Avantara Pierre
Nursing Home, Hospice Care & Memory Care · South Dakota, SD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Avantara Pierre

Nursing Home, Hospice Care & Memory Care · South Dakota, SD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Avantara Pierre accepts Medicare, Medicaid, and private pay.

Overview of Avantara Pierre

Avantara Pierre is a nursing home in Pierre, South Dakota, that provides a specialized clinical setting tailored to high-acuity therapeutic recovery, memory care, and extended skilled nursing. The community serves Hughes County under the leadership of Chase Watson. With a 65-bed capacity, the community maintains an operational occupancy rate of 79%, matching South Dakota state averages and reflecting stable local demand.

Nutritious meals, daily housekeeping, laundry, and facility maintenance are among the confirmed services, along with a calendar of recreational activities, stretching exercises, and interactive social hours. The care framework also delivers round-the-clock clinical supervision, physical rehabilitation, occupational therapy, speech pathology, and structured dementia management programs.

Operating under federal CMS certification, the community utilizes an interdisciplinary care model to manage complex health transitions. The clinical pipeline specializes in short-term post-hospitalization recovery, with Medicare-covered short-stays averaging two to three months and accounting for 53% of new admissions. While baseline direct nursing hours track below state benchmarks at 2 hours and 36 minutes per resident daily, the community’s quality measures score roughly 10% above the state average, indicating that clinical outcomes and preventative benchmarks for current residents remain highly competitive.

The community holds a 2-star overall CMS rating, with performance metrics tracking below state baselines in the staffing and health inspection categories. To accommodate diverse financial setups, Medicare, Medicaid, private insurance, and VA contracts are accepted.

For families in the Pierre and broader Central South Dakota seeking a therapy-focused environment for post-acute recovery, Avantara Pierre provides specialized short-term rehabilitation and dedicated memory care services within an accessible urban location.

(605) 224-8628

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.
▼ 26.4% Below SD avg. ▼ 26.4% Below SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 26.1% Below SD avg. ▼ 26.1% Below SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 9.5% Below SD avg. ▼ 9.5% Below SD avg.SD average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 26.6% Below SD avg. ▼ 26.6% Below SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to South Dakota state averages

Total nursing care / resident Info This home is ranked 64th out of 65 homes in South Dakota for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 36m per day
Rank #64 / 65Nurse hours — State benchmarkedThis home is ranked 64th out of 65 homes in South Dakota. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 65 South Dakota facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility South Dakota avg (4h 20m per day)
vs South Dakota avg
-40%

5 of 6 metrics below state avg

Standout metric Physical Therapist is +290% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 44m per day ▼ 11% State avg: 49m per day · National avg: 41m per day
LPN / LVN Info 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. 25m per day ▼ 12% State avg: 29m per day · National avg: 52m per day
Nurse Aide Info 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. 1h 44m per day ▼ 32% State avg: 2h 34m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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. 2h 27m per day ▼ 28% State avg: 3h 23m per day · National avg: 3h 27m per day
Physical Therapist Info 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. 12m per day ▲ 290% State avg: 3m per day · National avg: 4m per day
Weekend RN Info 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. 30m per day ▼ 4% State avg: 31m per day · National avg: 29m per day

Capacity and availability

Avg. Length of Stay
212 days
Bed community size
65-bed community Rank #51 / 117Bed count — State benchmarkedThis home is ranked 51st out of 117 homes in South Dakota. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 63 / 100 Rank #34 / 159Walk Score — State benchmarkedThis home is ranked 34th out of 159 homes in South Dakota. Shows how walkable this facility's neighborhood is compared to the average Walk Score across South Dakota facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
79%
Rank #37 / 62Occupancy rate — State benchmarkedThis home is ranked 37th out of 62 homes in South Dakota. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 62. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Similar to the South Dakota average: 79.9%
Occupied beds
51 / 65
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
ExpirationJune 30, 2026 Expires in 8 days
CountyHughes
License Number10663
CMS Certification Number435047

Ownership & Operating Entity

Avantara Pierre is administered by Chase Watson.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Amenities & Lifestyle

