Occupancy rate
79%
In line with South Dakota averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in South Dakota
CMS overall rating
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.
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.
Avantara Clark City
Nursing Home in South Dakota
CMS overall rating
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.
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.
Avantara Clark City
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.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
35
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
79.4%
Residents per day (avg)
31
Occupancy rate
79.4%
Residents per day (avg)
31
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
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
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$6.0M
Profit
$358.7K
Privately-owned community
Operated by a business corporation.
Home revenue
$6.0M
Profit
$358.7K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.6M
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
Occupancy
In line with South Dakota averageOccupied beds
28 / 35
Average residents
51 per day
Facility TypeNursing Home
StatusActive
IssuanceJanuary 7, 2025
ExpirationJune 30, 2026
CountyClark
License Number10607
Avantara Clark City is administrated by Morehouse, Rachel.
Rehabilitation Services
Private And Semi-Private Suites
Community Spaces For Family Gathering Or Special Events
On-Site Salon Services
High-Speed Wi-Fi
Specific ProgramsShort-term rehabilitation, Orthopedic Care, Wound Care, Stroke and Other Neurological Conditions, Cardiac Care, Oncology Recovery Care
Food DescriptionAll meals are carefully served using fresh ingredients and healthy recipes, ensuring that all meals are nutritionally balanced.
Meals IncludedYes
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.
4 visits/inspections
Show Inspection Reports
Latest inspection
Date
July 17, 2025
Complaint Investigation5 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
South Dakota average: 19 deficiencies
Inspection Report Summary for Avantara Clark City
The most recent inspection on July 17, 2025, identified deficiencies related to inadequate supervision and assistance during a resident transfer that resulted in a fall. Earlier inspections showed a pattern of issues including failure to maintain safe equipment, incomplete care plan updates, missing safety assessments, and lapses in hand hygiene practices. Complaint investigations found substantiated cases involving a resident fall and a skin tear from a hazardous bed frame, with corrective actions taken such as staff education and termination of involved personnel; enforcement actions or fines were not listed in the available reports. Most complaints were substantiated, and the facility addressed these issues with corrective measures. The inspection history indicates ongoing challenges with resident safety and care procedures, with corrective actions implemented but some recurring themes over time.
Health Inspection History
Inspections
Total health inspections
4
South Dakota average 4.5
Last Health inspection on Jul 2025
Total health citations
5
South Dakota average 14.8
Citations per inspection
1.25
South Dakota 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 3 years)
Critical Health citations
0
0
100% better than South Dakota averageSouth Dakota average: 0.3
Serious Health citations
1
1
44% better than South Dakota averageSouth Dakota average: 1.8
0 critical citations
1 serious citation
4 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 17, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 17, 2025
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 12, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 12, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 15, 2023
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 15, 2023
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jun 15, 2023
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jun 15, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around South Dakota The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Filter by care type
Alcester Care and Rehab 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.
Alcester
39
94.9%
+19%
3.72
-14%
2
11
2.2
1
37
-
-
Stroschein Properties Iii Llc
$2.9M
$1.5M
51.8%
435062
Avantara Clark City
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.
Clark
38
79.4%
-1%
3.15
-27%
1
5
1.3
1
31
-
31
Schlomer, Tiffany
$6.0M
$1.5M
25.5%
435058
Avantara Clark City
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.
Clark
38
79.4%
-1%
3.15
-27%
1
5
1.3
1
31
-
-
Schlomer, Tiffany
$6.0M
$1.5M
25.5%
435058
Aurora Brule Nursing Home Inc.
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.
White Lake
44
61.7%
-23%
3.45
-20%
2
16
3.2
1
40
-
-
Aurora-Brule Nursing Home
$2.8M
$1.5M
52.4%
435132
Avantara Arrowhead
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.
