The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Avantara Clark
Registered name: AVANTARA CLARK CITY
CLARK, SD · Medicare-certified · 35 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
Avantara Clark (Clark, SD) has a 4 out of 5 star overall rating, with stronger health inspection results than staffing and quality measures. Staffing is rated 2 out of 5 even though reported nurse staffing is slightly above the federal benchmark, and the facility has had a recent federal penalty with $11,057 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
4.1652 hrs/resident/day
Quality measures
Last inspection: January 8, 2026Penalties, last 24 months: $11,057recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1652.
Staffing detail
- Registered nurses
- 0.73
- Licensed practical nurses
- 0.72
- Nurse aides
- 2.72
- Weekend nursing
- 3.49
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 40%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
31.8%31.8%No change
Residents with a fall causing major injury
11.5%0%Improving
Residents with pressure ulcers (bedsores)
2.6%2.7%No change
Residents with a urinary tract infection
4%4%No change
Residents who lost too much weight
8.3%16.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
47.8%31.8%Improving
Residents whose ability to walk got worse
—18.6%—
Long-stay residents on antianxiety or sleep medication
8%20.8%Worsening
Short-stay residents newly given an antipsychotic
—2%—
Residents with a long-term catheter
5.1%6.5%Worsening
Residents with new or worsening incontinence
7.7%39.9%Worsening
Residents with depressive symptoms
66.7%39.1%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—87.5%—
Long-stay residents given the pneumonia vaccine
92.3%84%Worsening
Short-stay residents given the seasonal flu vaccine
—65.7%—
Short-stay residents given the pneumonia vaccine
63.3%72.7%Improving
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 700 — 42 CFR §483.25(n) — S/S: E
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $11,057 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $11,057 in total fines.
- $11,057
Federal fine
Sep 12, 2024
Operator & ownership
Recent ownership change · Jul 1, 2019
Now operated by Avantara Clark City, previously Clark Care and Rehabilitation Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 3 stars avg
- Occupancy
- 29.3 residents on an average day (84% of 35 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.