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Nursing HomeMedicaid Investigative

Avantara Pierre

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

950 East Park Street, Pierre, SD 5750165 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 15 Google reviews

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

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

Source: Medicare data

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 details
FoodN/AStaff9.0Clean9.0ActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • 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

2345.02018(1)1.02022(1)4.52024(2)4.52025(11)1.02026(1)

Distribution · 16 analyzed

5
10
4
3
3
0
2
0
1
3

How They Respond to Reviews

93%response rate

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!

Rehab patient · 2025★★★★

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.

Family member · 2025★★★★★
Source: 15 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.73hrs
97%
Registered nurses for medical care
Total Nursing
2.89hrs
71%
All nurses + aides combined
Staff Turnover
41%
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

4

measures

Worse Than Avg

11

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility31.5%
Worse than Avg
Here
31.5%
US
15.3%
SD
20.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility6.0%
Better than Avg
Here
6.0%
US
19.5%
SD
17.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility11.3%
Better than Avg
Here
11.3%
US
15.5%
SD
24.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
12.1%
SD
5.3%

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

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility25.7%
Worse than Avg
Here
25.7%
US
14.4%
SD
21.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility84.4%
Worse than Avg
Here
84.4%
US
93.4%
SD
95.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility49.1%
Worse than Avg
Here
49.1%
US
79.8%
SD
78.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility55.9%
Worse than Avg
Here
55.9%
US
81.8%
SD
82.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.9%
Worse than Avg
Here
2.9%
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

8deficiencies
1penalties
Above state avg (6.8)
5 complaint-triggered
$22,048 in fines

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, 2025Complaint
1
0697Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Apr 2, 2025Routine
10
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0847Potential for harm · WidespreadCorrected

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

0584Potential for harm · PatternCorrected

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.

0656Potential for harm · PatternCorrected

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0004Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0006Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

Apr 2, 2025Complaint
1
0600Actual harm · 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.

Jan 9, 2024Routine
13
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.

0835Potential for harm · WidespreadCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0849Potential for harm · WidespreadCorrected

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.

0865Potential for harm · WidespreadCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0732Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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.

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0761Potential for harm · IsolatedCorrected

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.

0803Potential for harm · IsolatedCorrected

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, 2024Complaint
1
0678Potential for harm · IsolatedResolved (past non-compliance)

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, 2023Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0776Potential for harm · IsolatedCorrected

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

Owner / Operator

Avantara Pierre

Organization Type

for profit

Chain Affiliation

Chain Name

Legacy Healthcare

Chain Size

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

43%

Gpn Family Trust U/a/d 4/28/08

Owner · Organization

43%

Oakway Operations LLC

Owner · Organization

15%

Key personnel

Pierre Sd Property Holdings, LLC5% or Greater Security InterestTruist Bank5% or Greater Security InterestRajchenbach, ChaimManaging Control - Governing BodyShabat, MenachemManaging Control - Governing BodyTruist BankManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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.

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