Avantara Clark City

Nursing Home, Hospice Care & Skilled Nursing · Clark, SD

CMS overall rating

201 8Th Ave Nw, Clark, SD 57225 View map

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Avantara Clark City accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Avantara Clark City accepts Medicare, Medicaid, and private pay.

Overview of Avantara Clark City

Avantara Clark City is a 35-bed nursing home in Clark, South Dakota, providing short-term rehabilitation services with specialized support in orthopedic recovery, wound care, and oncology rehabilitation. Privately owned and operated, the community serves individuals throughout Clark County with a strong emphasis on post-acute recovery and transitional skilled nursing care following hospitalization or surgery.

The community has maintained a notably strong inspection history over the past seven years, with only five total citations across inspections, placing it among the best-performing nursing communities in South Dakota for both total citations and citations per inspection. Notably, these is no critical citations, a performance level significantly stronger than statewide averages. One serious citation was identified and resolved in 2024, while the remaining deficiencies were classified at the moderate level. However, the community received a federal monetary penalty in September 2024 related to compliance issues, though this amount remained well below the South Dakota average for similar penalties.

Staffing levels align with the community’s focus on short-term rehabilitation and recovery care, with an average of 3 hours and 9 minutes of nursing care per day, slightly below the South Dakota average of 3 hours and 46 minutes. Meanwhile, occupancy remains steady at approximately 79%, closely matching statewide trends and reflecting consistent demand for rehabilitation-focused services. Many short-term rehabilitation residents also remain in the community for one to two months while recovering from surgery, illness, or hospitalization before returning home or transitioning to another care setting.

The care model is designed primarily for older adults requiring focused, skilled nursing and rehabilitation support during recovery periods. Services are commonly focused on post-acute patients needing rehabilitation following orthopedic procedures, acute medical events, wound treatment, or oncology-related recovery.

Avantara Clark City is a strong option for individuals in Clark County seeking short-term skilled nursing and rehabilitation care within a smaller community environment focused on recovery, therapy, and transitional medical support.

Facility Direct Line (605) 532-3431

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to South Dakota state averages

Total nursing care / resident

3h 9m per day

This facility South Dakota avg (4h 20m per day)

vs South Dakota avg

-27%

2 of 6 metrics below state avg

Standout metric LPN / LVN is +50% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	43m per day	▼ 12% State avg: 49m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	43m per day	▲ 50% State avg: 29m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 31m per day	■ Avg State avg: 2h 34m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 26m per day	■ Avg State avg: 3h 23m per day · National avg: 3h 27m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	2m per day	▼ 49% State avg: 3m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	35m per day	▲ 12% State avg: 31m per day · National avg: 29m per day

Capacity and availability

115 days

35-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 51 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

85%

Higher than the South Dakota average: 79.9%

Occupied beds

30 / 35

Average occupied beds in South Dakota homes 51 beds

Facility TypeNursing Home

IssuanceJuly 1, 2025

CountyClark

License Number10607

CMS Certification Number435058

Avantara Clark City is administered by Rachel Morehouse.

Rehabilitation Services

Short-Term Rehab

Pets not allowed

Since 2022 · 4 years of data 5 deficiencies 4 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the South Dakota state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. South Dakota state average

Overall vs. SD average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	SD Average	vs. SD Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	5	19	This facility has 74% fewer total deficiencies than a typical South Dakota nursing home (5 vs. SD avg 19).↓ 74% better
Deficiencies per inspection Average deficiencies per inspection.	1.3	3.8	This facility has 66% fewer deficiencies per inspection than a typical South Dakota nursing home (1.3 vs. SD avg 3.8).↓ 66% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	SD Average	vs. SD Avg
Total inspections Combined count of all inspections conducted at this facility.	4	5	This facility has had 20% fewer total inspections than the South Dakota average (4 vs. SD avg 5). More inspections can mean more regulatory scrutiny rather than worse care.↓ 20% fewer

Show Inspection Reports

Inspections since 2022

Total health inspections 4

State average 4.5

Last Health inspection on Jul 2025

Total health citations

State average 14.8

Citations per inspection

1.25

State average 3.34

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

4 of 5 citations resulted from standard inspections; and 1 of 5 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)

Critical health citations

100% better than State average

State average: 0.3

Serious health citations

44% better than State average

State average: 1.8

0 critical citations State average: 0.3

1 serious citation State average: 1.8

4 moderate citations State average: 12.6

0 minor citations State average: 0

Citations history (last 4 years)

