Avantara Redfield

Nursing Home, Hospice Care & Skilled Nursing · Redfield, SD

CMS overall rating

1015 Third Street East, Redfield, SD 57469 View map

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Avantara Redfield accepts Medicare, Medicaid, and private pay.

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Avantara Redfield accepts Medicare, Medicaid, and private pay.

Overview of Avantara Redfield

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.

Facility Direct Line (605) 472-2288

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

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

Total nursing care / resident

2h 54m per day

This facility South Dakota avg (4h 20m per day)

vs South Dakota avg

-33%

6 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	38m per day	▼ 23% State avg: 49m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	28m per day	▼ 3% State avg: 29m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 4m per day	▼ 19% State avg: 2h 34m per day · National avg: 2h 20m per day
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 37m per day	▼ 23% State avg: 3h 23m per day · National avg: 3h 27m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 62% State avg: 3m per day · National avg: 4m per day
Weekend RN 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.	17m per day	▼ 47% State avg: 31m per day · National avg: 29m per day

Capacity and availability

229 days

58-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: 58 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

82%

Similar to the South Dakota average: 79.9%

Occupied beds

48 / 58

Average occupied beds in South Dakota homes 51 beds

Facility TypeNursing Home

IssuanceJuly 1, 2025

CountySpink

License Number10671

CMS Certification Number435054

Avantara Redfield is administered by Diane Forgey.

Rehabilitation Services

Short-Term Rehab

Pets not allowed

Since 2022 · 4 years of data 21 deficiencies 8 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, 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.

Since 2022 vs. South Dakota state average

Overall vs. SD average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	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 inspection Average deficiencies per inspection.	2.6	3.8	This facility has 32% fewer deficiencies per inspection than a typical South Dakota nursing home (2.6 vs. SD avg 3.8).↓ 32% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	SD Average	vs. SD Avg
Total inspections Combined count of all inspections conducted at this facility.	8	5	This facility has had 60% more total inspections than the South Dakota average (8 vs. SD avg 5). More inspections can mean more regulatory scrutiny rather than worse care.↑ 60% more

Show Inspection Reports

Inspections since 2022

Total health inspections 7

State average 4.5

Last Health inspection on Apr 2025

Total health citations

State average 14.8

Citations per inspection

2.86

State 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).

Breakdown of citation severity (last 4 years)

Critical health citations

100% better than State average

State average: 0.3

Serious health citations

67% worse than State average

State average: 1.8

0 critical citations State average: 0.3

3 serious citations State average: 1.8

17 moderate citations State average: 12.6

0 minor citations State average: 0

Citations history (last 4 years)

Nutrition moderate citation Apr 15, 2025

Corrected

Nutrition serious citation Mar 17, 2025

Corrected

Environmental moderate citation Dec 05, 2024

Corrected

Nutrition moderate citation Dec 05, 2024

Corrected

Total staff 77

Employees 50

Contractors 27

Staff to resident ratio 1.57 : 1

19% fewer staff per resident than South Dakota average

Avg staff/day 24

Average shift 7.7 hours

0% compared with South Dakota average

Total staff hours (quarter) 16,928

Nursing staff breakdown

10.1 hours

9.1 hours

7.8 hours

Contractor staffing

2,360 contractor hours this quarter

Certified Nursing Assistant: 12 Registered Nurse: 3 Physical Therapy Aide: 3 Physical Therapy Assistant: 3 Respiratory Therapy Technician: 2 Speech Language Pathologist: 1 Licensed Practical Nurse: 1 Qualified Social Worker: 1 Medication Aide/Technician: 1

