Avantara Clark City
Clark, SD · Medicare and Medicaid-certified nursing home (CCN 435058) · 35 certified beds
Health inspection: 4 · Quality measures: 2 · Staffing: 2
Federal fines: 1 totaling $11,057
Phone: (605) 532-3431 · Verify on Medicare Care Compare ↗
Avantara Clark City has an overall CMS rating of 4 stars, above South Dakota's state average of 2.88 stars. Its health inspection rating is 4 stars and its staffing rating is 2 stars.
Avantara Clark City reports 4.17 total nurse hours per resident per day, including 0.73 RN hours per resident per day, with a staffing star rating of 2. The facility's nursing staff turnover rate is 42.4%.
Avantara Clark City has 1 federal fine on record totaling $11,057.00, with 0 payment denials. CMS does not display an abuse icon for this facility, and it is not part of the Special Focus program.
About this facility
Avantara Clark City is a Medicare and Medicaid certified nursing home located in Clark, Clark County, South Dakota. The facility is certified for 35 beds and reports an average daily census of 29.3 residents. It is operated under a for-profit, limited liability company ownership structure and has been Medicare/Medicaid certified since May 1991. Avantara Clark City is part of the Legacy Healthcare chain, which operates 89 facilities nationwide with an average CMS rating of 2.9 stars.
According to CMS Care Compare, Avantara Clark City holds an overall rating of 4 stars, which is above the South Dakota state average of 2.88 stars. Its component ratings are: 4 stars for health inspections, 2 stars for staffing, and 2 stars for quality measures.
Nurse staffing data reported to CMS shows total nurse staffing of 4.17 hours per resident per day, including 0.73 RN hours per resident per day. The facility's nursing staff turnover rate is 42.4%.
On penalties: CMS records show 1 federal fine totaling $11,057.00 for this facility. There have been 0 payment denials. No abuse icon is displayed for this facility in CMS data, and it is not listed under CMS's Special Focus program, which designates facilities as persistently underperforming and subject to increased inspection.
Ownership has not changed within the last 12 months, so current ratings reflect the present operator. Data sourced from CMS Care Compare.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Avantara Clark City has an overall rating of 4 stars, which is above the South Dakota state average of 2.88 stars.
Does this facility accept Medicare, Medicaid, or both?
The facility accepts both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 4.17 hours per resident per day, with 0.73 RN hours per resident per day, and a staffing star rating of 2. Nursing staff turnover is 42.4%.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 1 federal fine totaling $11,057.00, and 0 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
No abuse icon is displayed for this facility, and it is not listed in CMS's Special Focus program.
How large is this facility and how many residents live there?
Avantara Clark City is certified for 35 beds and has an average daily census of 29.3 residents.
Who owns this facility — and is it part of a chain?
It is owned by a for-profit limited liability company and is part of the Legacy Healthcare chain, which operates 89 facilities with an average CMS rating of 2.9 stars.
How long has this facility been Medicare/Medicaid certified?
The facility has been certified since May 1, 1991.
What do the four different CMS star ratings mean?
CMS rates facilities on an overall rating plus three components — health inspections, staffing, and quality measures — each on a 1-to-5 star scale, with the overall rating combining them.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service offerings; contact the facility at 6055323431 and verify on Medicare Care Compare.
What should I look for when touring this facility?
This information is not available in CMS data; contact the facility at 6055323431 to arrange a visit and confirm details.
How do I verify this facility's current record on Medicare Care Compare?
You can review the facility's current record at https://www.medicare.gov/care-compare/details/nursing-home/435058?state=SD.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.