Quality of Care moderate citation Jul 17, 2025

Quality of Care serious citation Sep 12, 2024

Corrected

Quality of Care moderate citation Jun 15, 2023

Corrected

Care Planning moderate citation Jun 15, 2023

Corrected

Total staff 91

Employees 47

Contractors 44

Staff to resident ratio 2.84 : 1

47% more staff per resident than South Dakota average

Avg staff/day 20

Average shift 7.2 hours

6% worse than South Dakota average

Total staff hours (quarter) 13,335

Nursing staff breakdown

7.9 hours

7.5 hours

8 hours

Contractor staffing

1,916 contractor hours this quarter

Certified Nursing Assistant: 19 Registered Nurse: 7 Physical Therapy Aide: 6 Speech Language Pathologist: 3 Physical Therapy Assistant: 3 Licensed Practical Nurse: 3 Respiratory Therapy Technician: 2 Qualified Social Worker: 1

Staff by category


Certified Nursing Assistant	22	19	41	6,362	92	100%	8
Licensed Practical Nurse	6	3	9	1,482	91	99%	7.5
Registered Nurse	7	7	14	1,448	88	96%	7.9
Medication Aide/Technician	2	0	2	517	55	60%	9.2
Nurse Practitioner	1	0	1	512	64	70%	8
Dietitian	1	0	1	500	63	68%	7.9
Mental Health Service Worker	1	0	1	480	60	65%	8
Administrator	1	0	1	469	59	64%	7.9
RN Director of Nursing	1	0	1	465	59	64%	7.9
Speech Language Pathologist	0	3	3	405	66	72%	5.3
Physical Therapy Aide	0	6	6	302	67	73%	4
Other Dietary Services Staff	5	0	5	221	32	35%	6.3
Respiratory Therapy Technician	0	2	2	71	32	35%	2.2
Qualified Social Worker	0	1	1	67	36	39%	1.9
Physical Therapy Assistant	0	3	3	35	25	27%	1.4

41 Certified Nursing Assistant

% of Days 100%

9 Licensed Practical Nurse

% of Days 99%

14 Registered Nurse

% of Days 96%

2 Medication Aide/Technician

% of Days 60%

1 Nurse Practitioner

% of Days 70%

1 Dietitian

% of Days 68%

1 Mental Health Service Worker

% of Days 65%

1 Administrator

% of Days 64%

1 RN Director of Nursing

% of Days 64%

3 Speech Language Pathologist

% of Days 72%

6 Physical Therapy Aide

% of Days 73%

5 Other Dietary Services Staff

% of Days 35%

2 Respiratory Therapy Technician

% of Days 35%

1 Qualified Social Worker

% of Days 39%

3 Physical Therapy Assistant

% of Days 27%

View All Staffing Data

Total fines amount $17K

57% lower than South Dakota average

South Dakota average: $40K

Number of fines 1

51% fewer fines than South Dakota average

South Dakota average: 2.0

Payment Denials 0

In line with South Dakota average

South Dakota average: 0.0

Fines amount comparison

This facility $17K

South Dakota average $40K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Sep 12, 2024 · $17K

Civil Money Penalty Sep 12, 2024

$17K

Last updated: Jan 2026

High-risk clinical events score 16.8

39% worse than South Dakota average

South Dakota average: 12.0

Functional decline score 27.3

14% worse than South Dakota average

South Dakota average: 23.9

Long-stay resident measures

Need for Help with Daily Activities Increased 35.6%

59% worse than South Dakota average

South Dakota average: 22.3%

Walking Ability Worsened 18.7%

18% better than South Dakota average

South Dakota average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence 27.6%

In line with South Dakota average

South Dakota average: 26.7%

Falls with Major Injury 11.5%

129% worse than South Dakota average

South Dakota average: 5.0%

High Risk Residents with Pressure Ulcers 9.3%

106% worse than South Dakota average

South Dakota average: 4.5%

Urinary Tract Infection 3.0%

13% better than South Dakota average

South Dakota average: 3.5%

Lost Too Much Weight 8.9%

63% worse than South Dakota average

South Dakota average: 5.5%

Depressive Symptoms 58.6%

1333% worse than South Dakota average

South Dakota average: 4.1%

Antipsychotic Use 26.0%

7% worse than South Dakota average

South Dakota average: 24.4%

Pneumococcal Vaccine 94.2%

In line with South Dakota average

South Dakota average: 95.7%

Influenza Vaccine 87.5%

10% worse than South Dakota average

South Dakota average: 96.9%

Short-stay resident measures

Pneumococcal Vaccine 70.9%

16% worse than South Dakota average

South Dakota average: 84.4%

Antipsychotic medication increase 0.0%

100% better than South Dakota average

South Dakota average: 1.8%

Influenza Vaccine 65.7%

16% worse than South Dakota average

South Dakota average: 78.2%

Breakdown by payment type

Medicare

61% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

24% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

15% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Total residents 32

Medicare

12.5% of residents

Medicaid

50% of residents

Private pay or other

37.5% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Avantara Clark City from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 79.4% ↑ 1.7pp vs 2022