Staff by category


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

38 Certified Nursing Assistant

% of Days 100%

5 Licensed Practical Nurse

% of Days 98%

7 Registered Nurse

% of Days 99%

2 Clinical Nurse Specialist

% of Days 70%

5 Other Dietary Services Staff

% of Days 78%

5 Medication Aide/Technician

% of Days 75%

2 Dental Services Staff

% of Days 68%

1 Nurse Practitioner

% of Days 73%

1 Speech Language Pathologist

% of Days 70%

1 Dietitian

% of Days 66%

1 Administrator

% of Days 64%

2 Respiratory Therapy Technician

% of Days 39%

3 Physical Therapy Aide

% of Days 42%

1 Qualified Social Worker

% of Days 25%

3 Physical Therapy Assistant

% of Days 28%

View All Staffing Data

Total fines amount $39K

In line with South Dakota average

South Dakota average: $40K

Number of fines 3

48% more fines than South Dakota average

South Dakota average: 2.0

Payment Denials 0

In line with South Dakota average

South Dakota average: 0.0

Fines amount comparison

This facility $39K

South Dakota average $40K

Penalty History

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.

Civil Money Penalty Mar 17, 2025

$14K

Civil Money Penalty Aug 28, 2024

$12K

Civil Money Penalty Aug 28, 2024

$12K

Last updated: Jan 2026

High-risk clinical events score 11.0

8% better than South Dakota average

South Dakota average: 12.0

Functional decline score 20.8

13% better than South Dakota average

South Dakota average: 23.9

Long-stay resident measures

Need for Help with Daily Activities Increased 21.3%

5% better than South Dakota average

South Dakota average: 22.3%

Walking Ability Worsened 15.6%

32% better than South Dakota average

South Dakota average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence 25.4%

5% better than South Dakota average

South Dakota average: 26.7%

Falls with Major Injury 9.7%

92% worse than South Dakota average

South Dakota average: 5.0%

High Risk Residents with Pressure Ulcers 0.6%

87% better than South Dakota average

South Dakota average: 4.5%

Urinary Tract Infection 1.2%

65% better than South Dakota average

South Dakota average: 3.5%

Lost Too Much Weight 8.0%

46% worse than South Dakota average

South Dakota average: 5.5%

Depressive Symptoms 11.4%

178% worse than South Dakota average

South Dakota average: 4.1%

Antipsychotic Use 26.4%

8% worse than South Dakota average

South Dakota average: 24.4%

Pneumococcal Vaccine 99.4%

In line with South Dakota average

South Dakota average: 95.7%

Influenza Vaccine 100.0%

In line with South Dakota average

South Dakota average: 96.9%

Short-stay resident measures

Pneumococcal Vaccine 91.2%

8% better than South Dakota average

South Dakota average: 84.4%

Antipsychotic medication increase 0.0%

100% better than South Dakota average

South Dakota average: 1.8%

Influenza Vaccine 96.2%

23% better 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 1 - 2 months

Private pay

19% of new residents, often for short stays.

Typical stay 6 - 7 months

Medicaid

28% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Total residents 49

Medicare

6.1% of residents

Medicaid

71.4% of residents

Private pay or other

22.4% 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.

Financial Trends

Historical financial and operational data for Avantara Redfield from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 65.6% ↑ 7.3pp vs 2022

