Avantara Clark City

201 8th Avenue Nw · Clark, SD · 57225 · 6055323431

35 certified beds For profit - Limited Liability company Chain: Legacy Healthcare

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 71
Serious harm & abuse 20% 94
Staffing 20% 78
Federal penalties 15% 76
Trend 10% 53
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.953.48 min · 4.1 strong
RN hours / resident-day0.720.55–0.75
Weekend hours / resident-day3.43≈ weekday level
Nursing turnover / year36%median 45%
Fines (3-yr window)1 · $11,057

Inspection citations (7 in the current record)

  • Potential for harm · D January 8, 2026

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected February 22, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E January 8, 2026

    Provide and implement an infection prevention and control program.

    Corrected February 22, 2026 · Infection Control

  • Potential for harm · E January 8, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 22, 2026 · Quality of Life and Care

  • Potential for harm · D July 17, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Past Non-Compliance · Quality of Life and Care

  • Actual harm · G September 12, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 6, 2024 · Quality of Life and Care

  • Potential for harm · E June 15, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected July 30, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E June 15, 2023

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected July 30, 2023 · Quality of Life and Care

Federal penalties

DateTypeAmount / length
September 12, 2024Fine$11,057

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435058 · certified since May 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.