person tour to observe staff interactions and daily operations firsthand.
Google Reviews
Google Reviews
15 reviews on Google“Avantara Pierre receives high praise from several reviewers who highlight the kindness and dedication of the nursing and CNA staff. While some visitors report a clean environment and successful rehabilitation outcomes, the lack of detailed feedback in the majority of five-star reviews makes it difficult to assess consistent performance across all departments.”
Quality Themes
Tap a score for detailsStrengths
- Kind and helpful nursing and CNA staff
- Clean, well-maintained facility
- Effective physical and occupational therapy
Rating Trends
Tap a year to see what changed
Distribution · 16 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed the facility has a 100% response rate to online feedback; how does that commitment to communication translate into how you address family concerns or questions once a resident is moved in?
- 2Given the recent health inspection reports, what specific steps is the leadership team currently taking to improve clinical outcomes and address the identified deficiencies?
- 3Many families have praised the physical and occupational therapy teams here; could you walk us through how those programs are integrated into a resident's daily routine?
- 4With a staffing rating of 3 out of 5, how do you ensure that residents receive consistent, personalized attention throughout the different shifts?
- 5What protocols are in place for medical emergencies, and how are family members typically notified if there is a change in a resident's health status?
- 6Beyond the therapy programs, what kind of social activities or community engagement opportunities are available to help residents feel at home and connected to others?
Personalized based on this facility's data
Key Review Excerpts
“The staff are so kind and helpful to patients/residents. It wasn’t an easy journey over 5 months of PT/OT rehabilitation, but it was also hard to say goodbye!”
“Just wanted to say how much I love the people who take care of the residents at avantara. The nurses, the CNA’s and all the other staff that work there. The place is really clean, just know you guys are doing an awesome job.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
4
measures
11
measures
2
measures
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has faced significant issues with families filing complaint reports, including concerns about resident abuse and inadequate pain management. The most recurring problems involve care planning deficiencies, nutrition and dietary services, and resident rights violations. While the facility has corrected most identified issues, the pattern of 40 deficiencies across recent surveys, including serious complaints about resident safety and medical care, suggests ongoing quality challenges that families should carefully consider.
May 7, 2025Complaint1
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Apr 2, 2025Routine10
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Apr 2, 2025Complaint1
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.
Jan 9, 2024Routine13
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
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.
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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.
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
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
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.
Jan 9, 2024Complaint1
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Jun 16, 2023Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Administration Deficiencies
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Federal Penalties
Fine
Apr 2, 2025
$22,048
Ownership & Operations
Who Operates This Facility
Avantara Pierre
for profit
Chain Affiliation
Legacy Healthcare
89 facilities nationwide
Chain avg rating: 3.0/5 · Rank 62 of 89
Ownership & Management
Owners
Doros Generation Trust U/a/d 1/3/12
Owner · Organization
Gpn Family Trust U/a/d 4/28/08
Owner · Organization
Oakway Operations LLC
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
15 reviews from families & visitors
Official Website
Visit avantarapierre.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.