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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 Redfield is a nursing home in Redfield, South Dakota, offering specialized rehabilitation services including post-surgical care, short-term rehabilitation, and specialized programs for stroke recovery, cardiac care, and wound management. This community focuses on high-acuity therapeutic recovery and extended physical care, under the leadership of dministered by Diane Forgey. Currently, the community is operating at a 66% occupancy rate, which translates into ready admission availability and minimal wait times for families in Spink County navigating sudden healthcare transitions.
The community has recorded 20 health citations over the past seven years, which is above the state average. Findings from 2024 through April 2025 include nutrition management and routine environmental standards during evaluations, which were systematically corrected under approved operational plans.
Furthermore, the community holds a 2-star overall CMS rating. While daily direct nursing hours track below the state benchmark at 2 hours and 54 minutes per resident daily, the community maintains a strong clinical safety profile with zero critical citations over recent inspection windows. Its specialized oncology recovery and on-site hospice partnerships further allow residents to age in place comfortably as their healthcare needs evolve.
For families in the Redfield area seeking a therapy-focused environment with high availability, Avantara Redfield provides a practical choice. Families are encouraged to tour the therapy wings in person, meet the clinical staff, and review current nursing schedules to ensure the community’s tailored support frameworks align precisely with their loved one’s recovery goals.
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 52nd out of 57 homes in South Dakota. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
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 12m per day | ▼ 33% State avg: 3h 17m per day · National avg: 3h 25m per day |
Higher than the South Dakota average: 79.9%Avantara Redfield is administrated by Diane Forgey.
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
| This Facility | SD Average | vs. SD Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 21 | 19 | This facility has 11% more total deficiencies than a typical South Dakota nursing home (21 vs. SD avg 19).↑ 11% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 5.3 | 4.8 | This facility has 10% more deficiencies per year than a typical South Dakota nursing home (5.3 vs. SD avg 4.8).↑ 10% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.6 | 3.2 | This facility has 19% fewer deficiencies per inspection than a typical South Dakota nursing home (2.6 vs. SD avg 3.2).↓ 19% better |
Inspections
| This Facility | SD Average | vs. SD Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 8 | 6 | This facility has 33% more total inspections than a typical South Dakota nursing home (8 vs. SD avg 6).↑ 33% worse |
South Dakota average 4.5
Last Health inspection on Apr 2025
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.
14 of 20 citations resulted from standard inspections; 5 of 20 resulted from complaint investigations; and 1 of 20 came from combined inspections (standard and complaint).
100% better than South Dakota averageSouth Dakota average: 0.3
67% worse than South Dakota averageSouth Dakota average: 1.8
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
19% worse than South Dakota average
0% compared with South Dakota average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
7 total: 4 full-time employees and 3 contractors.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursAssists with medical care and medications.
5 total: 4 full-time employees and 1 contractor.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursHelps with daily care and mobility.
38 total: 26 full-time employees and 12 contractors.
38
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,360 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 26 | 12 | 38 | 8,370 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 4 | 1 | 5 | 2,032 | 90 | 98% | 9.1 |
| Registered Nurse | 4 | 3 | 7 | 1,321 | 91 | 99% | 10.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 930 | 64 | 70% | 7.8 |
| Other Dietary Services Staff | 5 | 0 | 5 | 810 | 72 | 78% | 6 |
| Medication Aide/Technician | 4 | 1 | 5 | 706 | 69 | 75% | 7.4 |
| Dental Services Staff | 2 | 0 | 2 | 539 | 63 | 68% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 522 | 67 | 73% | 7.8 |
| Speech Language Pathologist | 0 | 1 | 1 | 491 | 64 | 70% | 7.7 |
| Dietitian | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 86 | 36 | 39% | 2.4 |
| Physical Therapy Aide | 0 | 3 | 3 | 71 | 39 | 42% | 1.7 |
| Qualified Social Worker | 0 | 1 | 1 | 47 | 23 | 25% | 2 |
| Physical Therapy Assistant | 0 | 3 | 3 | 46 | 26 | 28% | 1.8 |
Includes penalties issued in 2024-2025
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)
In line with South Dakota averageSouth Dakota average: $40K
48% more 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.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 17, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 28, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 28, 2024Last updated: Jan 2026
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.