Specific ProgramsPost-Surgical Care, Stroke & Other Neurological Conditions, Cardiac Care, Oncology Recovery Care, Pulmonary Care, Orthopedic Rehabilitation

Contact Avantara Pierre

Health Inspection History

Inspections since 2023
Total health inspections 5

South Dakota average 4.5


Last Health inspection on May 2025

Total health citations
35 Rank #63 / 67Health citations — State benchmarkedThis home is ranked 63rd out of 67 homes in South Dakota. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 67 SD facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

South Dakota average 14.8

Citations per inspection
7 Rank #64 / 67Citations per inspection — State benchmarkedThis home is ranked 64th out of 67 homes in South Dakota. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 67 facilities with citation data. Lower is better.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

South Dakota average 3.34


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
100% better than South Dakota average

South Dakota average: 0.3


Serious health citations
3
67% worse than South Dakota average

South Dakota average: 1.8

0 critical citations South Dakota average: 0.3

3 serious citations South Dakota average: 1.8

32 moderate citations South Dakota average: 12.6

0 minor citations South Dakota average: 0
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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 80
Employees 43
Contractors 37
Staff to resident ratio 1.45 : 1
25% fewer staff per resident than South Dakota average
South Dakota average ratio: 1.93 : 1 South Dakota average ratio: 1.93 : 1See full South Dakota ranking
Avg staff/day 25
Average shift 8.2 hours
6% better than South Dakota average
South Dakota average: 7.7 hours South Dakota average shift: 7.7 hoursSee full South Dakota ranking
Total staff hours (quarter) 18,848

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 11 total: 7 full-time employees and 4 contractors. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 10 total: 4 full-time employees and 6 contractors. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.7 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 38 total: 21 full-time employees and 17 contractors. 38
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

22.3%

4,208 contractor hours this quarter

Certified Nursing Assistant: 17 Licensed Practical Nurse: 6 Registered Nurse: 4 Respiratory Therapy Technician: 3 Physical Therapy Aide: 2 Physical Therapy Assistant: 2 Qualified Social Worker: 2 Speech Language Pathologist: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant2117388,67492100%8.9
Registered Nurse74112,67292100%8.5
Licensed Practical Nurse46101,7638795%10.7
Respiratory Therapy Technician0339928087%6.7
Physical Therapy Aide0228446874%7.7
Other Dietary Services Staff3036319199%4.5
Nurse Practitioner2024976267%8
Administrator1014966267%8
Dietitian1014826267%7.8
Clinical Nurse Specialist2024685560%7.8
Speech Language Pathologist0114626368%7.3
Dental Services Staff1014425964%7.5
RN Director of Nursing1013264043%8.1
Physical Therapy Assistant022675358%1.2
Qualified Social Worker022331820%1.8
38 Certified Nursing Assistant
% of Days 100%
11 Registered Nurse
% of Days 100%
10 Licensed Practical Nurse
% of Days 95%
3 Respiratory Therapy Technician
% of Days 87%
2 Physical Therapy Aide
% of Days 74%
3 Other Dietary Services Staff
% of Days 99%
2 Nurse Practitioner
% of Days 67%
1 Administrator
% of Days 67%
1 Dietitian
% of Days 67%
2 Clinical Nurse Specialist
% of Days 60%
1 Speech Language Pathologist
% of Days 68%
1 Dental Services Staff
% of Days 64%
1 RN Director of Nursing
% of Days 43%
2 Physical Therapy Assistant
% of Days 58%
2 Qualified Social Worker
% of Days 20%

Penalties and fines

Includes penalties issued in 2025

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 Rank #38 / 67Federal fines — State benchmarkedThis home is ranked 38th out of 67 homes in South Dakota. Shows this facility's cumulative CMS federal fine dollars versus the South Dakota average among facilities with fines, and where it ranks among 67 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
22% higher than South Dakota average

South Dakota average: $40K

Number of fines 2
In line with 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 $49K
South Dakota average $40K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Apr 2, 2025 · $34K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Apr 2, 2025
$34K

Last updated: Jan 2026

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. 15.2
26% 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. 28.0
17% worse than South Dakota average

