Avantara Pierre

Avantara Pierre is a Nursing Home in South Dakota

Avantara Pierre is a Nursing Home in South Dakota

Avantara Pierre

950 East Park St. Pierre, SD 57501 View Map

Avantara Pierre is a Nursing Home in South Dakota

Avantara Pierre is a Nursing Home in South Dakota

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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.

+1 605-224-8628

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 2.61/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
2/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
2/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
3/5

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.

Lower demand than the South Dakota average
Occupancy rate 78.9%
Residents per day (avg) 55
Occupancy rate
78.9%
Residents per day (avg)
55

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

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 Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.7M
24.4% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.8M
Total costs $10.5M
Bed community size
65-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 57 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

License Status
Active
Facility 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.

Contact Avantara Pierre

Comparison Chart

The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Compare Nursing Homes around South Dakota
Avantara Clark City
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
3/5
3.1510
4/5
3/5
1/5
1
Avantara Groton
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

SD 57445
49
No
32
PETE, JOSHUA
65.4%
$6,213,854.00
$1,712,751.00
27.6%
35.50
3/5
3.1645
3/5
2/5
2/5
5
Avantara Huron
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

SD 57350
105
No
27
SOLEM, LAURIE
69.6%
$12,984,678.00
$3,768,965.00
29%
64.90
2/5
3.5190
2/5
3/5
2/5
1
Avantara Pierre
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
2/5
2.6079
2/5
2/5
3/5
2
Avantara Arrowhead
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
1/5
2.7955
1/5
1/5
3/5
5

Places of interest near Avantara Pierre

Address 0.9 miles from city center

Address 950 East Park St. Pierre, SD 57501

Calculate Travel Distance to Avantara Pierre

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Address

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 Nurse88.1 No
Licensed Practical Nurse1011.2 Yes
Certified Nursing Assistant338.9 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 Assistant285338,54791100%8.9
Registered Nurse8082,42291100%8.1
Licensed Practical Nurse55101,9628998%11.2
Respiratory Therapy Technician0331,1207987%7.6
Other Dietary Services Staff30364191100%4.9
Nurse Practitioner3035136268%8.1
Dietitian1015056369%8
Administrator1015046369%8
Dental Services Staff1014605864%7.9
Speech Language Pathologist0114586167%7.5
Clinical Nurse Specialist2024535662%7.7
Physical Therapy Aide0114035055%8.1
RN Director of Nursing1013995358%7.5
Qualified Social Worker022763437%2.2
Physical Therapy Assistant011594752%1.3

Health Inspection History

Source: CMS Health Citations (Jan 2023 – May 2025)

5
Inspections
35
Total Citations
0
Critical (J-L)
3
Serious (G-I)
7
Citations/Inspection
May 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
0
Moderate (D-F)
32
Serious (G-I)
3
Critical (J-L)
0
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
11
31% of total
Administration
6
17% of total
Resident Rights
5
14% of total
Infection Control
1
3% of total
Abuse, Neglect & Exploitation
1
3% of total
Pharmacy Services
1
3% of total
Citation Sources
Standard Inspections 30
Complaint Investigations 5
State Comparison (SD)
Citations
35
South Dakota average: 14.8
Critical Citations
0
South Dakota average: 0.3
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
May 07, 2025 D Quality of CareF0697 Corrected
Apr 02, 2025 G Abuse/NeglectF0600 Corrected
Apr 02, 2025 F AdministrationF0847 Corrected
Apr 02, 2025 E Infection ControlF0880 Corrected
Apr 02, 2025 G Quality of CareF0686 Corrected
Apr 02, 2025 D Quality of CareF0689 Corrected
Apr 02, 2025 E Care PlanningF0656 Corrected
Apr 02, 2025 D Resident RightsF0554 Corrected
Apr 02, 2025 E Resident RightsF0584 Corrected
Apr 02, 2025 D Resident RightsF0625 Corrected
Jan 09, 2024 F AdministrationF0835 Corrected
Jan 09, 2024 F AdministrationF0849 Corrected
Jan 09, 2024 F AdministrationF0865 Corrected
Jan 09, 2024 E Nursing ServicesF0732 Corrected
Jan 09, 2024 D NutritionF0803 Corrected
Jan 09, 2024 F NutritionF0812 Corrected
Jan 09, 2024 D PharmacyF0761 Corrected
Jan 09, 2024 D Quality of CareF0678 Corrected
Jan 09, 2024 D Quality of CareF0684 Corrected
Jan 09, 2024 D Quality of CareF0692 Corrected
Jan 09, 2024 D Quality of CareF0695 Corrected
Jan 09, 2024 D Care PlanningF0655 Corrected
Jan 09, 2024 D Resident RightsF0561 Corrected
Jan 09, 2024 D Resident RightsF0625 Corrected
Jun 16, 2023 D AdministrationF0776 Corrected
Jun 16, 2023 D Quality of CareF0684 Corrected
Jan 13, 2023 F AdministrationF0865 Corrected
Jan 13, 2023 D NutritionF0802 Corrected
Jan 13, 2023 F NutritionF0809 Corrected
Jan 13, 2023 F NutritionF0812 Corrected
Jan 13, 2023 G Quality of CareF0675 Corrected
Jan 13, 2023 D Quality of CareF0686 Corrected
Jan 13, 2023 D Quality of CareF0692 Corrected
Jan 13, 2023 E Care PlanningF0657 Corrected
Jan 13, 2023 E Care PlanningF0658 Corrected

