Avantara Clark City
Avantara Clark City is a Nursing Home in South Dakota
Avantara Clark City is a Nursing Home in South Dakota
Avantara Clark City
Avantara Clark City is a Nursing Home in South Dakota
Avantara Clark City is a Nursing Home in South Dakota
Overview of Avantara Clark City
Avantara Clark is one of the only exclusive communities with top-notch care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. Considered one of the premier rehabilitation centers in the city, there is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Clark has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life.
The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care.
Home Information
AVANTARA CLARK CITY
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This nursing home maintains occupancy well above most state peers, signaling sustained demand. The property runs a smaller bed inventory than most peers, focusing on a more intimate census. Residents generally stay for shorter periods than state peers, pointing to quicker turnover.
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Home revenue lands near the state median, signaling steady but not standout inflows. Payroll costs fall below most facilities, hinting at lean staffing budgets. Total income exceeds the majority of state facilities, highlighting strong profitability.
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Medicare nights lag behind other facilities, revealing limited Medicare demand. Medicaid nights sit above most state facilities, underscoring deep Title XIX coverage. Private pay nights trail most peers, signaling limited market-rate volume.
OccupancyBeds
35
Occupancy
92.9%
Total Bed Days Available
13870
Avg. Length of Stay
135 days
Avg. Residents per Day
31
FinanceHome Revenue
$5,795,941.00
Payroll Costs
$1,384,748.00
Profit
$426,566.00
Total Home Costs
$2,864,898.00
Payroll % of Revenue
Percentage of home revenue spent on payroll costs.
Percentage of home revenue spent on payroll costs.
23.9%
House Specifics:CCN
435058
Owner Name
SCHLOMER, TIFFANY
Rural vs. Urban
Rural
County
Clark
Type of Control
Proprietary — Individual
OperationsTotal Admissions
79
Total Discharges
80
% Medicaid Admissions
16%
% Medicare Admissions
59%
% Private Pay Admissions
24%
% Medicaid Discharges
43%
% Medicare Discharges
35%
% Private Pay Discharges
23%
Quality Ratings
Overall Rating
CMS 5-star rating based on health inspections, staffing, and quality measures.
CMS 5-star rating based on health inspections, staffing, and quality measures.
3 / 5
Health Inspection Rating
Rating based on deficiencies found during state health inspections.
Rating based on deficiencies found during state health inspections.
4 / 5
Staffing Rating
Rating based on nurse staffing hours per resident per day.
Rating based on nurse staffing hours per resident per day.
3 / 5
QM Rating
Quality Measures rating based on clinical outcomes for residents.
Quality Measures rating based on clinical outcomes for residents.
1 / 5
Nurse Hours / Resident / Day
Total nurse staffing hours per resident per day.
Total nurse staffing hours per resident per day.
3.15 hrs
Number of Fines
1
Medicaid, Medicare & Private
Medicare Nights
Number of resident nights paid by Medicare for short-term or rehab care.
Number of resident nights paid by Medicare for short-term or rehab care.
5480
Medicaid Nights
Resident nights covered by Medicaid for long-term care or support services.
Resident nights covered by Medicaid for long-term care or support services.
2316
Free Market Nights
Nights paid privately by residents or families, without Medicare/Medicaid coverage.
Nights paid privately by residents or families, without Medicare/Medicaid coverage.
2982
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: 31 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
License Status
ActiveFacility Type
Nursing Home
License Date
January 7, 2025
License Expiration
June 30, 2026
Additional licensing details
License number:
10607
County:
Clark
Ownership & operating entity
Avantara Clark City is administrated by Morehouse, Rachel.
Comparison Chart
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.Compare Nursing Homes around South Dakota
Avantara Lake Norden
AL
For seniors needing help with daily tasks but not full-time nursing.
SD 57248
48
No
6
GRIMM, MARGARET
89.8%
$6,387,397.00
$1,879,235.00
29.4%
46.50
5/5
3.3290
5/5
3/5
4/5
1
Avantara Clark City
AL
For seniors needing help with daily tasks but not full-time nursing.
Clark
35
No
31
SCHLOMER, TIFFANY
92.9%
$5,795,941.00
$1,384,748.00
23.9%
30.60
3/5
3.1510
4/5
3/5
1/5
1
Avantara Groton
AL
For seniors needing help with daily tasks but not full-time nursing.
SD 57445
37
No
32
PETE, JOSHUA
99.2%
$5,391,879.00
$1,403,567.00
26%
35.50
3/5
3.1645
3/5
2/5
2/5
5
Avantara Huron
AL
For seniors needing help with daily tasks but not full-time nursing.
