All states › South Dakota › Pierre › Avantara Pierre
950 East Park Street Pierre, SD 57501 · Hughes County
All 2 nursing homes in Pierre, SD (2 take Medicaid)
CMS certification number 435047 · See this home on Medicare Care Compare
Is Avantara Pierre a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avantara Pierre as of October 2026.
CMS rates it 2 out of 5 stars overall, below the South Dakota average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.01 hours per resident per day at Avantara Pierre, below the South Dakota median of 3.69 (US median: 3.72). About 0.62 of those hours are from registered nurses. On weekends it falls to 2.61 hours, 13% below its all-week average. 45% of nursing staff left within a year (South Dakota median 46.5%).
About this nursing home
Paying for care at Avantara Pierre: Medicare and Medicaid
Avantara Pierre is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet South Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 1, 2026 and found 7 deficiencies, plus 6 from complaint inspections in the same period. In total, inspectors issued 37 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 37 citations at Avantara Pierre across 5 inspection dates, 9 of them from complaint investigations. 3 were at the actual-harm level (G–I), most recently on July 1, 2026. The most common areas cited were quality of life and care (10) and resident rights (7). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, July 1, 2026). 3 citations were under CMS's abuse, neglect and exploitation rules.
August 6, 2026 · 1 citation · includes complaint inspection
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
July 1, 2026 · 12 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EAssure that each resident’s assessment is updated at least once every 3 months.
EEnsure 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.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DAllow residents to self-administer drugs if determined clinically appropriate.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care or services that was trauma informed and/or culturally competent.
DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
May 7, 2025 · 1 citation · includes complaint inspection
DProvide safe, appropriate pain management for a resident who requires such services.
April 2, 2025 · 9 citations, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
FInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide and implement an infection prevention and control program.
DAllow residents to self-administer drugs if determined clinically appropriate.
DNotify 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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 9, 2024 · 14 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
FArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
FHave a plan that describes the process for conducting QAPI and QAA activities.
EPost nurse staffing information every day.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DNotify 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.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure 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.
DEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Questions to ask on a tour of Avantara Pierre
- Inspectors cited the home at the actual-harm level on July 1, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 6, 2026. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $39,713 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 1, 2026 | Fine | $17,665 |
| Apr 2, 2025 | Fine | $22,048 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 3/5 | 2/5 |
| August 2026 | 2/5 | 2/5 | 3/5 | 2/5 |
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Location
Hospitals near Avantara Pierre
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.1 mi
St Marys Hospital PierreEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 7m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Avantara Pierre › All nursing homes in Pierre ›
Compare Avantara Pierre with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Avera Maryhouse Long Term Care · Pierre · 5 stars · 0.1 mi
Other Legacy Healthcare nursing homes in South Dakota
- Avantara Lake Norden · Lake Norden · 5 stars
- Avantara Clark City · Clark · 4 stars
- Avantara Groton · Groton · 3 stars
- Avantara Watertown · Watertown · 3 stars
- Avantara North · Rapid City · 3 stars
- Avantara Mountain View · Rapid City · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 96 Legacy Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.