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.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
15.2 Score
26% worse than avg South Dakota avg: 12.0

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
28.0 Score
17% worse than avg South Dakota avg: 23.9

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
25.5%
Lost Too Much Weight
7.7%
Urinary Tract Infection
4.7%
Depressive Symptoms
1.9%
Falls with Major Injury
2.7%
Pneumococcal Vaccine
82.0%
Antipsychotic Use
17.1%
Walking Ability Worsened
30.8%
Influenza Vaccine
94.2%
High Risk Residents with Pressure Ulcers
9.2%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
27.7%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
53.8% 36% worse than avg South Dakota: 84.4%
Short-Stay Residents Who Received a New Antipsychotic Medication
2.3% 32% worse than avg South Dakota: 1.8%
Influenza Vaccine
49.1% 37% worse than avg South Dakota: 78.2%

Penalties & 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 $49K South Dakota avg: $40K 22% worse than avg
Number of Fines 2 South Dakota avg: 2.0
Compared to South Dakota Average Facility: $49K | South Dakota Avg: $40K
Penalty History

Showing all 2 penalties (Jan 2023 - Apr 2025)

Apr 2, 2025 Civil Money Penalty
$34K
Jan 13, 2023 Civil Money Penalty
$15K

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Claim What’s Yours: Financial Aid for South Dakota Seniors

Program
State Program Name
Eligibility
Benefits
Home and Community Based Services Waiver
SD Medicaid HCBS Waiver
Official government program page
  • General: Age 65+ or disabled, South Dakota resident, Medicaid-eligible, nursing home-level care need.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • SD Specifics: Sparse population aids rural access; limited providers.
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
South Dakota Elderly Services Program
SD ESP
  • General: Age 60+, South Dakota resident, at risk of decline.
  • Income Limits: ~$1,732/month (individual, varies).
  • Asset Limits: $5,000 (individual).
  • SD Specifics: Limited funding; rural focus.
  • Services: In-home care (2-4 hours/week), respite (up to 5 days/year), transportation (~5 trips/month).
Medicare Savings Program (MSP)
South Dakota Medicare Savings Program
  • General: Age 65+ or disabled, SD resident, Medicare Part A/B.
  • Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits: $9,430 (individual), $14,130 (couple).
  • SD Specifics: Three tiers; includes Extra Help for Part D; no waitlist.
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Low-Income Home Energy Assistance Program (LIEAP)
  • General: Age 60+ prioritized, SD resident, low-income household.
  • Income Limits (2025): ~$3,970/month (individual, 185% FPL).
  • Asset Limits: Not assessed; income-focused.
  • SD Specifics: Covers gas, electric, propane; weatherization add-on available.
  • Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
Family Caregiver Support Program (FCSP)
South Dakota Family Caregiver Support Program
  • General: Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).
  • Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year).
  • Asset Limits: Not assessed; need-based.
  • SD Specifics: Rural emphasis; includes grandparent caregivers.
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
Senior Community Service Employment Program (SCSEP)
  • General: Age 55+, unemployed, low-income, SD resident.
  • Income Limits (2025): ~$1,983/month (125% FPL).
  • Asset Limits: Not specified; income-focused.
  • SD Specifics: Priority for veterans, rural residents; AARP partnership.
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
South Dakota VA Aid and Attendance/Housebound
  • General: Age 65+ or disabled veteran/spouse, SD resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits: ~$155,356 (net worth limit).
  • SD Specifics: Supports rural veterans; high demand near Sioux Falls VA.
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
Property Tax Reduction Program
South Dakota Property Tax Reduction from Municipal Taxes
Official government program page
  • General: Age 65+ (or disabled) by Jan 1, SD resident entire prior year, homeowner/renter.
  • Income Limits (2025): ~$20,192/year (single), ~$24,679/year (multiple-member household).
  • Asset Limits: Not assessed; income-focused.
  • SD Specifics: Refunds up to $575; ~10,000 seniors benefit annually.
  • Services: Tax refund (~$250-$575/year based on income).
Senior Farmers’ Market Nutrition Program (SFMNP)
  • General: Age 60+, SD resident, low-income.
  • Income Limits (2025): ~$2,322/month (individual, 185% FPL).
  • Asset Limits: Not assessed.
  • SD Specifics: Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.
  • Services: Vouchers (~$50/season) for fresh produce at approved markets.
Freeze on Assessments for Dwellings of Disabled and Senior Citizens
South Dakota Property Tax Freeze
Official government program page
  • General: Age 65+ (or disabled), SD resident 200+ days prior year, homeowner.
  • Income Limits (2025): ~$35,000/year (single), ~$45,000/year (multiple-member household).
  • Asset Limits: Property value < $250,000 (single), $300,000 (multiple).
  • SD Specifics: Saves ~$300-$600/year avg.; applies to primary residence.
  • Services: Assessment freeze (~$300-$600/year savings).
Older Americans Act (OAA) Services
South Dakota OAA Services
  • General: Age 60+, SD resident (or spouse of any age); no income/asset limits.
  • Income Limits (2025): None; donations encouraged for some services.
  • Asset Limits: Not assessed.
  • SD Specifics: 6 AAAs; rural focus due to sparse population.
  • Services: Meals (home-delivered or congregate, ~$5-$7/meal value), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.

