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Nursing Home in South Dakota

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.

Avantara Huron

Nursing Home in South Dakota

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.

Avantara Huron

Overview of Avantara Huron

Avantara Huron boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. Proudly being a community that provides an unparalleled 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 Huron 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. 

(605) 352-8471

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.
2/5
South Dakota average: 2.5/5
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.
2/5
South Dakota average: 2.6/5
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.
3/5
South Dakota average: 2.9/5
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.
2/5
South Dakota average: 2.7/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 31m per day

This home provides 6% less nursing time per resident than the South Dakota average.

South Dakota average: 3h 46m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 35m per day 48m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 27m per day 2h 37m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 3m per day 3h 19m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 3m per day 3m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 21m per day 31m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 80

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the South Dakota average
Occupancy rate 69.6%
Residents per day (avg) 65
Occupancy rate
69.6%
Residents per day (avg)
65

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.

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

27% of new residents, often for short stays.

Typical stay 6 - 7 months

Medicaid

12% 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
$13.0M
Profit
$66.2K
Privately-owned community Operated by a business corporation.
Home revenue
$13.0M
Profit
$66.2K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.8M
29% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$9.2M
Total costs $12.9M
Bed community size
80-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 27 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
70%
In line with South Dakota average
Occupied beds
56 / 80
Average residents 51 per day

License Details

Facility TypeNursing Home
StatusActive
IssuanceJanuary 7, 2025
ExpirationJune 30, 2026
CountyBeadle

Additional Licensing Details

License Number10633
AccreditationsAHCA Bronze 2022

Ownership & Operating Entity

Avantara Huron is administrated by Solem, Laurie.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Amenities & Lifestyle

4 amenities
Private & Semi-Private Suites
High-Speed Wi-Fi
On-Site Salon Services
Community Spaces Available For Family Gathering Or Special Events
Specific ProgramsShort-Term Rehabilitation, Cardiac Recovery Care, Orthopedic Recovery Care, Pulmonary Recovery Care, Wound Care

Dining & Nutrition

Food DescriptionAll meals are carefully served using fresh ingredients and healthy recipes, ensuring that all meals are nutritionally balanced.

Contact Avantara Huron

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.

6 visits/inspections

3 visits/inspections triggered by complaints

2 routine inspections

Results

4 with issues

2 without issues

Latest inspection

Date November 14, 2024
Complaint Investigation

16 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

South Dakota average: 19 deficiencies

Health Inspection History

Inspections
Total health inspections 4

South Dakota average 4.5


Last Health inspection on Nov 2024

Total health citations 11

South Dakota average 14.8

Citations per inspection
2.75

South Dakota average 3.34


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

8 of 11 citations resulted from standard inspections; and 3 of 11 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than South Dakota average

South Dakota average: 0.3


Serious Health citations More info 2
11% worse than South Dakota average

South Dakota average: 1.8

0 critical citations More info South Dakota average: 0.3

2 serious citations More info South Dakota average: 1.8

9 moderate citations More info South Dakota average: 12.6

0 minor citations More info South Dakota average: 0
Citations history (last 3 years)
Abuse/Neglect serious citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Nov 14, 2024
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Nov 14, 2024
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Nov 14, 2024
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Nov 14, 2024
Corrected

Compare Nursing Homes around South Dakota The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.

5 facilities compared · CMS & SD Dept. of Health data · Updated Apr 2026

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
+30%
-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
-22%
-27%
1
5
1.3
1
31
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
+29%
-20%
2
16
3.2
1
40
-
Aurora-Brule Nursing Home
$2.8M
$1.5M
52.4%
435132
Avantara Huron
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.

Huron
105
69.6%
-13%
3.52
-54%
-19%
1
11
2.8
2
65
27
Solem, Laurie
$13.0M
$3.8M
29%
435020
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
+52%
-36%
5
34
3.8
9
61
12
Preston, Philip
$10.7M
$2.9M
27.3%
435051

Places of interest near Avantara Huron

Address 1.3 miles from city center — 1.24 miles to nearest hospital (HRMC Physicians Clinic)

Calculate Travel Distance to Avantara Huron

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 121
Employees 100
Contractors 21
Staff to resident ratio 1.61:1
16% worse than South Dakota average

South Dakota average ratio: 1.91:1

Avg staff/day 39
Average shift 7.3 hours
5% worse than South Dakota average

South Dakota average: 7.7 hours

Total staff hours (quarter) 25,863
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.5 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 76
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.9 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