SD 57350
119
No
27
SOLEM, LAURIE
58.3%
$12,770,546.00
$3,381,366.00
26.5%
64.90
2/5
3.5190
2/5
3/5
2/5
1
Avantara Arrowhead
AL
For seniors needing help with daily tasks but not full-time nursing.
SD 57702
65
No
12
PRESTON, PHILIP
85.9%
$11,497,189.00
$2,845,271.00
24.7%
60.50
1/5
2.7955
1/5
1/5
3/5
5
Planning a tour? Check our touring checklist.
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Touring Checklist for Senior Living
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Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
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Places of interest near Avantara Clark City
0.5 miles from city center
201 8th Ave NW, Clark, SD 57225
Calculate Travel Distance to Avantara Clark City
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
94
Total Staff
48
Employees
46
Contractors
13,577
Total Hours (Quarter)
21
Avg Staff/Day
7.1
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 8 | 8.3 | No |
| Licensed Practical Nurse | 4 | 7.6 | No |
| Certified Nursing Assistant | 62 | 7.5 | Yes |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
77 staff
7.8hs shift avg
Physicians & Practitioners ⓘ
1 staff
7.9hs shift avg
Therapy Services ⓘ
10 staff
3.9hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
2.3hs shift avg
Dietary Services ⓘ
3 staff
6.6hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
14.7%
of total hours from contractors
1,996 contractor hours this quarter
Certified Nursing Assistant: 35
Speech Language Pathologist: 2
Physical Therapy Aide: 5
Qualified Social Worker: 1
Respiratory Therapy Technician: 1
Physical Therapy Assistant: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 27 | 35 | 62 | 6,655 | 91 | 100% | 7.5 |
| Registered Nurse | 8 | 0 | 8 | 1,645 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 4 | 0 | 4 | 1,107 | 91 | 100% | 7.6 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Medication Aide/Technician | 2 | 0 | 2 | 478 | 48 | 53% | 10 |
| Nurse Practitioner | 1 | 0 | 1 | 476 | 60 | 66% | 7.9 |
| Dietitian | 1 | 0 | 1 | 468 | 59 | 65% | 7.9 |
| RN Director of Nursing | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 426 | 61 | 67% | 5.6 |
| Speech Language Pathologist | 0 | 2 | 2 | 416 | 60 | 66% | 6.9 |
| Physical Therapy Aide | 0 | 5 | 5 | 266 | 66 | 73% | 3.8 |
| Qualified Social Worker | 0 | 1 | 1 | 82 | 36 | 40% | 2.3 |
| Physical Therapy Assistant | 0 | 2 | 2 | 60 | 31 | 34% | 1.9 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 59 | 43 | 47% | 1.4 |
Health Inspection History
Source: CMS Health Citations (Feb 2022 – Jul 2025)
4
Inspections
5
Total Citations
0
Critical (J-L)
1
Serious (G-I)
1.25
Citations/Inspection
Jul 2025
Last Inspection
Citation Severity Distribution
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
3
60% of total
Infection Control
1
20% of total
Citation Sources
Standard Inspections
4
Complaint Investigations
1
State Comparison (SD)
Avg Citations (State)
14.8
This Facility: 5
Avg Critical (State)
0.3
This Facility: 0
Recent Citations (Last 3 Years)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Jul 17, 2025 | D | Quality of Care | F0689 | Open |
| Sep 12, 2024 | G | Quality of Care | F0689 | Corrected |
| Jun 15, 2023 | E | Quality of Care | F0700 | Corrected |
| Jun 15, 2023 | E | Care Planning | F0657 | Corrected |
| Feb 17, 2022 | E | Infection Control | F0880 | Corrected |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Part of: Legacy Healthcare
Resident Census by Payment Source
32
Total Residents
Medicare
4
(12.5%)
ⓘ
Medicaid
16
(50%)
ⓘ
Private Pay/Other
12
(37.5%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality Measures
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
High-Risk Clinical Events
16.8
Score
39% worse than avg
State avg: 12.0
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Functional Decline
27.3
Score
14% worse than avg
State avg: 23.9
Composite score based on ADL decline, walking ability decline, and incontinence
Long-Stay Resident Measures
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Need for Help with Daily Activities Increased
35.6%
Lost Too Much Weight
8.9%
Urinary Tract Infection
3.0%
Depressive Symptoms
58.6%
Falls with Major Injury
11.5%
Pneumococcal Vaccine
94.2%
Antipsychotic Use
26.0%
Walking Ability Worsened
18.7%
Influenza Vaccine
87.5%
High Risk Residents with Pressure Ulcers
9.3%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
27.6%
Short-Stay Resident Measures
Measures for residents who stay 100 days or less (typically rehabilitation patients).