South Dakota average: 23.9

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 25.5%
14% 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 30.8%
35% 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 27.7%
In line with 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 2.7%
46% 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 9.2%
106% worse than South Dakota average

South Dakota average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 4.7%
36% 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 7.7%
42% worse than South Dakota average

South Dakota average: 5.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.9%
54% better than South Dakota average

South Dakota average: 4.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 17.1%
30% 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 82.0%
14% 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 94.2%
In line with South Dakota average

South Dakota average: 96.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 53.8%
36% 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 2.3%
32% worse 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 49.1%
37% worse than South Dakota average

South Dakota average: 78.2%

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

Facility Characteristics

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

Total residents 55
Medicare
10
18.2% of residents
Medicaid
29
52.7% of residents
Private pay or other
16
29.1% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Privately-owned community
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$680.5K
Privately-owned community Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.7M Rank #22 / 63Revenue — State benchmarkedThis home is ranked 22nd out of 63 homes in South Dakota. Shows this facility's annual revenue compared to the South Dakota average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$680.5K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$310
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #31 / 63Payroll — State benchmarkedThis home is ranked 31st out of 63 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.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.2M 47.6% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #59 / 63Payroll % — State benchmarkedThis home is ranked 59th out of 63 homes in South Dakota. Shows payroll as a percentage of revenue versus the South Dakota average. Well-run South Dakota facilities typically land around 64–73% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.8M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.0M

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.

Most new residents arrive under Medicare (53% of admissions), and a typical Medicare stay runs around 2 - 3 months.

Admissions
92 total

Coverage residents most often arrive under.

Medicare 53%
Private pay 30%
Medicaid 16%
Discharges
98 total

Coverage residents most often leave under.

Medicare 39%
Private pay 31%
Medicaid 31%

Places of interest near Avantara Pierre

Address 0.0 miles from city center Info Estimated distance in miles from Pierre's city center to Avantara Pierre's address, calculated via Google Maps.

Calculate Travel Distance to Avantara Pierre

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Address

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

Avera Maryhouse
NH
AL
HC
Pierre
67
Facility 67
SD AVG 69
Rank #49 / 117
--
5.30
Facility 5.30
SD AVG 4.34
Rank #7 / 65
+18%+22%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 67
9
Facility 9
SD AVG 14.8
Rank #17 / 67
2.3
Facility 2.3
SD AVG 3.3
Rank #20 / 67
-59-
60
Facility 60
SD AVG 39
Rank #39 / 159
----435034
Bethesda Home of Aberdeen
NH
AL
HC
NC
RC
Aberdeen (Melrose Addition)
86
Facility 86
SD AVG 69
Rank #27 / 117
92.8%
Facility 92.8%
SD AVG 79.9%
Rank #10 / 62
+16%
4.38
Facility 4.38
SD AVG 4.34
Rank #19 / 65
-22%+1%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 67
7
Facility 7
SD AVG 14.8
Rank #9 / 67
2.3
Facility 2.3
SD AVG 3.3
Rank #20 / 67
-85-
12
Facility 12
SD AVG 39
Rank #127 / 159
Scott Eisenbeisz
$9.7M
Facility $9.7M
SD AVG $6.7M
Rank #17 / 63
$7.2M
Facility $7.2M
SD AVG $2.6M
Rank #5 / 63
74.3%
Facility 74.3%
SD AVG 40.8%
Rank #6 / 63
435073
Fountain Springs Healthcare Center
NH
AL
IL
Rapid City
10
Facility 10
SD AVG 69
Rank #116 / 117
87.3%
Facility 87.3%
SD AVG 79.9%
Rank #24 / 62
+9%
3.82
Facility 3.82
SD AVG 4.34
Rank #33 / 65
-2%-12%
$22.5k
Facility $22.5k
SD AVG $38.5k
Rank #40 / 67
11
Facility 11
SD AVG 14.8
Rank #21 / 67
1.6
Facility 1.6
SD AVG 3.3
Rank #12 / 67
282-
16
Facility 16
SD AVG 39
Rank #120 / 159
-
$6.8M
Facility $6.8M
SD AVG $6.7M
Rank #26 / 63
$3.1M
Facility $3.1M
SD AVG $2.6M
Rank #27 / 63
45.6%
Facility 45.6%
SD AVG 40.8%
Rank #31 / 63
435110
Avera Mother Joseph Manor Retirement Community
NH
AL
HC
IL
Aberdeen
81
Facility 81
SD AVG 69
Rank #32 / 117
--
4.62
Facility 4.62
SD AVG 4.34
Rank #14 / 65
-24%+6%
$8.8k
Facility $8.8k
SD AVG $38.5k
Rank #18 / 67
12
Facility 12
SD AVG 14.8
Rank #26 / 67
1.7
Facility 1.7
SD AVG 3.3
Rank #13 / 67
376-
31
Facility 31
SD AVG 39
Rank #93 / 159
----435042
Avantara Pierre
NH
HC
MC
Pierre
65
Facility 65
SD AVG 69
Rank #51 / 117
78.9%
Facility 78.9%
SD AVG 79.9%
Rank #37 / 62
-1%
2.61
Facility 2.61
SD AVG 4.34
Rank #64 / 65
+24%-40%
$22.0k
Facility $22.0k
SD AVG $38.5k
Rank #38 / 67
35
Facility 35
SD AVG 14.8
Rank #63 / 67
7.0
Facility 7.0
SD AVG 3.3
Rank #64 / 67
354-
63
Facility 63
SD AVG 39
Rank #34 / 159
Tina Muller
$6.7M
Facility $6.7M
SD AVG $6.7M
Rank #22 / 63
$3.2M
Facility $3.2M
SD AVG $2.6M
Rank #31 / 63
47.6%
Facility 47.6%
SD AVG 40.8%
Rank #59 / 63
435047

