The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
AVANTARA PIERRE
PIERRE, SD · Medicare-certified · 65 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
AVANTARA PIERRE in Pierre, SD has a 2-star overall rating, with 2-star health inspections and quality measures and 3-star staffing. It reports 2.81 nurse hours per resident per day versus the federal benchmark of 4.1, and it had $22,048 in fines in the last 24 months, including a recent federal penalty; cited issues included pressure ulcer care, abuse prevention, and honoring resident preferences.
Facility ratings
Health inspections
Staffing
2.814 hrs/resident/day
Quality measures
Last inspection: May 7, 2025Penalties, last 24 months: $22,048recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.814.
Staffing detail
- Registered nurses
- 0.60
- Licensed practical nurses
- 0.53
- Nurse aides
- 1.69
- Weekend nursing
- 2.28
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 14%
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
12%21.9%Worsening
Residents with a fall causing major injury
2.2%8.3%Worsening
Residents with pressure ulcers (bedsores)
12.4%4.7%Improving
Residents with a urinary tract infection
2.5%6.4%Worsening
Residents who lost too much weight
5.4%2.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.2%28.6%Worsening
Residents whose ability to walk got worse
—25.7%—
Long-stay residents on antianxiety or sleep medication
7.1%6.7%No change
Short-stay residents newly given an antipsychotic
5.1%3.8%Improving
Residents with a long-term catheter
2.7%4.5%Worsening
Residents with new or worsening incontinence
33.4%26.1%Improving
Residents with depressive symptoms
0%2.4%Worsening
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
—94.2%—
Long-stay residents given the pneumonia vaccine
75.6%87.5%Improving
Short-stay residents given the seasonal flu vaccine
—49.1%—
Short-stay residents given the pneumonia vaccine
53.1%54.7%Improving
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to honor each resident’s preferences, choices, values, and beliefs. Cited January 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 675 — 42 CFR §483.24 — S/S: G
The home failed to clearly tell residents or their representatives that they could refuse a binding arbitration agreement. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 847 — 42 CFR §483.70 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $22,048 was recorded.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $22,048 in total fines.
- $22,048
Federal fine
Apr 2, 2025
Operator & ownership
Recent ownership change · Jul 1, 2019
Now operated by Avantara Pierre, previously Pierre Care and Rehabilitation Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 3 stars avg
- Occupancy
- 58.8 residents on an average day (90% of 65 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 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.