Pneumococcal Vaccine
70.9%
16% worse than avg
State: 84.4%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.0%
100% better than avg
State: 1.8%
Influenza Vaccine
65.7%
16% worse than avg
State: 78.2%
Penalties & Fines
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)
Total Fines
$17K
State avg: $40K
57% better than avg
Number of Fines
1
State avg: 2.0
Compared to State Average
Facility: $17K |
State Avg: $40K
Penalty History
Showing all 1 penalties (Sep 2024 - Sep 2024)
Sep 12, 2024
Civil Money Penalty
$17K
Guides for Better Senior Living
From costs to care, explore the most important topics to make informed decisions about your future.
Claim What’s Yours: Financial Aid for South Dakota Seniors
Program
State Program Name
Eligibility
Benefits
Home and Community Based Services Waiver
SD Medicaid HCBS Waiver
Official government program page
- General: Age 65+ or disabled, South Dakota resident, Medicaid-eligible, nursing home-level care need.
- Income Limits (2025): ~$2,829/month (300% FBR, individual).
- Asset Limits: $2,000 (individual), $3,000 (couple).
- SD Specifics: Sparse population aids rural access; limited providers.
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
South Dakota Elderly Services Program
SD ESP
- General: Age 60+, South Dakota resident, at risk of decline.
- Income Limits: ~$1,732/month (individual, varies).
- Asset Limits: $5,000 (individual).
- SD Specifics: Limited funding; rural focus.
- Services: In-home care (2-4 hours/week), respite (up to 5 days/year), transportation (~5 trips/month).
Medicare Savings Program (MSP)
South Dakota Medicare Savings Program
- General: Age 65+ or disabled, SD resident, Medicare Part A/B.
- Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits: $9,430 (individual), $14,130 (couple).
- SD Specifics: Three tiers; includes Extra Help for Part D; no waitlist.
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Low-Income Home Energy Assistance Program (LIEAP)
South Dakota LIEAP
Official government program page
- General: Age 60+ prioritized, SD resident, low-income household.
- Income Limits (2025): ~$3,970/month (individual, 185% FPL).
- Asset Limits: Not assessed; income-focused.
- SD Specifics: Covers gas, electric, propane; weatherization add-on available.
- Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
Family Caregiver Support Program (FCSP)
South Dakota Family Caregiver Support Program
- General: Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).
- Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year).
- Asset Limits: Not assessed; need-based.
- SD Specifics: Rural emphasis; includes grandparent caregivers.
- Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
Senior Community Service Employment Program (SCSEP)
South Dakota SCSEP
Official government program page
- General: Age 55+, unemployed, low-income, SD resident.
- Income Limits (2025): ~$1,983/month (125% FPL).
- Asset Limits: Not specified; income-focused.
- SD Specifics: Priority for veterans, rural residents; AARP partnership.
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
South Dakota VA Aid and Attendance/Housebound
- General: Age 65+ or disabled veteran/spouse, SD resident, wartime service, need for ADL help (A&A) or homebound.
- Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits: ~$155,356 (net worth limit).
- SD Specifics: Supports rural veterans; high demand near Sioux Falls VA.
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
Property Tax Reduction Program
South Dakota Property Tax Reduction from Municipal Taxes
Official government program page
- General: Age 65+ (or disabled) by Jan 1, SD resident entire prior year, homeowner/renter.
- Income Limits (2025): ~$20,192/year (single), ~$24,679/year (multiple-member household).
- Asset Limits: Not assessed; income-focused.
- SD Specifics: Refunds up to $575; ~10,000 seniors benefit annually.
- Services: Tax refund (~$250-$575/year based on income).
Senior Farmers’ Market Nutrition Program (SFMNP)
South Dakota SFMNP
Official government program page
- General: Age 60+, SD resident, low-income.
- Income Limits (2025): ~$2,322/month (individual, 185% FPL).
- Asset Limits: Not assessed.
- SD Specifics: Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.
- Services: Vouchers (~$50/season) for fresh produce at approved markets.
Freeze on Assessments for Dwellings of Disabled and Senior Citizens
South Dakota Property Tax Freeze
Official government program page
- General: Age 65+ (or disabled), SD resident 200+ days prior year, homeowner.
- Income Limits (2025): ~$35,000/year (single), ~$45,000/year (multiple-member household).
- Asset Limits: Property value < $250,000 (single), $300,000 (multiple).
- SD Specifics: Saves ~$300-$600/year avg.; applies to primary residence.
- Services: Assessment freeze (~$300-$600/year savings).
Older Americans Act (OAA) Services
South Dakota OAA Services
- General: Age 60+, SD resident (or spouse of any age); no income/asset limits.
- Income Limits (2025): None; donations encouraged for some services.
- Asset Limits: Not assessed.
- SD Specifics: 6 AAAs; rural focus due to sparse population.