Net Patient Income -$25.5K ↓ ~$164.6K vs 2022

Payroll Costs $2.3M ↑ ~$131.1K vs 2022

Operating Margin -0.6% ↓ 4.1pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2020	2021	2022	2023
Occupancy %	66.3%	62.8%	67.2%	81.1%	86.7%	83.1%	76.4%	69.4%	68.3%	57.4%	58.3%	65.6%
Beds	87	87	67	67	67	67	67	67	67	67	67	67
Net Income	$49,407	-$139,901	-$303,843	-$718,429	-$653,060	-$706,954	-$394,740	-$157,368	$567,450	$449,903	$139,421	-$3,459
Gross Revenue	$5,066,435	$4,609,228	$4,719,581	$4,733,428	$4,965,467	$4,834,448	$4,664,495	$3,720,576	$6,789,822	$6,443,679	$6,940,405	$7,250,690
Operating Expenses	$3,694,991	$3,504,720	$3,668,828	$4,077,742	$4,239,423	$4,172,522	$3,757,461	$3,425,666	$4,075,788	$3,540,754	$3,848,156	$4,042,124
Net Patient Income	$21,329	-$172,922	-$315,077	-$731,041	-$665,206	-$715,823	-$395,951	-$289,392	-$399,576	-$320,271	$139,062	-$25,509
Net Patient Revenue	$3,716,320	$3,331,798	$3,353,751	$3,346,701	$3,574,217	$3,456,699	$3,361,510	$3,136,274	$3,676,212	$3,220,483	$3,987,218	$4,016,615
Payroll Costs	$1,974,821	$1,957,730	$1,954,777	$1,755,610	$2,160,016	$2,317,271	$2,318,336	$2,274,566	$2,681,998	$2,008,676	$2,151,745	$2,282,805
Operating Margin %	0.6%	-5.2%	-9.4%	-21.8%	-18.6%	-20.7%	-11.8%	-9.2%	-10.9%	-9.9%	3.5%	-0.6%
Medicare %	10.6%	10.3%	8.2%	9.5%	7.9%	5.8%	7.0%	7.8%	10.1%	11.2%	16.3%	12.2%
Medicaid %	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	65.1%	0.0%	67.2%	68.6%	60.9%	70.1%
Private %	89.4%	89.7%	91.8%	90.5%	92.1%	94.2%	27.9%	92.2%	22.8%	20.2%	22.8%	17.6%
Net Patient Revenue/Day	$177	$167	$162	$169	$169	$170	$180	$185	$220	$230	$280	$250
Cost/Day	$176	$175	$177	$206	$200	$205	$201	$202	$243	$252	$270	$252
Avg Length of Stay	217.0 days	217.5 days	189.7 days	230.7 days	268.4 days	377.2 days	239.4 days	199.7 days	192.4 days	143.1 days	118.8 days	229.2 days

Finances and operations

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

Net patient revenue

$4.0M

Net patient income

-$25.5K

For-profit Operated by a single business entity.

Net patient revenue

$4.0M

Net patient income

-$25.5K

Other income

$22.1K

Payroll costs

$2.3M 56.8% of net patient revenue

Other operating costs

$1.8M

Total costs

$4.0M

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 1 - 2 months.

Coverage residents most often arrive under.

Medicare 53%

Private pay 19%

Medicaid 28%

Coverage residents most often leave under.

Medicare 21%

Private pay 29%

Medicaid 50%

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

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Info below is compiled from CMS reports & the SD Dept. of Health (DOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.


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Nursing Home Explorer

Is Avantara Redfield in a walkable area?

Avantara Redfield has a walk score of 58. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Avantara Redfield?

According to SD state health department records, Avantara Redfield's license number is 10671.

What is the occupancy rate at Avantara Redfield?

Avantara Redfield's occupancy is 82%.

How long has Avantara Redfield been in business?

Avantara Redfield has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Avantara Redfield?

No, Avantara Redfield has a no-pet policy.

Does Avantara Redfield operate as a for-profit or non-profit?

Avantara Redfield is registered as a for-profit in SD.

Who is the administrator of Avantara Redfield?

Diane Forgey is the administrator of Avantara Redfield.

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Avantara Redfield

Overview of Avantara Redfield

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Additional Policies & Features

Amenities & Lifestyle

Contact Avantara Redfield

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

38 Certified Nursing Assistant

5 Licensed Practical Nurse

7 Registered Nurse

2 Clinical Nurse Specialist

5 Other Dietary Services Staff

5 Medication Aide/Technician

2 Dental Services Staff

1 Nurse Practitioner

1 Speech Language Pathologist

1 Dietitian

1 Administrator

2 Respiratory Therapy Technician

3 Physical Therapy Aide

1 Qualified Social Worker

3 Physical Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Avantara Redfield

Calculate Travel Distance to Avantara Redfield

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