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SOURCE DATA AUG 2026

Nursing Homes · Medicare certified

Avantara Pierre

950 East Park Street · Pierre, SD 57501 · 65 certified beds

6052248628

License number not yet on file. We only publish license numbers we can source from an official registry.

NPI 1528624681. Look this up in the CMS NPPES registry (opens in a new tab)

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About Avantara Pierre

Avantara Pierre is a nursing home in Pierre, South Dakota. Its reported capacity is 65 beds. It is recorded as a for-profit operator, part of Legacy Healthcare. Federal records list it as Medicare certified. Our copy of the inspection record holds 35 citations, the newest dated 7 May 2025. Federal enforcement records add 1 fine or payment denial action. Staffing reports put it at 2.81 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.

Public record

CMS Care Compare · Source data August 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

3.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

24

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

3.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

26

2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

3.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

23

Inspection history (35)

Records from January 2023 to May 2025.

  • January 9, 2024 · D

    Citation F0695

    Federal surveyors cited this nursing home on 2024-01-09 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-09.GOV
  • January 9, 2024 · F

    Citation F0849

    Federal surveyors cited this nursing home on 2024-01-09 under CMS tag F0849 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. The deficiency was recorded as corrected on 2024-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-09.GOV
  • January 9, 2024 · D

    Citation F0684

    Federal surveyors cited this nursing home on 2024-01-09 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2024-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-09.GOV
  • January 9, 2024 · D

    Citation F0761

    Federal surveyors cited this nursing home on 2024-01-09 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. The deficiency was recorded as corrected on 2024-02-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-09.GOV
  • June 16, 2023 · D

    Citation F0684

    Federal surveyors cited this nursing home on 2023-06-16 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2023-07-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-16.GOV
  • June 16, 2023 · D

    Citation F0776

    Federal surveyors cited this nursing home on 2023-06-16 under CMS tag F0776 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. The deficiency was recorded as corrected on 2023-07-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-16.GOV
  • January 13, 2023 · D

    Citation F0692

    Federal surveyors cited this nursing home on 2023-01-13 under CMS tag F0692 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2023-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-01-13.GOV
  • January 13, 2023 · F

    Citation F0812

    Federal surveyors cited this nursing home on 2023-01-13 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2023-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-01-13.GOV
  • January 13, 2023 · F

    Citation F0809

    Federal surveyors cited this nursing home on 2023-01-13 under CMS tag F0809 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. The deficiency was recorded as corrected on 2023-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-01-13.GOV
  • January 13, 2023 · E

    Citation F0658

    Federal surveyors cited this nursing home on 2023-01-13 under CMS tag F0658 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2023-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-01-13.GOV
  • January 13, 2023 · D

    Citation F0686

    Federal surveyors cited this nursing home on 2023-01-13 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2023-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-01-13.GOV
  • January 13, 2023 · F

    Citation F0865

    Federal surveyors cited this nursing home on 2023-01-13 under CMS tag F0865 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have a plan that describes the process for conducting QAPI and QAA activities. The deficiency was recorded as corrected on 2023-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-01-13.GOV
  • January 13, 2023 · E

    Citation F0657

    Federal surveyors cited this nursing home on 2023-01-13 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2023-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-01-13.GOV
  • January 13, 2023 · G

    Citation F0675

    Federal surveyors cited this nursing home on 2023-01-13 under CMS tag F0675 (CMS scope/severity G: isolated, actual harm) for Honor each resident's preferences, choices, values and beliefs. The deficiency was recorded as corrected on 2023-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-01-13.GOV
  • January 13, 2023 · D

    Citation F0802

    Federal surveyors cited this nursing home on 2023-01-13 under CMS tag F0802 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. The deficiency was recorded as corrected on 2023-02-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-01-13.GOV

Penalties (1)

Total fines on file: $22,048

  • April 2, 2025 · Fine

    Citation FINE-100285

    CMS recorded a civil money penalty of $22,048 against this nursing home on 2025-04-02 (Fine ID: 100285). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-02.GOV

Staffing

Latest: 2.81 nurse staffing hours per resident per day (2026Q1)

Staffing trend (5 periods)

  1. 2025Q42.89 hrs/resident/day
  2. 2026-06-012.89 hrs/resident/day
  3. 2026-07-012.81 hrs/resident/day
  4. 2026-08-012.81 hrs/resident/day
  5. 2026Q12.81 hrs/resident/day

Most recent period is lower than 2025Q4 (-0.08 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit

CMS Care Compare chain: Legacy Healthcare

Chain ID 306 · 89 facilities in chain (CMS)

  • Chain average overall rating: 2.9
  • Chain average health inspection rating: 2.8
  • Chain average staffing rating: 2.5
  • Chain average quality measure rating: 3.3

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

  1. Parent organization: Legacy Healthcare Financial Services LLC

    parent · PAC 5799046132

Recent changes to this listing

Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.

Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

  1. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  2. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

  3. Aug 6, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  4. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

  5. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth CareScout Cost of Care Survey · 2025

This provider doesn't publish a specific price to us. Below is the typical SD range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · SD$9,444/mo
See full SD cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in Pierre, with their own public records.

A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

Check availability and pricing at Avantara Pierre

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Trust & methodology

Where this information came from

Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.

CMS nursing homes (provider info)as of August 2026
Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
CMS nursing homes (ownership)as of July 2026
Ownership type, Parent organization
CMS enrollmentas of July 2026
NPI
CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day

Read how we handle every file on the data sources page.