Rapid City
74
75.2%
-6%
2.80
-36%
5
34
3.8
9
61
-
12
Preston, Philip
$10.7M
$2.9M
27.3%
435051
Places of interest near Avantara Clark City
0.5 miles from city center — 30.24 miles to nearest hospital (Prairie Lakes Hospital)
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
94
Employees
48
Contractors
46
Staff to resident ratio
2.94:1
54% better than South Dakota averageSouth Dakota average ratio: 1.91:1
Avg staff/day
21
Average shift
7.1 hours
8% worse than South Dakota averageSouth Dakota average: 7.7 hours
Total staff hours (quarter)
13,577
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
62
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
14.7%
1,996 contractor hours this quarter
Certified Nursing Assistant: 35
Physical Therapy Aide: 5
Speech Language Pathologist: 2
Physical Therapy Assistant: 2
Qualified Social Worker: 1
Respiratory Therapy Technician: 1
Staff by category
| 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 |
62 Certified Nursing Assistant
% of Days
100%
8 Registered Nurse
% of Days
100%
4 Licensed Practical Nurse
% of Days
100%
1 Administrator
% of Days
68%
1 Mental Health Service Worker
% of Days
66%
2 Medication Aide/Technician
% of Days
53%
1 Nurse Practitioner
% of Days
66%
1 Dietitian
% of Days
65%
1 RN Director of Nursing
% of Days
64%
2 Other Dietary Services Staff
% of Days
67%
2 Speech Language Pathologist
% of Days
66%
5 Physical Therapy Aide
% of Days
73%
1 Qualified Social Worker
% of Days
40%
2 Physical Therapy Assistant
% of Days
34%
1 Respiratory Therapy Technician
% of Days
47%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
32 residents
Residents by payment source
Medicare
4 residents (12.5%)
Medicaid
16 residents (50%)
Private pay or other
12 residents (37.5%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.8
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 South Dakota averageSouth Dakota average: 12.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.3
14% worse than South Dakota averageSouth Dakota average: 23.9
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
35.6%
Percent of long-stay residents whose need for help with daily activities has increased
35.6%
59% worse than South Dakota averageSouth Dakota average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.7%
Percent of long-stay residents whose ability to move independently worsened
18.7%
18% better than South Dakota averageSouth Dakota average: 22.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.6%
In line with South Dakota averageSouth Dakota average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
11.5%
Percent of long-stay residents experiencing one or more falls with major injury
11.5%
129% worse than South Dakota averageSouth Dakota average: 5.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.3%
Percent of long-stay high risk residents with pressure ulcers
9.3%
106% worse than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.0%
Percent of long-stay residents with a urinary tract infection
3.0%
13% better than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.9%
Percent of long-stay residents who lose too much weight
8.9%
63% worse than South Dakota averageSouth Dakota average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
58.6%
Percent of long-stay residents who have depressive symptoms
58.6%
1333% worse than South Dakota averageSouth Dakota average: 4.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
26.0%
Percent of long-stay residents who received an antipsychotic medication
26.0%
7% worse than South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.2%
In line with South Dakota averageSouth Dakota average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
87.5%
10% worse than South Dakota averageSouth Dakota average: 96.9%
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.9%
16% worse than South Dakota averageSouth Dakota average: 84.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than South Dakota averageSouth Dakota average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
65.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
65.7%
16% worse than South Dakota averageSouth Dakota average: 78.2%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
13.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
13.6%
37% better than South Dakota averageSouth Dakota average: 21.5%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
30.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
30.0%
156% worse than South Dakota averageSouth Dakota average: 11.7%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
2.6%
Percentage of SNF residents who experience falls with major injury during their stay.
2.6%
232% worse than South Dakota averageSouth Dakota average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
29.6%
Percentage of residents at or above expected ability to care for themselves at discharge.
29.6%
45% worse than South Dakota averageSouth Dakota average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
51.2%
Rate of successful return to home or community from a skilled nursing facility.
51.2%
In line with South Dakota averageSouth Dakota average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and 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 amount
$17K
57% lower than South Dakota averageSouth Dakota average: $40K
Number of fines
1
51% fewer fines than South Dakota averageSouth Dakota average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
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
Fines amount comparison
Fines amount comparison
This facility
$17K
South Dakota average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 12, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 12, 2024
$17K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Avantara Clark City based on CMS SNF Cost Reports.
Occupancy Rate
79.4%
↑ 1.7pp vs 2022
Net Income
$358.7K
↓ ~$67.9K vs 2022
Total Payroll
$2.2M
↑ ~$177.9K vs 2022
Profit Margin
6.0%
↓ 1.3pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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