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
2 of 5 overall
AVANTARA PIERRE in Pierre, SD has a 2 out of 5 overall rating, with 2-star health inspection and quality ratings and 3-star staffing. Reported nurse staffing is 2.89 hours per resident per day versus the 4.1 federal benchmark, and the facility has had $22,048 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
2.891 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 2.891.
Staffing detail
- Registered nurses
- 0.73
- Licensed practical nurses
- 0.42
- Nurse aides
- 1.74
- Weekend nursing
- 2.44
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 25%
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
19%12.5%Improving
Residents with a fall causing major injury
2.2%6.7%Worsening
Residents with pressure ulcers (bedsores)
6.4%8.9%Worsening
Residents with a urinary tract infection
4.5%5%No change
Residents who lost too much weight
12.5%2.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20%21.6%Worsening
Residents whose ability to walk got worse
—31.5%—
Long-stay residents on antianxiety or sleep medication
4.9%7.1%Worsening
Short-stay residents newly given an antipsychotic
3.6%0%Improving
Residents with a long-term catheter
2.4%3.7%Worsening
Residents with new or worsening incontinence
23.4%7.2%Improving
Residents with depressive symptoms
2.8%0%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
—94.2%—
Long-stay residents given the pneumonia vaccine
82.2%93.3%Improving
Short-stay residents given the seasonal flu vaccine
—49.1%—
Short-stay residents given the pneumonia vaccine
54.9%57.7%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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 2.9 stars avg
- Occupancy
- 54.1 residents on an average day (83% 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.