Financial Assistance for
Nursing Home in South Dakota

Avantara Pierre is located in Pierre, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.

Get Financial aid guidance

Home and Community Based Services Waiver

SD Medicaid HCBS Waiver

Age 65+ or disabled
General 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

Sparse population aids rural access; limited providers.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

South Dakota Elderly Services Program

SD ESP

Age 60+
General South Dakota resident, at risk of decline.
Income Limits ~$1,732/month individual, varies
Asset Limits $5,000 individual
SD

Limited funding; rural focus.

Benefits
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

Age 65+ or disabled
General 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

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

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Home Energy Assistance Program (LIEAP)

South Dakota LIEAP

Age 60+ prioritized
General SD resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
SD

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

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency aid ($500 max)

Family Caregiver Support Program (FCSP)

South Dakota Family Caregiver Support Program

Age
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

Rural emphasis; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

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

South Dakota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General 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

Supports rural veterans; high demand near Sioux Falls VA.

Benefits
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

Age 65+ (or disabled) by Jan 1
General 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

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

Benefits
Tax refund (~$250-$575/year based on income)

Senior Farmers’ Market Nutrition Program (SFMNP)

South Dakota SFMNP

Age 60+
General SD resident, low-income.
Income Limits (2025) ~$2,322/month individual, 185% FPL
Asset Limits Not assessed.
SD

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

Benefits
Vouchers (~$50/season) for fresh produce at approved markets

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

South Dakota Property Tax Freeze

Age 65+ (or disabled)
General 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

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

Benefits
Assessment freeze (~$300-$600/year savings)

Older Americans Act (OAA) Services

South Dakota OAA Services

Age 60+
General 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

6 AAAs; rural focus due to sparse population.

Benefits
Meals (home-delivered or congregate, ~$5-$7/meal value) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Frequently Asked Questions about Avantara Pierre

Is Avantara Pierre in a walkable area?

Avantara Pierre has a walk score of 63. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Avantara Pierre?

According to SD state health department records, Avantara Pierre's license number is 10663.

When does Avantara Pierre's license expire?

According to SD state health department records, Avantara Pierre's license expires on June 30, 2026.

What is the occupancy rate at Avantara Pierre?

Avantara Pierre's occupancy is 79%.

Who is the administrator of Avantara Pierre?

Chase Watson is the administrator of Avantara Pierre.

How many beds does Avantara Pierre have?

Avantara Pierre has 65 beds.

Are there photos of Avantara Pierre?

Yes — there are 4 photos of Avantara Pierre in the photo gallery on this page.

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