11.0
8% better than South Dakota averageSouth Dakota average: 12.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.8
13% better than South Dakota averageSouth Dakota average: 23.9
Percent of long-stay residents whose need for help with daily activities has increased
21.3%
5% better than South Dakota averageSouth Dakota average: 22.3%
Percent of long-stay residents whose ability to move independently worsened
15.6%
32% better than South Dakota averageSouth Dakota average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.4%
5% better than South Dakota averageSouth Dakota average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
9.7%
92% worse than South Dakota averageSouth Dakota average: 5.0%
Percent of long-stay high risk residents with pressure ulcers
0.6%
87% better than South Dakota averageSouth Dakota average: 4.5%
Percent of long-stay residents with a urinary tract infection
1.2%
65% better than South Dakota averageSouth Dakota average: 3.5%
Percent of long-stay residents who lose too much weight
8.0%
46% worse than South Dakota averageSouth Dakota average: 5.5%
Percent of long-stay residents who have depressive symptoms
11.4%
178% worse than South Dakota averageSouth Dakota average: 4.1%
Percent of long-stay residents who received an antipsychotic medication
26.4%
8% worse than South Dakota averageSouth Dakota average: 24.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
In line with South Dakota averageSouth Dakota average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with South Dakota averageSouth Dakota average: 96.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.2%
8% better 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
96.2%
23% better 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.
53% of new residents, usually for short-term rehab.
19% of new residents, often for short stays.
28% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
49Residents 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.
Historical financial and operational data for Avantara Redfield based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #40 / 55Payroll — State benchmarkedThis home is ranked 40th 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.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Redfield's city center to Avantara Redfield's address, calculated via Google Maps.
Add your location
Avantara Redfield is located in Redfield, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
| Avera Maryhouse |
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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. | Pierre | 67
Facility
67
SD AVG
69
Rank
#49 / 117 | - | - | 5.30 | +18% | +22% | $0 | 9 | 2.3 | - | 58 |
60
Facility
60
SD AVG
39
Rank
#39 / 159 | - | - | - | - | 435034 | ||||
| Fountain Springs Healthcare 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Rapid City | 10
Facility
10
SD AVG
69
Rank
#116 / 117 | 87.3% | +9% | 3.82 | -2% | -12% | $32.3k | 11 | 1.6 | 2 | 86 |
16
Facility
16
SD AVG
39
Rank
#120 / 159 | - | $8.8M | $4.4M | 50.3% | 435110 | ||||
| Avera Mother Joseph Manor Retirement Community |
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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Aberdeen | 81
Facility
81
SD AVG
69
Rank
#32 / 117 | - | - | 4.62 | -24% | +6% | $20.6k | 12 | 1.7 | 3 | 77 |
31
Facility
31
SD AVG
39
Rank
#93 / 159 | - | - | - | - | 435042 | ||||
| Avantara Redfield |
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. | Redfield | 58
Facility
58
SD AVG
69
Rank
#59 / 117 | 84.5% | +6% | 2.90 | -18% | -33% | $38.7k | 20 | 2.9 | 3 | 53 |
58
Facility
58
SD AVG
39
Rank
#42 / 159 | Diane Forgey | $7.3M | $2.7M | 37.2% | 435054 |
Avantara Redfield has a walk score of 58. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to SD state health department records, Avantara Redfield's license number is 10671.
According to SD state health department records, Avantara Redfield's license expires on June 30, 2026.
Avantara Redfield's occupancy is 84%.
Diane Forgey is the administrator of Avantara Redfield.
Avantara Redfield has 58 beds.
Yes — there are 3 photos of Avantara Redfield in the photo gallery on this page.
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