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    Nursing home · CLARK, SD

    AVANTARA CLARK CITY

    201 8TH AVENUE NW, CLARK, SD 57225

    CMS certification number: 435058 · Updated October 1, 2026

    Request care assistance6055323431Directions

    At a glance

    Official CMS profile

    CMS overall rating

    4 / 5

    Certified beds

    35

    Residents / day

    29.5

    Ownership

    For profit - Limited Liability company

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Limited Liability company
    County
    Clark
    Certified beds
    35
    Average residents per day
    29.5
    First certified
    May 1, 1991

    CMS quality ratings

    Overall
    4 / 5
    Health inspections
    4 / 5
    Staffing
    3 / 5
    Quality measures
    3 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Clark, South Dakota. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    4.00
    County peers
    Not reported
    n=0
    State peers
    2.98

    Nurse hours / resident / day

    This home
    3.92
    County peers
    Not reported
    n=0
    State peers
    3.86
    n=90

    Weekend nurse hours / resident / day

    This home
    3.32
    County peers
    Not reported
    n=0
    State peers
    3.28
    n=90

    Nursing staff turnover (%)

    This home
    31.30
    County peers
    Not reported
    n=0
    State peers
    48.77
    n=86

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 15.3% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 31.3% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    11
    Health citations
    7
    Resident measures
    17
    Ownership records
    20
    Penalties
    1
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.91948
    Reported RN Staffing Hours per Resident per Day
    0.72053
    Reported LPN Staffing Hours per Resident per Day
    0.64323
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.55571
    Total number of nurse staff hours per resident per day on the weekend
    3.31848
    Registered Nurse hours per resident per day on the weekend
    0.57772
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.02716
    Total nursing staff turnover
    31.3
    Registered Nurse turnover
    33.3
    Number of administrators who have left the nursing home
    0
    Chain Name
    LEGACY HEALTHCARE
    Number of Facilities in Chain
    96
    Chain Average Overall 5-star Rating
    3.0
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Both
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    SD
    Urban
    N
    Chain ID
    306
    Latitude
    44.8847
    Location
    201 8TH AVENUE NW,CLARK,SD,57225
    ZIP Code
    57225
    City/Town
    CLARK
    Longitude
    -97.737
    QM Rating
    3
    Abuse Icon
    N
    Chain Name
    LEGACY HEALTHCARE
    County/Parish
    Clark
    Provider Name
    AVANTARA CLARK CITY
    Provider Type
    Medicare and Medicaid
    Overall Rating
    4
    Ownership Type
    For profit - Limited Liability company
    Number of Fines
    1
    Processing Date
    2026-10-01
    Staffing Rating
    3
    Provider Address
    201 8TH AVENUE NW
    Telephone Number
    6055323431
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    CLARK CITY SD SKILLED NURSING FACILITY LLC
    Long-Stay QM Rating
    3
    High Performing Icon
    N
    Short-Stay QM Rating
    Not reported
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.74393
    Chain Average QM Rating
    3.5
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    4
    Number of Certified Beds
    35
    Provider SSA County Code
    120
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    33.3
    Total Number of Penalties
    1
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    1.23661
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    31.3
    Chain Average Staffing Rating
    2.7
    Number of Facilities in Chain
    96
    Short-Stay QM Rating Footnote
    2
    CMS Certification Number (CCN)
    435058
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    11057.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    20
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    21.000
    With a Resident and Family Council
    Both
    Average Number of Residents per Day
    29.5
    Chain Average Overall 5-star Rating
    3.0
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    24
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.8
    Rating Cycle 1 Health Deficiency Score
    20
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    24
    Rating Cycle 1 Standard Survey Health Date
    2026-01-08
    Rating Cycle 2 Standard Health Survey Date
    2024-09-12
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.57810
    Case-Mix RN Staffing Hours per Resident per Day
    0.85528
    Reported RN Staffing Hours per Resident per Day
    0.72053
    Adjusted LPN Staffing Hours per Resident per Day
    0.51608
    Case-Mix LPN Staffing Hours per Resident per Day
    1.06578
    Reported LPN Staffing Hours per Resident per Day
    0.64323
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    3
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    2
    Rating Cycle 1 Number of Standard Health Deficiencies
    3
    Rating Cycle 2 Number of Standard Health Deficiencies
    1
    Reported Licensed Staffing Hours per Resident per Day
    1.36376
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    1
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    2.05050
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.90275
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.55571
    Adjusted Total Nurse Staffing Hours per Resident per Day
    3.14467
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    4.82382
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    1
    Reported Total Nurse Staffing Hours per Resident per Day
    3.91948
    Registered Nurse hours per resident per day on the weekend
    0.57772
    Date First Approved to Provide Medicare and Medicaid Services
    1991-05-01
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.02716
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    2.66248
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    4.24531
    Total number of nurse staff hours per resident per day on the weekend
    3.31848

    COMMUNITY EXPERIENCE

    Reviews of AVANTARA CLARK CITY

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026