Total health inspections
5
South Dakota average 4.5
Last Health inspection on May 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Avantara Pierre
Nursing Home
Avantara Pierre
Nursing Home
Overview of Avantara Pierre
Avantara Huron is one of the premier communities with 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 paired with essential amenities 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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
65
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
78.9%
Residents per day (avg)
55
Occupancy rate
78.9%
Residents per day (avg)
55
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
53% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
30% of new residents, often for short stays.
Typical stay
7 - 8 months
Medicaid
16% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Proprietary home
Corporation
Home revenue
$11.2M
Profit
$680.8K
Proprietary home
Corporation
Home revenue
$11,163,058.00
Profit
$680,793.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.7M
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.
$7.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$10.5M
65-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: 57 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
License Status
ActiveFacility Type
Nursing Home
License Date
January 7, 2025
License Expiration
June 30, 2026
Additional licensing details
License number:
10663
County:
Hughes
Ownership & operating entity
Avantara Pierre is administrated by Watson, Chase.
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Licensed Nurses/CNAs
Short-Term Rehab
Amenities & Lifestyle
Programs & Activities
Specific Programs
Memory Care, Post-Surgical Care, Short-Term Rehabilitation, Stroke & Other Neurological Conditions, Cardiac Care, Oncology Recovery Care, Wound Care, Pulmonary Care, Orthopedic Rehabilitation
Dining & Nutrition
Food Description
All meals are carefully served using fresh ingredients and healthy recipes, ensuring that all meals are nutritionally balanced.
Meals Included
Yes
Compare Nursing Homes around South Dakota
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Alcester Care and Rehab Center
+30%
-14%
+19%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57001
39
No
-
STROSCHEIN PROPERTIES III LLC
94.9%
$2,913,737.00
$1,508,672.00
51.8%
37.10
3.7156
2
11
1
+30%-14%+19%
Avantara Clark City
-22%
-27%
-1%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Clark
38
No
31
SCHLOMER, TIFFANY
79.4%
$5,951,228.00
$1,518,009.00
25.5%
30.60
3.1510
1
5
1
-22%-27%-1%
Aurora Brule Nursing Home Inc.
+29%
-20%
-23%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57383
44
No
-
AURORA-BRULE NURSING HOME
61.7%
$2,847,378.00
$1,491,258.00
52.4%
39.60
3.4495
2
16
1
+29%-20%-23%
Avantara Pierre
+4%
-40%
-1%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57501
72
No
57
MULLER, TINA
78.9%
$11,162,748.00
$2,719,829.00
24.4%
54.60
2.6079
2
35
3
+4%-40%-1%
Avantara Arrowhead
+52%
-36%
-6%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57702
74
No
12
PRESTON, PHILIP
75.2%
$10,728,053.00
$2,930,677.00
27.3%
60.50
2.7955
5
34
9
+52%-36%-6%
Alcester Care and Rehab Center
Type of care:
SNF
AL
Community:
SD 57001
Bed Count:
39
Pets Allowed:
No
Operator:
STROSCHEIN PROPERTIES III LLC
CCN:
435062
Occupancy:
94.9%
Home Revenue:
$2,913,737.00
Payroll Costs:
$1,508,672.00
Payroll %:
51.8%
Avg Residents/Day:
37.10
Overall Rating:
Adj Nurse Hours:
3.7156
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
11
Severe Citations:
1
RN share vs State Avg:
+30%
+30%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
+19%
+19%
Avantara Clark City
Type of care:
SNF
AL
Community:
Clark
Bed Count:
38
Pets Allowed:
No
Operator:
SCHLOMER, TIFFANY
CCN:
435058
Occupancy:
79.4%
Home Revenue:
$5,951,228.00
Payroll Costs:
$1,518,009.00
Payroll %:
25.5%
Avg Residents/Day:
30.60
Overall Rating:
Adj Nurse Hours:
3.1510
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
5
Severe Citations:
1
RN share vs State Avg:
-22%
-22%
Staffing vs State Avg:
-27%
-27%
Occupancy vs State Avg:
-1%
-1%
Aurora Brule Nursing Home Inc.
