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.
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.
Avantara Clark City is administered by Rachel Morehouse.
In South Dakota, the Department of Health, Office of Health Care Facilities Licensure is the state agency responsible for conducting unannounced surveys and monitoring facility quality.
Deficiencies
| This Facility | SD Average | vs. SD Avg |
|---|---|---|---|
|
Total deficiencies
| 5 | 19 | This facility has 74% fewer total deficiencies than a typical South Dakota assisted living residence (5 vs. SD avg 19).↓ 74% better |
|
Deficiencies per year
| 1.3 | 4.8 | This facility has 73% fewer deficiencies per year than a typical South Dakota assisted living residence (1.3 vs. SD avg 4.8).↓ 73% better |
|
Deficiencies per inspection
| 1.3 | 3.2 | This facility has 59% fewer deficiencies per inspection than a typical South Dakota assisted living residence (1.3 vs. SD avg 3.2).↓ 59% better |
Inspections
| This Facility | SD Average | vs. SD Avg |
|---|---|---|---|
|
Total inspections
| 4 | 6 | This facility has 33% fewer total inspections than a typical South Dakota assisted living residence (4 vs. SD avg 6).↓ 33% better |
State average N/A
Last Health inspection on Jul 2025
State average N/A
State average N/A
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.
State average: N/A
State average: N/A
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
1,916 contractor hours this quarter
| 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 |
Includes penalties issued in 2024
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Sep 12, 2024 · $17K
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
61% of new residents, usually for short-term rehab.
24% of new residents, often for short stays.
15% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Avantara Clark City from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Clark's city center to Avantara Clark City's address, calculated via Google Maps.
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The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
| Avantara Clark City | NH HC | Clark | - | 35 | - | 51 | - |
| Avera Mother Joseph Manor Retirement Community | NH AL HC IL | Aberdeen | - | 81 | - | 31 | 1 Bed / 2 Bed |
| Avera Maryhouse | NH AL HC | Pierre | - | 67 | - | 60 | Private Rooms / Semi-Private Rooms |
| Fountain Springs Healthcare Center | NH AL IL | Rapid City | - | 10 | - | 16 | Private Rooms / Semi-Private Rooms |
| Bethesda Home of Aberdeen | NH AL HC NC RC | Aberdeen (Melrose Addition) | - | 86 | - | 12 | - |
Avantara Clark City has a walk score of 51. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to SD state health department records, Avantara Clark City's license number is 10607.
According to SD state health department records, Avantara Clark City's license expires on June 30, 2026.
Avantara Clark City's occupancy is 79%.
Avantara Clark City is registered as a for-profit in SD.
Rachel Morehouse is the administrator of Avantara Clark City.
Avantara Clark City has 35 beds.
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