Avantara Clark City
Nursing Home & Hospice Care · Clark, SD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Avantara Clark City

Nursing Home & Hospice Care · Clark, SD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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.
3h 9m per day
Rank #52 / 65Nurse hours — State benchmarkedThis home is ranked 52nd out of 65 homes in South Dakota. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 65 South Dakota facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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
LPN / LVN Info 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
Nurse Aide Info 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
Weekend Total Nursing Info 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
Physical Therapist Info 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
Weekend RN Info 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

Capacity and availability

Avg. Length of Stay
115 days
Bed community size
35-bed community Rank #103 / 117Bed count — State benchmarkedThis home is ranked 103rd out of 117 homes in South Dakota. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 51 / 100 Rank #55 / 159Walk Score — State benchmarkedThis home is ranked 55th out of 159 homes in South Dakota. Shows how walkable this facility's neighborhood is compared to the average Walk Score across South Dakota facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
79%
Rank #35 / 62Occupancy rate — State benchmarkedThis home is ranked 35th out of 62 homes in South Dakota. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 62. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Similar to the South Dakota average: 79.9%
Occupied beds
28 / 35
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
ExpirationJune 30, 2026 Expires in 4 days
CountyClark
License Number10607
CMS Certification Number435058

Ownership & Operating Entity

Avantara Clark City is administered by Rachel Morehouse.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Amenities & Lifestyle

Specific ProgramsOrthopedic Care, Oncology Recovery Care

Contact Avantara Clark City

Inspection History

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.

Since 2022 · 4 years of data 5 deficiencies 4 inspections

Inspection Scorecard Info 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 0 Worse No metrics in this bucket. 4 Better Metrics better than South Dakota average:
• Total deficiencies (74% below)
• Deficiencies per year (73% below)
• Deficiencies per inspection (59% below)
• Total inspections (33% below)
Latest Inspection July 17, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilitySD Averagevs. SD Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 519 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 Info Average deficiencies per year since 2022. 1.34.8 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 Info Average deficiencies per inspection. 1.33.2 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 Info State inspections evaluate whether the facility meets health and safety standards.

This FacilitySD Averagevs. SD Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 46 This facility has 33% fewer total inspections than a typical South Dakota assisted living residence (4 vs. SD avg 6).↓ 33% better

Health Inspection History

Inspections since 2022
Total health inspections 4

State average N/A


Last Health inspection on Jul 2025

Total health citations
5 Rank #4 / 67Health citations — State benchmarkedThis home is ranked 4th out of 67 homes in South Dakota. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 67 SD facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
1.25 Rank #5 / 67Citations per inspection — State benchmarkedThis home is ranked 5th out of 67 homes in South Dakota. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 67 facilities with citation data. Lower is better.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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.

Breakdown of citation severity (last 4 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
1
In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

4 moderate citations State average: N/A

0 minor citations State average: N/A
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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 91
Employees 47
Contractors 44
Staff to resident ratio 2.84 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 20
Average shift 7.2 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 13,335

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 14 total: 7 full-time employees and 7 contractors. 14
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 9 total: 6 full-time employees and 3 contractors. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 41 total: 22 full-time employees and 19 contractors. 41
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

14.4%

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

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant2219416,36292100%8
Licensed Practical Nurse6391,4829199%7.5
Registered Nurse77141,4488896%7.9
Medication Aide/Technician2025175560%9.2
Nurse Practitioner1015126470%8
Dietitian1015006368%7.9
Mental Health Service Worker1014806065%8
Administrator1014695964%7.9
RN Director of Nursing1014655964%7.9
Speech Language Pathologist0334056672%5.3
Physical Therapy Aide0663026773%4
Other Dietary Services Staff5052213235%6.3
Respiratory Therapy Technician022713235%2.2
Qualified Social Worker011673639%1.9
Physical Therapy Assistant033352527%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%

Penalties and fines

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)

Total fines amount $17K Rank #24 / 67Federal fines — State benchmarkedThis home is ranked 24th out of 67 homes in South Dakota. Shows this facility's cumulative CMS federal fine dollars versus the South Dakota average among facilities with fines, and where it ranks among 67 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
57% lower than State average

State average: $40K

Number of fines 1
51% fewer fines than State average

State average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
In line with State average

State average: 0.0

Fines amount comparison
Fines amount comparison
This facility $17K
State 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 12, 2024
$17K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 16.8
39% worse than State average

State average: 12.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 27.3
14% worse than State average

State average: 23.9

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 35.6%
59% worse than State average

State average: 22.3%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 18.7%
18% better than State average

State average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 27.6%
In line with State average

State average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 11.5%
129% worse than State average

State average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 9.3%
106% worse than State average

State average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.0%
13% better than State average

State average: 3.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.9%
63% worse than State average

State average: 5.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 58.6%
1333% worse than State average

State average: 4.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 26.0%
7% worse than State average

State average: 24.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.2%
In line with State average

State average: 95.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 87.5%
10% worse than State average

State average: 96.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 70.9%
16% worse than State average

State average: 84.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 65.7%
16% worse than State average

State 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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 32
Medicare
4
12.5% of residents
Medicaid
16
50% of residents
Private pay or other
12
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.

Finances and operations

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

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.5M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$353.4K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.5M Rank #46 / 63Revenue — State benchmarkedThis home is ranked 46th out of 63 homes in South Dakota. Shows this facility's annual revenue compared to the South Dakota average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$353.4K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$5.3K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #56 / 63Payroll — State benchmarkedThis home is ranked 56th out of 63 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.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$1.8M 51% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #57 / 63Payroll % — State benchmarkedThis home is ranked 57th out of 63 homes in South Dakota. Shows payroll as a percentage of revenue versus the South Dakota average. Well-run South Dakota facilities typically land around 64–73% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$3.2M

Who this home usually serves

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.

Admissions
92 total

Coverage residents most often arrive under.

Medicare 61%
Private pay 24%
Medicaid 15%
Discharges
96 total

Coverage residents most often leave under.

Medicare 43%
Private pay 19%
Medicaid 39%

Places of interest near Avantara Clark City

Address 0.0 miles from city center Info Estimated distance in miles from Clark's city center to Avantara Clark City's address, calculated via Google Maps.

Calculate Travel Distance to Avantara Clark City

Add your location

Address

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Frequently Asked Questions about Avantara Clark City

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.

When does Avantara Clark City's license expire?

According to SD state health department records, Avantara Clark City's license expires on June 30, 2026.

What is the occupancy rate at Avantara Clark City?

Avantara Clark City's occupancy is 79%.

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.

How many beds does Avantara Clark City have?

Avantara Clark City has 35 beds.

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