Type of care:
SNF
AL
Community:
SD 57383
Bed Count:
44
Pets Allowed:
No
Operator:
AURORA-BRULE NURSING HOME
CCN:
435132
Occupancy:
61.7%
Home Revenue:
$2,847,378.00
Payroll Costs:
$1,491,258.00
Payroll %:
52.4%
Avg Residents/Day:
39.60
Overall Rating:
Adj Nurse Hours:
3.4495
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
16
Severe Citations:
1
RN share vs State Avg:
+29%
+29%
Staffing vs State Avg:
-20%
-20%
Occupancy vs State Avg:
-23%
-23%
Avantara Pierre
Type of care:
SNF
AL
Community:
SD 57501
Bed Count:
72
Pets Allowed:
No
Operator:
MULLER, TINA
CCN:
435047
Occupancy:
78.9%
Home Revenue:
$11,162,748.00
Payroll Costs:
$2,719,829.00
Payroll %:
24.4%
Avg Residents/Day:
54.60
Overall Rating:
Adj Nurse Hours:
2.6079
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
35
Severe Citations:
3
RN share vs State Avg:
+4%
+4%
Staffing vs State Avg:
-40%
-40%
Occupancy vs State Avg:
-1%
-1%
Avantara Arrowhead
Type of care:
SNF
AL
Community:
SD 57702
Bed Count:
74
Pets Allowed:
No
Operator:
PRESTON, PHILIP
CCN:
435051
Occupancy:
75.2%
Home Revenue:
$10,728,053.00
Payroll Costs:
$2,930,677.00
Payroll %:
27.3%
Avg Residents/Day:
60.50
Overall Rating:
Adj Nurse Hours:
2.7955
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
5
Citations:
34
Severe Citations:
9
RN share vs State Avg:
+52%
+52%
Staffing vs State Avg:
-36%
-36%
Occupancy vs State Avg:
-6%
-6%Places of interest near Avantara Pierre
0.9 miles from city center — 0.13 miles to nearest hospital (Avera St. Mary's Hospital)
950 East Park St. Pierre, SD 57501
Calculate Travel Distance to Avantara Pierre
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
71
Total Staff
53
Employees
18
Contractors
18,522
Total Hours (Quarter)
25
Avg Staff/Day
8.1
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 8 | 8.1 | No |
| Licensed Practical Nurse | 10 | 11.2 | Yes |
| Certified Nursing Assistant | 33 | 8.9 | Yes |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
52 staff
9hs shift avg
Physicians & Practitioners ⓘ
5 staff
7.9hs shift avg
Therapy Services ⓘ
6 staff
6.7hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
2.2hs shift avg
Dietary Services ⓘ
4 staff
5.9hs shift avg
Other Services ⓘ
1 staff
7.9hs shift avg
Contractor Analysis
13%
of total hours from contractors
2,403 contractor hours this quarter
Certified Nursing Assistant: 5
Respiratory Therapy Technician: 3
Speech Language Pathologist: 1
Physical Therapy Aide: 1
Physical Therapy Assistant: 1
Licensed Practical Nurse: 5
Qualified Social Worker: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 28 | 5 | 33 | 8,547 | 91 | 100% | 8.9 |
| Registered Nurse | 8 | 0 | 8 | 2,422 | 91 | 100% | 8.1 |
| Licensed Practical Nurse | 5 | 5 | 10 | 1,962 | 89 | 98% | 11.2 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 1,120 | 79 | 87% | 7.6 |
| Other Dietary Services Staff | 3 | 0 | 3 | 641 | 91 | 100% | 4.9 |
| Nurse Practitioner | 3 | 0 | 3 | 513 | 62 | 68% | 8.1 |
| Dietitian | 1 | 0 | 1 | 505 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 460 | 58 | 64% | 7.9 |
| Speech Language Pathologist | 0 | 1 | 1 | 458 | 61 | 67% | 7.5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 453 | 56 | 62% | 7.7 |
| Physical Therapy Aide | 0 | 1 | 1 | 403 | 50 | 55% | 8.1 |
| RN Director of Nursing | 1 | 0 | 1 | 399 | 53 | 58% | 7.5 |
| Qualified Social Worker | 0 | 2 | 2 | 76 | 34 | 37% | 2.2 |
| Physical Therapy Assistant | 0 | 1 | 1 | 59 | 47 | 52% | 1.3 |
Health Inspection History
Inspections
Total health citations
35
Citations per inspection
7
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
30 of 35 citations resulted from standard inspections; and 5 of 35 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
3
3
67% worse than South Dakota averageSouth Dakota average: 1.8
0 critical citations
3 serious citations
32 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
May 07, 2025
Corrected
Abuse/Neglect serious citation
Apr 02, 2025
Corrected
Administration moderate citation
Apr 02, 2025
Corrected
Infection Control moderate citation
Apr 02, 2025
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Part of: Legacy Healthcare
Resident Census by Payment Source
55
Total Residents
Medicare
10
(18.2%)
ⓘ
Medicaid
29
(52.7%)
ⓘ
Private Pay/Other
16
(29.1%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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.
15.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.2
26% 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.
28.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.0
17% worse than South Dakota averageSouth Dakota average: 23.9
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
25.5%
Percent of long-stay residents whose need for help with daily activities has increased
25.5%
14% worse than South Dakota averageSouth Dakota average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
30.8%
Percent of long-stay residents whose ability to move independently worsened
30.8%
35% worse 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
27.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.7%
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
2.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
46% better than South Dakota averageSouth Dakota average: 5.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.2%
Percent of long-stay high risk residents with pressure ulcers
9.2%
106% worse than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.7%
Percent of long-stay residents with a urinary tract infection
4.7%
36% worse than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.7%
Percent of long-stay residents who lose too much weight
7.7%
42% worse than South Dakota averageSouth Dakota average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.9%
Percent of long-stay residents who have depressive symptoms
1.9%
54% better than South Dakota averageSouth Dakota average: 4.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
17.1%
Percent of long-stay residents who received an antipsychotic medication
17.1%
30% better than South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.0%
14% worse than South Dakota averageSouth Dakota average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.2%
In line with South Dakota averageSouth Dakota average: 96.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
53.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
53.8%
36% worse than South Dakota averageSouth Dakota average: 84.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.3%
Percent of short-stay residents who newly received an antipsychotic medication
2.3%
32% worse than South Dakota averageSouth Dakota average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
49.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
49.1%
37% worse than South Dakota averageSouth Dakota average: 78.2%
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
$49K
22% higher than South Dakota averageSouth Dakota average: $40K
Number of fines
2
In line with 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
$49K
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.
Apr 2, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 2, 2025
$34K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 13, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 13, 2023
$15K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Avantara Pierre based on CMS SNF Cost Reports.
Occupancy Rate
78.9%
↑ 2.6pp vs 2022
Net Income
$680,793
↑ ~$3K vs 2022
Total Payroll
$4,025,157
↑ ~$3K vs 2022
Profit Margin
6.1%
↑ 0.4pp vs 2022
Loading trend charts...
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