Avantara Pierre
Pierre, SD · Medicare and Medicaid-certified nursing home (CCN 435047) · 65 certified beds
Health inspection: 2 · Quality measures: 2 · Staffing: 3
Federal fines: 1 totaling $22,048
Phone: (605) 224-8628 · Verify on Medicare Care Compare ↗
Avantara Pierre has a CMS overall star rating of 2 out of 5, below South Dakota's average of 2.88 stars. Its health inspection rating is 2 stars and its staffing rating is 3 stars.
Avantara Pierre reports total nurse staffing of about 2.81 hours per resident per day, including 0.60 RN hours per resident per day, with a staffing star rating of 3 out of 5. Nursing staff turnover is reported at 40.5%.
Avantara Pierre has 1 federal fine on record totaling $22,048.00 and no payment denials. CMS also displays its abuse warning icon for this facility, so families should review the full inspection record on Care Compare.
About this facility
Avantara Pierre is a Medicare- and Medicaid-certified nursing home in Pierre, Hughes County, South Dakota, first approved for federal participation in September 1991. The facility is certified for 65 beds and currently serves an average of 58.8 residents. It is owned by a for-profit limited liability company and operates as part of the Legacy Healthcare chain, which includes 89 facilities nationwide averaging a 2.9-star overall rating.
According to CMS Care Compare, Avantara Pierre holds an overall star rating of 2 out of 5, which is below the South Dakota state average of 2.88. Its component ratings are also 2 stars for health inspections, 2 stars for quality measures, and 3 stars for staffing.
Nurse staffing data show total nurse staffing of 2.814 hours per resident per day, including 0.597 RN hours per resident per day, with a nursing staff turnover rate of 40.5%.
On penalties, CMS records show 1 federal fine totaling $22,048.00 and no payment denials on record for this facility.
CMS displays its abuse warning icon for Avantara Pierre, indicating a citation related to abuse; families should review the full inspection record on Care Compare before making decisions.
There is no indication of Special Focus Facility status in the available data, and no ownership change has occurred in the past 12 months. This profile is based on CMS Care Compare data and reflects the most recent reporting period available from CMS.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Avantara Pierre has an overall rating of 2 out of 5 stars, below South Dakota's state average of 2.88 stars.
Does this facility accept Medicare, Medicaid, or both?
Avantara Pierre is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 2.814 hours per resident per day, with 0.597 RN hours per resident per day, and a staffing star rating of 3 out of 5; nursing turnover is 40.5%.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 1 fine totaling $22,048.00 and no payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
Yes, CMS displays its abuse warning icon for this facility; there is no indication it is in the Special Focus program based on available data.
How large is this facility and how many residents live there?
Avantara Pierre is certified for 65 beds and has an average of 58.8 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 includes 89 facilities with an average rating of 2.9 stars.
How long has this facility been Medicare/Medicaid certified?
The facility was first approved for Medicare/Medicaid certification on September 1, 1991.
What do the four different CMS star ratings mean?
CMS rates facilities on health inspections, staffing, quality measures, and an overall composite; Avantara Pierre scores 2, 3, and 2 stars respectively, with an overall of 2 stars.
Does this facility offer short-term rehabilitation as well as long-term care?
This information is not included in the available CMS data; contact the facility at 6052248628 or verify on Medicare Care Compare.
What should I look for when touring this facility?
This information is not available in the CMS data; contact the facility at 6052248628 to arrange a tour and discuss specifics.
How do I verify this facility's current record on Medicare Care Compare?
You can review the most current data directly at https://www.medicare.gov/care-compare/details/nursing-home/435047?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.