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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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 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.
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.
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.
This home is ranked 34th out of 58 homes in South Dakota.| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 35m per day | ▼ 27% State avg: 48m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 35m per day | ▲ 21% State avg: 29m per day · National avg: 52m per day |
|
Nurse Aide
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 27m per day | ▼ 6% State avg: 2h 37m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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 6m per day | ▼ 7% State avg: 3h 19m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 3m per day | ■ Avg State avg: 3m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 21m per day | ▼ 32% State avg: 31m per day · National avg: 29m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
61% of new residents, usually for short-term rehab.
27% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #15 / 55Payroll — State benchmarkedThis home is ranked 15th out of 55 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the South Dakota average: 79.9%Avantara Huron is administrated by Laurie Solem.
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.
This scorecard compares key inspection, citation, 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.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | SD Average | vs. SD Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 16 | 19 | This facility has 16% fewer total deficiencies than a typical South Dakota nursing home (16 vs. SD avg 19). Click this badge to view the full South Dakota ranking.↓ 16% better |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 4 | 4.8 | This facility has 17% fewer deficiencies per year than a typical South Dakota nursing home (4 vs. SD avg 4.8). Click this badge to view the full South Dakota ranking.↓ 17% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on November 14, 2024, identified deficiencies related to neglect in nighttime care and transfer assistance, as well as multiple issues including care planning, pain management, dialysis monitoring, and infection control. Earlier inspections showed a mix of deficiencies primarily involving resident care, infection prevention, and food safety, along with some maintenance concerns in the kitchen area. Several complaint investigations were substantiated, including neglect resulting in resident falls and failure to notify families of condition changes, but no fines, immediate jeopardy findings, or license actions were listed in the available reports. Corrective actions such as staff education and audits were consistently implemented following these findings. The pattern suggests ongoing challenges with resident care and infection control, with no clear trend of improvement or worsening over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsSouth Dakota average 4.5
Last Health inspection on Nov 2024
South Dakota average 14.8
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.
100% better than South Dakota averageSouth Dakota average: 0.3
11% worse than South Dakota averageSouth Dakota average: 1.8
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Avantara Huron is located in Huron, South Dakota.
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1.3 miles from city center
Estimated distance in miles from Huron's city center to Avantara Huron's address, calculated via Google Maps.
— 1.24 miles to nearest hospital (HRMC Physicians Clinic)
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Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
16% worse than South Dakota average
5% worse than South Dakota average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.5 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
1,880 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 65 | 11 | 76 | 14,874 | 91 | 100% | 6.9 |
| Licensed Practical Nurse | 6 | 0 | 6 | 2,787 | 91 | 100% | 10.5 |
| Registered Nurse | 6 | 0 | 6 | 2,170 | 91 | 100% | 9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 954 | 64 | 70% | 7.8 |
| Medication Aide/Technician | 7 | 0 | 7 | 731 | 73 | 80% | 6.6 |
| Dental Services Staff | 3 | 0 | 3 | 647 | 66 | 73% | 7.8 |
| Other Dietary Services Staff | 5 | 0 | 5 | 606 | 73 | 80% | 7 |
| Nurse Practitioner | 1 | 0 | 1 | 498 | 63 | 69% | 7.9 |
| Physical Therapy Aide | 0 | 4 | 4 | 477 | 59 | 65% | 6.2 |
| RN Director of Nursing | 3 | 0 | 3 | 477 | 58 | 64% | 7.8 |
| Administrator | 1 | 0 | 1 | 454 | 58 | 64% | 7.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 430 | 65 | 71% | 5.8 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 339 | 66 | 73% | 5.1 |
| Dietitian | 1 | 0 | 1 | 269 | 44 | 48% | 6.1 |
| Physical Therapy Assistant | 0 | 1 | 1 | 100 | 43 | 47% | 2.3 |
| Qualified Social Worker | 0 | 2 | 2 | 51 | 26 | 29% | 2 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
75Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageSouth Dakota average: 12.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.6
28% worse than South Dakota averageSouth Dakota average: 23.9
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
30.3%
36% worse than South Dakota averageSouth Dakota average: 22.3%
Percent of long-stay residents whose ability to move independently worsened
29.6%
29% worse than South Dakota averageSouth Dakota average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.8%
19% worse than South Dakota averageSouth Dakota average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
51% better than South Dakota averageSouth Dakota average: 5.0%
Percent of long-stay high risk residents with pressure ulcers
2.8%
38% better than South Dakota averageSouth Dakota average: 4.5%
Percent of long-stay residents with a urinary tract infection
7.1%
103% worse than South Dakota averageSouth Dakota average: 3.5%
Percent of long-stay residents who lose too much weight
9.1%
67% worse than South Dakota averageSouth Dakota average: 5.5%
Percent of long-stay residents who have depressive symptoms
10.9%
167% worse than South Dakota averageSouth Dakota average: 4.1%
Percent of long-stay residents who received an antipsychotic medication
20.8%
15% better than South Dakota averageSouth Dakota average: 24.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.2%
9% worse than South Dakota averageSouth Dakota average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.8%
In line with South Dakota averageSouth Dakota average: 96.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.51
66% worse than South Dakota averageSouth Dakota average: 1.51
Number of outpatient emergency department visits per 1,000 long-stay resident days.
4.06
119% worse than South Dakota averageSouth Dakota average: 1.85
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
74.0%
12% worse than South Dakota averageSouth Dakota average: 84.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than South Dakota averageSouth Dakota average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
57.4%
27% worse than South Dakota averageSouth Dakota average: 78.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
14.2%
34% better than South Dakota averageSouth Dakota average: 21.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.3%
21% better than South Dakota averageSouth Dakota average: 11.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than South Dakota averageSouth Dakota average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
50.0%
7% worse than South Dakota averageSouth Dakota average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
33.5%
34% worse than 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.
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)
58% lower than South Dakota averageSouth Dakota average: $40K
51% fewer fines than South Dakota averageSouth Dakota average: 2.0
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Nov 14, 2024 · $17K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 14, 2024Last updated: Jan 2026
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
| 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 (Alcester Township) | 41 | 94.9% | +19% | 3.72 | +30% | -14% | $18.9k | 11 | 2.2 | 1 | 37 | 14 | Stroschein Properties III LLC | $3.0M | $2.3M | 78% | 435062 | ||||
| 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 (White Lake Township) | 50 | 61.7% | -23% | 3.45 | +29% | -20% | $21.2k | 16 | 3.2 | 1 | 40 | 17 | Aurora-Brule Nursing Home | $2.9M | $2.5M | 87.9% | 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 | 80 | 69.6% | -13% | 3.52 | -54% | -19% | $16.7k | 11 | 2.8 | 2 | 65 | 27 | Laurie Solem | $13.0M | $5.2M | 40.3% | 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 (Broadmoor Subdivision) | 68 | 75.2% | -6% | 2.80 | +52% | -36% | $61.0k | 34 | 3.8 | 9 | 61 | 12 | Philip Preston | $10.7M | $4.7M | 44.1% | 435051 |
Historical financial and operational data for Avantara Huron based on CMS SNF Cost Reports.
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Avantara Huron is in the Huron neighborhood of Huron.
Avantara Huron has a walk score of 27. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to SD state health department records, Avantara Huron's license number is 10633.
According to SD state health department records, Avantara Huron's license expires on June 30, 2026.
Avantara Huron's occupancy is 70%.
Laurie Solem is the administrator of Avantara Huron.
Avantara Huron has 80 beds.
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