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Avantara Redfield
Nursing Home & Hospice Care · Redfield, 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.
Dining area with neatly arranged tables and flower centerpieces Avantara Redfield, Nursing Home in Redfield, SD — Smiling nurse interacting with an elderly man in a room Avantara Redfield, Nursing Home in Redfield, SD — Senior caregiver assisting an elderly man in a living room Avantara Redfield, Nursing Home in Redfield, SD — Healthcare professionals providing wound care to a senior patient Avantara Redfield, Nursing Home in Redfield, SD — Senior man receiving physical therapy from a healthcare professional Avantara Redfield, Nursing Home in Redfield, SD — Cozy senior living room with bed and furnishings Avantara Redfield, Nursing Home in Redfield, SD — Signage for Avantara Redfield senior living facility Avantara Redfield, Nursing Home in Redfield, SD — Blue armchairs beside a wooden cabinet and decorative flowers Avantara Redfield, Nursing Home in Redfield, SD Avantara Redfield, Nursing Home in Redfield, SD — Doctor examining a senior patient in a clinical setting Residents engaged in a fun board game activity Residents and staff preparing food together in the kitchen Residents playing a game in the activity room Residents and staff gathered around a table with crafts

Avantara Redfield

Nursing Home & Hospice Care · Redfield, 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.
1015 E 3Rd St, Redfield, SD 57469 View map Calculator: See prices in your area
Avantara Redfield accepts Medicare, Medicaid, and private pay.
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Avantara Redfield accepts Medicare, Medicaid, and private pay.

Overview of Avantara Redfield

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The average length of stay at Avantara Redfield is 229 days. That number separates this facility from a straightforward short-term rehab model and points to something closer to a mixed population: people working through post-acute recovery alongside others with longer-term care needs. The 58-bed nursing home sits on E 3rd St in Redfield, South Dakota, under the administration of Diane Forgey. It opened about a year ago and currently has 38 of its 58 beds filled.

The clinical program list is broad for a facility this size. Residents recovering from cardiac events, orthopedic procedures, pulmonary conditions, oncology treatment, surgery, and stroke or other neurological conditions each have a dedicated recovery track. Full-time therapists are on-site, and a home assessment is completed before discharge. Total nursing coverage is 2 hours and 54 minutes per resident per day; registered nurses account for 38 minutes of that.

Medicare, Medicaid, and private pay are all accepted, which matters given that stay length: a resident arriving on Medicare short-term benefits may eventually transition to Medicaid, and the facility’s payment structure accommodates that arc. The neighborhood requires a car for most errands (Walk Score 34).

Avantara Redfield serves people who need structured, supervised recovery after a hospital discharge, and its longer-than-average stay data suggests it also holds residents whose care needs extend well past the typical rehab window.

Facility Direct Line (605) 472-2288
Facility Direct Line (605) 472-2288
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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.
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.
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.
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.

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 state averages

Total nursing care / resident Info 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 54m per day
Rank #59 / 65Nurse hours — State benchmarkedThis home is ranked 59th 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.
vs avg

6 of 6 metrics below 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. 38m per day ▼ 21% State avg: 48m 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. 28m per day ▼ 4% 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. 2h 4m per day ▼ 21% State avg: 2h 37m per day · National avg: 2h 21m 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 37m per day ▼ 21% State avg: 3h 19m per day · National avg: 3h 26m 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. 1m per day ▼ 61% 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. 17m per day ▼ 47% State avg: 31m per day · National avg: 29m per day

Capacity and availability

Avg. Length of Stay
229 days
Bed community size
58-bed community Rank #59 / 117Bed count — State benchmarkedThis home is ranked 59th 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.
Years in operation
1 year in operation Rank #14 / 51Years in operation — State benchmarkedThis home is ranked 14th out of 51 homes in South Dakota. Shows how long this facility has been in operation compared to other South Dakota facilities. Longer operating histories may 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.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 34 / 100 Rank #85 / 159Walk Score — State benchmarkedThis home is ranked 85th 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.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
66%
Rank #51 / 62Occupancy rate — State benchmarkedThis home is ranked 51st 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.
Lower than the South Dakota average: 79.9%
Occupied beds
38 / 58
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
StatusActive
IssuanceJanuary 7, 2025
ExpirationJune 30, 2026 Expires in 3 days
CountySpink
License Number10671
CMS Certification Number435054

Ownership & Operating Entity

Avantara Redfield is administered by Diane Forgey.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Amenities & Lifestyle

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

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Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Long-stay resident measures
Average State avg: 2.6 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.04
35% worse than State average

State average: 1.51

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 3.74
102% worse than State average

State average: 1.85

Short-stay resident measures
Significantly below average State avg: 2.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 32.7%
52% worse than State average

State average: 21.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 11.8%
In line with State average

State average: 11.7%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 2.6%
242% worse than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 54.2%
In line with State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 34.8%
31% worse than State average

State average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Finances and operations

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

For-profit
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."
$4.0M
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."
-$25.5K
For-profit 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."
$4.0M Rank #37 / 63Revenue — State benchmarkedThis home is ranked 37th 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."
-$25.5K
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.
$22.1K
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 #48 / 63Payroll — State benchmarkedThis home is ranked 48th 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.
$2.3M 56.8% 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 #55 / 63Payroll % — State benchmarkedThis home is ranked 55th 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).
$1.8M
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).
$4.0M
How we calculate these figures

This home is administered by Diane Forgey.

This home is owned by Diane Forgey

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 435054

Show certification details

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 1 - 2 months.

Admissions
75 total

Coverage residents most often arrive under.

Medicare 53%
Private pay 19%
Medicaid 28%
Discharges
70 total

Coverage residents most often leave under.

Medicare 21%
Private pay 29%
Medicaid 50%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Avantara Redfield Reviews

Anie Adcock
Very sad when I went to visit a dear friend. She was very upset that the nurse put her to bed and she needed to go to the bathroom, I went and got a nurse and explained that she needs the bathroom not bed. This was a Sunday so when finished she went to church. The place smelled of urine and unclean.

Places of interest near Avantara Redfield

Address 0.4 miles from city center Info Estimated distance in miles from Redfield's city center to Avantara Redfield's address, calculated via Google Maps. — 0.4 miles to nearest hospital (Community Memorial Hospital)

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Frequently Asked Questions about Avantara Redfield

Is Avantara Redfield in a walkable area?

Avantara Redfield has a walk score of 34. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Avantara Redfield?

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

When does Avantara Redfield's license expire?

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

What is the occupancy rate at Avantara Redfield?

Avantara Redfield's occupancy is 66%.

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.

How many beds does Avantara Redfield have?

Avantara Redfield has 58 beds.

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