Avantara Huron
1345 Michigan Avenue Sw · Huron, SD · 57350 · 6053528471
119 certified beds For profit - Limited Liability company Chain: Legacy Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.47 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.66 | 0.55–0.75 |
| Weekend hours / resident-day | 2.99 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 1 · $8,338 |
Inspection citations (21 in the current record)
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Immediate jeopardy · J March 12, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G March 12, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 5, 2025 · Quality of Life and Care
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Actual harm · G March 12, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 16, 2026 · Quality of Life and Care
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Actual harm · G March 12, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 12, 2026
Ensure each resident receives an accurate assessment.
Corrected April 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 12, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 12, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 12, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 12, 2026
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected April 16, 2026 · Nursing and Physician Services
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Potential for harm · F March 12, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 16, 2026 · Nutrition and Dietary
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Potential for harm · D March 12, 2026
Provide and implement an infection prevention and control program.
Corrected April 16, 2026 · Infection Control
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Potential for harm · F March 12, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 16, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G November 14, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 14, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected December 12, 2024 · Resident Rights
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Potential for harm · E November 14, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 14, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 14, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected December 12, 2024 · Quality of Life and Care
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Potential for harm · D November 14, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected December 12, 2024 · Quality of Life and Care
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Potential for harm · F November 14, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 12, 2024 · Nutrition and Dietary
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Potential for harm · F November 14, 2024
Provide and implement an infection prevention and control program.
Corrected December 12, 2024 · Infection Control
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Potential for harm · D June 19, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 3, 2024 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 14, 2024 | Fine | $8,338 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435020 · certified since May 3, 1968. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.