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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Avantara Pierre is a nursing home in Pierre, South Dakota, that provides a specialized clinical setting tailored to high-acuity therapeutic recovery, memory care, and extended skilled nursing. The community serves Hughes County under the leadership of Chase Watson. With a 65-bed capacity, the community maintains an operational occupancy rate of 79%, matching South Dakota state averages and reflecting stable local demand.
Nutritious meals, daily housekeeping, laundry, and facility maintenance are among the confirmed services, along with a calendar of recreational activities, stretching exercises, and interactive social hours. The care framework also delivers round-the-clock clinical supervision, physical rehabilitation, occupational therapy, speech pathology, and structured dementia management programs.
Operating under federal CMS certification, the community utilizes an interdisciplinary care model to manage complex health transitions. The clinical pipeline specializes in short-term post-hospitalization recovery, with Medicare-covered short-stays averaging two to three months and accounting for 53% of new admissions. While baseline direct nursing hours track below state benchmarks at 2 hours and 36 minutes per resident daily, the community’s quality measures score roughly 10% above the state average, indicating that clinical outcomes and preventative benchmarks for current residents remain highly competitive.
The community holds a 2-star overall CMS rating, with performance metrics tracking below state baselines in the staffing and health inspection categories. To accommodate diverse financial setups, Medicare, Medicaid, private insurance, and VA contracts are accepted.
For families in the Pierre and broader Central South Dakota seeking a therapy-focused environment for post-acute recovery, Avantara Pierre provides specialized short-term rehabilitation and dedicated memory care services within an accessible urban location.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 56th out of 57 homes in South Dakota. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 2h 27m per day | ▼ 25% State avg: 3h 17m per day · National avg: 3h 25m per day |
Similar to the South Dakota average: 79.9%Avantara Pierre is administrated by Chase Watson.
South Dakota average 4.5
Last Health inspection on May 2025
South Dakota average 14.8
South Dakota average 3.34
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
30 of 35 citations resulted from standard inspections; and 5 of 35 resulted from complaint investigations.
100% better than South Dakota averageSouth Dakota average: 0.3
67% worse than South Dakota averageSouth Dakota average: 1.8
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
25% worse than South Dakota average
6% better than South Dakota average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
11 total: 7 full-time employees and 4 contractors.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursAssists with medical care and medications.
10 total: 4 full-time employees and 6 contractors.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hoursHelps with daily care and mobility.
38 total: 21 full-time employees and 17 contractors.
38
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,208 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 21 | 17 | 38 | 8,674 | 92 | 100% | 8.9 |
| Registered Nurse | 7 | 4 | 11 | 2,672 | 92 | 100% | 8.5 |
| Licensed Practical Nurse | 4 | 6 | 10 | 1,763 | 87 | 95% | 10.7 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 992 | 80 | 87% | 6.7 |
| Physical Therapy Aide | 0 | 2 | 2 | 844 | 68 | 74% | 7.7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 631 | 91 | 99% | 4.5 |
| Nurse Practitioner | 2 | 0 | 2 | 497 | 62 | 67% | 8 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Dietitian | 1 | 0 | 1 | 482 | 62 | 67% | 7.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 468 | 55 | 60% | 7.8 |
| Speech Language Pathologist | 0 | 1 | 1 | 462 | 63 | 68% | 7.3 |
| Dental Services Staff | 1 | 0 | 1 | 442 | 59 | 64% | 7.5 |
| RN Director of Nursing | 1 | 0 | 1 | 326 | 40 | 43% | 8.1 |
| Physical Therapy Assistant | 0 | 2 | 2 | 67 | 53 | 58% | 1.2 |
| Qualified Social Worker | 0 | 2 | 2 | 33 | 18 | 20% | 1.8 |
Includes penalties issued in 2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
22% higher than South Dakota averageSouth Dakota average: $40K
In line with South Dakota averageSouth Dakota average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
In line with South Dakota averageSouth Dakota average: 0.0
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Apr 2, 2025 · $34K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 2, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.2
26% worse than South Dakota averageSouth Dakota average: 12.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.0
17% worse than South Dakota averageSouth Dakota average: 23.9
Percent of long-stay residents whose need for help with daily activities has increased
25.5%
14% worse than South Dakota averageSouth Dakota average: 22.3%
Percent of long-stay residents whose ability to move independently worsened
30.8%
35% worse than South Dakota averageSouth Dakota average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.7%
In line with South Dakota averageSouth Dakota average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
46% better than South Dakota averageSouth Dakota average: 5.0%
Percent of long-stay high risk residents with pressure ulcers
9.2%
106% worse than South Dakota averageSouth Dakota average: 4.5%
Percent of long-stay residents with a urinary tract infection
4.7%
36% worse than South Dakota averageSouth Dakota average: 3.5%
Percent of long-stay residents who lose too much weight
7.7%
42% worse than South Dakota averageSouth Dakota average: 5.5%
Percent of long-stay residents who have depressive symptoms
1.9%
54% better than South Dakota averageSouth Dakota average: 4.1%
Percent of long-stay residents who received an antipsychotic medication
17.1%
30% better than South Dakota averageSouth Dakota average: 24.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.0%
14% worse than South Dakota averageSouth Dakota average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.2%
In line with South Dakota averageSouth Dakota average: 96.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
53.8%
36% worse than South Dakota averageSouth Dakota average: 84.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.3%
32% worse than South Dakota averageSouth Dakota average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
49.1%
37% worse than South Dakota averageSouth Dakota average: 78.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
53% of new residents, usually for short-term rehab.
30% of new residents, often for short stays.
16% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
55Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Avantara Pierre based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #24 / 55Payroll — State benchmarkedThis home is ranked 24th out of 55 homes in South Dakota. Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Pierre's city center to Avantara Pierre's address, calculated via Google Maps.
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Avantara Pierre is located in Pierre, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
| Avera Maryhouse |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. | Pierre | 67 | - | - | 5.30 | +18% | +22% | $0 | 9 | 2.3 | - | 58 | 60 | - | - | - | - | 435034 | ||||
| Fountain Springs Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Rapid City | 10 | 87.3% | +9% | 3.82 | -2% | -12% | $32.3k | 11 | 1.6 | 2 | 86 | 16 | - | $8.8M | $4.4M | 50.3% | 435110 | ||||
| Avera Mother Joseph Manor Retirement Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Aberdeen | 81 | - | - | 4.62 | -24% | +6% | $20.6k | 12 | 1.7 | 3 | 77 | 31 | - | - | - | - | 435042 | ||||
| Avantara Pierre |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Pierre | 65 | 78.9% | -1% | 2.61 | +24% | -40% | $48.7k | 35 | 7.0 | 3 | 55 | 63 | Tina Muller | $11.2M | $4.0M | 36.1% | 435047 |
Avantara Pierre has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to SD state health department records, Avantara Pierre's license number is 10663.
According to SD state health department records, Avantara Pierre's license expires on June 30, 2026.
Avantara Pierre's occupancy is 79%.
Chase Watson is the administrator of Avantara Pierre.
Avantara Pierre has 65 beds.
Yes — there are 4 photos of Avantara Pierre in the photo gallery on this page.
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