Net Patient Income $353.4K ↓ ~$65.9K vs 2022

Payroll Costs $1.8M ↑ ~$141.6K vs 2022

Operating Margin 10.0% ↓ 2.8pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2020	2021	2022	2023
Occupancy %	86.1%	83.2%	79.4%	81.9%	79.8%	76.9%	89.8%	69.0%	75.4%	77.9%	77.7%	79.4%
Beds	45	45	43	43	43	43	38	38	38	38	38	38
Net Income	$263,213	$22,184	-$147,687	-$279,788	-$438,374	-$566,526	-$426,594	-$276,681	$505,529	$408,855	$426,566	$358,710
Gross Revenue	$3,619,821	$3,491,928	$3,464,772	$3,374,923	$3,326,747	$3,066,162	$2,940,031	$2,347,254	$4,710,728	$5,225,255	$5,795,941	$5,951,228
Operating Expenses	$2,432,114	$2,474,089	$2,544,740	$2,633,252	$2,796,598	$2,775,795	$2,604,907	$2,161,445	$2,528,535	$2,635,200	$2,864,898	$3,180,175
Net Patient Income	$232,371	$17,641	-$166,135	-$292,128	-$445,711	-$581,072	-$428,563	-$447,484	-$99,002	-$54,806	$419,257	$353,400
Net Patient Revenue	$2,664,485	$2,491,730	$2,378,605	$2,341,124	$2,350,887	$2,194,723	$2,176,344	$1,713,961	$2,429,533	$2,580,394	$3,284,155	$3,533,575
Payroll Costs	$1,219,416	$1,207,199	$1,200,722	$1,200,779	$1,217,002	$1,358,679	$1,273,822	$1,143,141	$1,582,764	$1,479,491	$1,658,975	$1,800,550
Operating Margin %	8.7%	0.7%	-7.0%	-12.5%	-19.0%	-26.5%	-19.7%	-26.1%	-4.1%	-2.1%	12.8%	10.0%
Medicare %	14.2%	14.9%	15.7%	13.2%	13.8%	12.8%	8.3%	15.0%	18.2%	13.7%	21.5%	19.8%
Medicaid %	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	57.9%	0.0%	59.0%	60.8%	50.8%	57.5%
Private %	85.8%	85.1%	84.3%	86.8%	86.2%	87.2%	33.9%	85.0%	22.8%	25.5%	27.7%	22.7%
Net Patient Revenue/Day	$189	$182	$183	$182	$188	$181	$175	$179	$232	$239	$305	$321
Cost/Day	$172	$181	$196	$205	$223	$229	$209	$226	$241	$244	$266	$289
Avg Length of Stay	220.9 days	171.3 days	124.7 days	147.8 days	156.5 days	155.1 days	218.5 days	174.1 days	139.9 days	144.1 days	134.7 days	114.8 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$3.5M

Net patient income

$353.4K

For-profit Operated by a single business entity.

Net patient revenue

$3.5M

Net patient income

$353.4K

Other income

$5.3K

Payroll costs

$1.8M 51% of net patient revenue

Other operating costs

$1.4M

Total costs

$3.2M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (61% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 61%

Private pay 24%

Medicaid 15%

Coverage residents most often leave under.

Medicare 43%

Private pay 19%

Medicaid 39%

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Nursing Home Explorer

Is Avantara Clark City in a walkable area?

Avantara Clark City has a walk score of 51. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Avantara Clark City?

According to SD state health department records, Avantara Clark City's license number is 10607.

What is the occupancy rate at Avantara Clark City?

Avantara Clark City's occupancy is 85%.

How long has Avantara Clark City been in business?

Avantara Clark City has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Avantara Clark City?

No, Avantara Clark City has a no-pet policy.

Does Avantara Clark City operate as a for-profit or non-profit?

Avantara Clark City is registered as a for-profit in SD.

Who is the administrator of Avantara Clark City?

Rachel Morehouse is the administrator of Avantara Clark City.

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Avantara Clark City

Overview of Avantara Clark City

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Additional Policies & Features

Amenities & Lifestyle

Contact Avantara Clark City

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the South Dakota state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

41 Certified Nursing Assistant

9 Licensed Practical Nurse

14 Registered Nurse

2 Medication Aide/Technician

1 Nurse Practitioner

1 Dietitian

1 Mental Health Service Worker

1 Administrator

1 RN Director of Nursing

3 Speech Language Pathologist

6 Physical Therapy Aide

5 Other Dietary Services Staff

2 Respiratory Therapy Technician

1 Qualified Social Worker

3 Physical Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Avantara Clark City

Calculate Travel Distance to Avantara Clark City

Compare Nursing Homes around the area

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