- Services: Meals (home-delivered or congregate, ~$5-$7/meal value), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
Claim What’s Yours Financial Aid for South Dakota Seniors
SD Medicaid HCBS Waiver
Home and Community Based Services Waiver
Requirements:
- General:Age 65+ or disabled, South Dakota resident, Medicaid-eligible, nursing home-level care need.
- Income Limits (2025):~$2,829/month (300% FBR, individual).
- Asset Limits:$2,000 (individual), $3,000 (couple).
- SD Specifics:Sparse population aids rural access; limited providers.
Benefits without Contact:
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
SD ESP
South Dakota Elderly Services Program
Requirements:
- General:Age 60+, South Dakota resident, at risk of decline.
- Income Limits:~$1,732/month (individual, varies).
- Asset Limits:$5,000 (individual).
- SD Specifics:Limited funding; rural focus.
Benefits without Contact:
- Services: In-home care (2-4 hours/week), respite (up to 5 days/year), transportation (~5 trips/month).
South Dakota Medicare Savings Program
Medicare Savings Program (MSP)
Requirements:
- General:Age 65+ or disabled, SD resident, Medicare Part A/B.
- Income Limits (2025):~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits:$9,430 (individual), $14,130 (couple).
- SD Specifics:Three tiers; includes Extra Help for Part D; no waitlist.
Benefits without Contact:
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
South Dakota LIEAP
Low-Income Home Energy Assistance Program (LIEAP)
Requirements:
- General:Age 60+ prioritized, SD resident, low-income household.
- Income Limits (2025):~$3,970/month (individual, 185% FPL).
- Asset Limits:Not assessed; income-focused.
- SD Specifics:Covers gas, electric, propane; weatherization add-on available.
Benefits without Contact:
- Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
South Dakota Family Caregiver Support Program
Family Caregiver Support Program (FCSP)
Requirements:
- General:Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).
- Income Limits (2025):No strict cap; prioritizes low-income (~$24,980/year).
- Asset Limits:Not assessed; need-based.
- SD Specifics:Rural emphasis; includes grandparent caregivers.
Benefits without Contact:
- Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
South Dakota SCSEP
Senior Community Service Employment Program (SCSEP)
Requirements:
- General:Age 55+, unemployed, low-income, SD resident.
- Income Limits (2025):~$1,983/month (125% FPL).
- Asset Limits:Not specified; income-focused.
- SD Specifics:Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
South Dakota VA Aid and Attendance/Housebound
VA Aid and Attendance (A&A) and Housebound Benefits
Requirements:
- General:Age 65+ or disabled veteran/spouse, SD resident, wartime service, need for ADL help (A&A) or homebound.
- Income Limits (2025):Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits:~$155,356 (net worth limit).
- SD Specifics:Supports rural veterans; high demand near Sioux Falls VA.
Benefits without Contact:
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
South Dakota Property Tax Reduction from Municipal Taxes
Property Tax Reduction Program
Requirements:
- General:Age 65+ (or disabled) by Jan 1, SD resident entire prior year, homeowner/renter.
- Income Limits (2025):~$20,192/year (single), ~$24,679/year (multiple-member household).
- Asset Limits:Not assessed; income-focused.
- SD Specifics:Refunds up to $575; ~10,000 seniors benefit annually.
Benefits without Contact:
- Services: Tax refund (~$250-$575/year based on income).
South Dakota SFMNP
Senior Farmers’ Market Nutrition Program (SFMNP)
Requirements:
- General:Age 60+, SD resident, low-income.
- Income Limits (2025):~$2,322/month (individual, 185% FPL).
- Asset Limits:Not assessed.
- SD Specifics:Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.
Benefits without Contact:
- Services: Vouchers (~$50/season) for fresh produce at approved markets.
South Dakota Property Tax Freeze
Freeze on Assessments for Dwellings of Disabled and Senior Citizens
Requirements:
- General:Age 65+ (or disabled), SD resident 200+ days prior year, homeowner.
- Income Limits (2025):~$35,000/year (single), ~$45,000/year (multiple-member household).
- Asset Limits:Property value < $250,000 (single), $300,000 (multiple).
- SD Specifics:Saves ~$300-$600/year avg.; applies to primary residence.
Benefits without Contact:
- Services: Assessment freeze (~$300-$600/year savings).
South Dakota OAA Services
Older Americans Act (OAA) Services
Requirements:
- General:Age 60+, SD resident (or spouse of any age); no income/asset limits.
- Income Limits (2025):None; donations encouraged for some services.
- Asset Limits:Not assessed.
- SD Specifics:6 AAAs; rural focus due to sparse population.
Benefits without Contact:
- Services: Meals (home-delivered or congregate, ~$5-$7/meal value), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
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