7.3%

1,880 contractor hours this quarter

Certified Nursing Assistant: 11 Physical Therapy Aide: 4 Speech Language Pathologist: 2 Qualified Social Worker: 2 Physical Therapy Assistant: 1 Respiratory Therapy Technician: 1
Staff by category
Certified Nursing Assistant65117614,87491100%6.9
Licensed Practical Nurse6062,78791100%10.5
Registered Nurse6062,17091100%9
Clinical Nurse Specialist2029546470%7.8
Medication Aide/Technician7077317380%6.6
Dental Services Staff3036476673%7.8
Other Dietary Services Staff5056067380%7
Nurse Practitioner1014986369%7.9
Physical Therapy Aide0444775965%6.2
RN Director of Nursing3034775864%7.8
Administrator1014545864%7.8
Speech Language Pathologist0224306571%5.8
Respiratory Therapy Technician0113396673%5.1
Dietitian1012694448%6.1
Physical Therapy Assistant0111004347%2.3
Qualified Social Worker022512629%2
76 Certified Nursing Assistant
% of Days 100%
6 Licensed Practical Nurse
% of Days 100%
6 Registered Nurse
% of Days 100%
2 Clinical Nurse Specialist
% of Days 70%
7 Medication Aide/Technician
% of Days 80%
3 Dental Services Staff
% of Days 73%
5 Other Dietary Services Staff
% of Days 80%
1 Nurse Practitioner
% of Days 69%
4 Physical Therapy Aide
% of Days 65%
3 RN Director of Nursing
% of Days 64%
1 Administrator
% of Days 64%
2 Speech Language Pathologist
% of Days 71%
1 Respiratory Therapy Technician
% of Days 73%
1 Dietitian
% of Days 48%
1 Physical Therapy Assistant
% of Days 47%
2 Qualified Social Worker
% of Days 29%

Facility Characteristics

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

Total census
75 residents
Residents by payment source
Medicare
14 residents (18.7%)
Medicaid
32 residents (42.7%)
Private pay or other
29 residents (38.7%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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. 14.9
23% worse than South Dakota average

South Dakota average: 12.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 30.6
28% worse than South Dakota average

South Dakota average: 23.9

Long-stay resident measures
Significantly below average South Dakota avg: 2.5 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 30.3%
36% worse than South Dakota average

South Dakota average: 22.3%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 29.6%
29% worse than South Dakota average

South Dakota 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 31.8%
19% worse than South Dakota average

South Dakota average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.5%
51% better than South Dakota average

South Dakota average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.8%
38% better than South Dakota average

South Dakota average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 7.1%
103% worse than South Dakota average

South Dakota average: 3.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 9.1%
67% worse than South Dakota average

South Dakota average: 5.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 10.9%
167% worse than South Dakota average

South Dakota average: 4.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 20.8%
15% better than South Dakota average

South Dakota average: 24.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 87.2%
9% worse than South Dakota average

South Dakota average: 95.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.8%
In line with South Dakota average

South Dakota average: 96.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.51
66% worse than South Dakota average

South Dakota average: 1.51

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 4.06
119% worse than South Dakota average

South Dakota average: 1.85

Short-stay resident measures
Above average South Dakota avg: 2.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 74.0%
12% worse than South Dakota average

South Dakota average: 84.4%

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

South Dakota average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 57.4%
27% worse than South Dakota average

South Dakota average: 78.2%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 14.2%
34% better than South Dakota average

South Dakota average: 21.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 9.3%
21% better than South Dakota average

South Dakota average: 11.7%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than South Dakota average

South Dakota average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 50.0%
7% worse than South Dakota average

South Dakota average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 33.5%
34% worse than South Dakota average

South Dakota average: 50.6%

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
58% lower than South Dakota average

South Dakota average: $40K

Number of fines 1
51% fewer fines than South Dakota average

South Dakota 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 South Dakota average

South 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Nov 14, 2024
$17K

Last updated: Jan 2026

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Financial Aid for South Dakota Seniors

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Home and Community Based Services Waiver

SD Medicaid HCBS Waiver

Age 65+ or disabled, South Dakota resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Sparse population aids rural access; limited providers.

South Dakota Elderly Services Program

SD ESP

Age 60+, South Dakota resident, at risk of decline.

~$1,732/month (individual, varies).

$5,000 (individual).

Limited funding; rural focus.

Medicare Savings Program (MSP)

South Dakota Medicare Savings Program

Age 65+ or disabled, SD resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIEAP)

South Dakota LIEAP

Age 60+ prioritized, SD resident, low-income household.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

Covers gas, electric, propane; weatherization add-on available.

Family Caregiver Support Program (FCSP)

South Dakota Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed; need-based.

Rural emphasis; includes grandparent caregivers.

Senior Community Service Employment Program (SCSEP)

South Dakota SCSEP

Age 55+, unemployed, low-income, SD resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

South Dakota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, SD resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

Supports rural veterans; high demand near Sioux Falls VA.

Property Tax Reduction Program

South Dakota Property Tax Reduction from Municipal Taxes

Age 65+ (or disabled) by Jan 1, SD resident entire prior year, homeowner/renter.

~$20,192/year (single), ~$24,679/year (multiple-member household).

Not assessed; income-focused.

Refunds up to $575; ~10,000 seniors benefit annually.

Senior Farmers’ Market Nutrition Program (SFMNP)

South Dakota SFMNP

Age 60+, SD resident, low-income.

~$2,322/month (individual, 185% FPL).

Not assessed.

Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

South Dakota Property Tax Freeze

Age 65+ (or disabled), SD resident 200+ days prior year, homeowner.

~$35,000/year (single), ~$45,000/year (multiple-member household).

Property value < $250,000 (single), $300,000 (multiple).

Saves ~$300-$600/year avg.; applies to primary residence.

Older Americans Act (OAA) Services

South Dakota OAA Services

Age 60+, SD resident (or spouse of any age); no income/asset limits.

None; donations encouraged for some services.

Not assessed.

6 AAAs; rural focus due to sparse population.

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