Claim What’s Yours Financial Aid for South Dakota Seniors

SD Medicaid HCBS Waiver

Home and Community Based Services Waiver

Requirements:
  • General:
    Age 65+ or disabled, South Dakota resident, Medicaid-eligible, nursing home-level care need.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • SD Specifics:
    Sparse population aids rural access; limited providers.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
SD ESP

South Dakota Elderly Services Program

Requirements:
  • General:
    Age 60+, South Dakota resident, at risk of decline.
  • Income Limits:
    ~$1,732/month (individual, varies).
  • Asset Limits:
    $5,000 (individual).
  • SD Specifics:
    Limited funding; rural focus.
Benefits without Contact:
  • Services: In-home care (2-4 hours/week), respite (up to 5 days/year), transportation (~5 trips/month).
South Dakota Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • General:
    Age 65+ or disabled, SD resident, Medicare Part A/B.
  • Income Limits (2025):
    ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits:
    $9,430 (individual), $14,130 (couple).
  • SD Specifics:
    Three tiers; includes Extra Help for Part D; no waitlist.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
South Dakota LIEAP

Low-Income Home Energy Assistance Program (LIEAP)

Requirements:
  • General:
    Age 60+ prioritized, SD resident, low-income household.
  • Income Limits (2025):
    ~$3,970/month (individual, 185% FPL).
  • Asset Limits:
    Not assessed; income-focused.
  • SD Specifics:
    Covers gas, electric, propane; weatherization add-on available.
Benefits without Contact:
  • Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
South Dakota Family Caregiver Support Program

Family Caregiver Support Program (FCSP)

Requirements:
  • General:
    Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).
  • Income Limits (2025):
    No strict cap; prioritizes low-income (~$24,980/year).
  • Asset Limits:
    Not assessed; need-based.
  • SD Specifics:
    Rural emphasis; includes grandparent caregivers.
Benefits without Contact:
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
South Dakota SCSEP

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, SD resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL).
  • Asset Limits:
    Not specified; income-focused.
  • SD Specifics:
    Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
South Dakota VA Aid and Attendance/Housebound

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

Requirements:
  • General:
    Age 65+ or disabled veteran/spouse, SD resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025):
    Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits:
    ~$155,356 (net worth limit).
  • SD Specifics:
    Supports rural veterans; high demand near Sioux Falls VA.
Benefits without Contact:
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
South Dakota Property Tax Reduction from Municipal Taxes

Property Tax Reduction Program

Requirements:
  • General:
    Age 65+ (or disabled) by Jan 1, SD resident entire prior year, homeowner/renter.
  • Income Limits (2025):
    ~$20,192/year (single), ~$24,679/year (multiple-member household).
  • Asset Limits:
    Not assessed; income-focused.
  • SD Specifics:
    Refunds up to $575; ~10,000 seniors benefit annually.
Benefits without Contact:
  • Services: Tax refund (~$250-$575/year based on income).
South Dakota SFMNP

Senior Farmers’ Market Nutrition Program (SFMNP)

Requirements:
  • General:
    Age 60+, SD resident, low-income.
  • Income Limits (2025):
    ~$2,322/month (individual, 185% FPL).
  • Asset Limits:
    Not assessed.
  • SD Specifics:
    Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.
Benefits without Contact:
  • Services: Vouchers (~$50/season) for fresh produce at approved markets.
South Dakota Property Tax Freeze

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

Requirements:
  • General:
    Age 65+ (or disabled), SD resident 200+ days prior year, homeowner.
  • Income Limits (2025):
    ~$35,000/year (single), ~$45,000/year (multiple-member household).
  • Asset Limits:
    Property value < $250,000 (single), $300,000 (multiple).
  • SD Specifics:
    Saves ~$300-$600/year avg.; applies to primary residence.
Benefits without Contact:
  • Services: Assessment freeze (~$300-$600/year savings).
South Dakota OAA Services

Older Americans Act (OAA) Services

Requirements:
  • General:
    Age 60+, SD resident (or spouse of any age); no income/asset limits.
  • Income Limits (2025):
    None; donations encouraged for some services.
  • Asset Limits:
    Not assessed.
  • SD Specifics:
    6 AAAs; rural focus due to sparse population.
Benefits without Contact:
  • Services: Meals (home-delivered or congregate, ~$5-$7/meal value), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
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