Quick answers
- Where is Avantara Clark City?
- 201 8th Avenue NW, Clark, SD 57225, in Clark County, South Dakota.
- What is the phone number of Avantara Clark City?
- (605) 532-3431, as listed by Medicare (CMS).
- What is the Medicare star rating of Avantara Clark City?
- Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
- Has Avantara Clark City been fined?
- Medicare lists 1 fine totaling $11,057.
- What did inspectors find at Avantara Clark City?
- In its last three inspection cycles (June 15, 2023 to January 8, 2026), Medicare lists 7 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (June 15, 2023 to January 8, 2026), Avantara Clark City had 7 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $11,057 in total (1 fine, the latest on September 12, 2024). Nurse staffing is 3.92 hours per resident per day; the South Dakota average is 3.86 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: January 8, 2026 — 3 health citations
Inspections in this cycle: January 8, 2026 (complaint investigation); January 8, 2026 (standard health inspection).
Show 3 citations (levels A to F, no actual harm)
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
Previous cycle: September 12, 2024 — 2 health citations
Inspections in this cycle: September 12, 2024 (standard health inspection); July 17, 2025 (complaint investigation).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 1 less serious citation (levels A to F)
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
Earlier cycle: June 15, 2023 — 2 health citations
Inspections in this cycle: June 15, 2023 (standard health inspection).
Show 2 citations (levels A to F, no actual harm)
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0700 Level E
“Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (11)
K0345 Level C
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0211 Level B
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0522 Level B
“Have an externally vented heating system.”
K0911 Level B
“Meet requirements for the installation and maintenance of electrical systems.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0914 Level F
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0226 Level E
“Have horizontal exits used in accordance with safety requirements.”
K0271 Level E
“Have exits that are accessible at all times.”
K0325 Level E
“Have properly installed hallway dispensers for alcohol-based hand rub.”
K0355 Level E
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
Fines and payment denials
Total fines over about the last three years: $11,057 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| September 12, 2024 | Fine | $11,057 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | South Dakota | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.72 | 0.78 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.64 | 0.50 | 0.86 |
| Nurse aide hours per resident per day | 2.56 | 2.58 | 2.35 |
| Total nurse staff hours per resident per day | 3.92 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.32 | 3.28 | 3.43 |
| RN hours per resident per day on the weekend | 0.58 | 0.49 | 0.48 |
| Nursing staff turnover (per year) | 31.3% | 48.6% | 45.3% |
| RN turnover (per year) | 33.3% | 37.5% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.3 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 96 nursing homes: Legacy Healthcare.
Legal business name: Clark City SD Skilled Nursing Facility LLC.
Owners and managers Medicare lists (4)
| Name | Role | Share | Since |
|---|---|---|---|
| Doros Generation Trust U/A/D 1/3/12 | Direct owner | 43% | July 1, 2019 |
| GPN Family Trust U/A/D 4/28/08 | Direct owner | 43% | July 1, 2019 |
| Oakway Operations LLC | Direct owner | 15% | July 1, 2015 |
| Bokf,na | Management company (operational or managerial control) | NOT APPLICABLE | March 4, 2024 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 35 |
| Average residents per day | 29.5 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Legacy Healthcare |
| Legal business name | Clark City SD Skilled Nursing Facility LLC |
| First approved by Medicare/Medicaid | 1991-05-01 |
| Resident and family councils | Resident and family councils |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 201 8th Avenue NW, Clark, SD 57225 |
| County | Clark County |
| State | South Dakota |
| Phone | (605) 532‑3431 |
| CMS Certification Number | 435058 |
| Name in Medicare records | AVANTARA CLARK CITY |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Nearest hospital emergency rooms
- Prairie Lakes Healthcare System, Inc30 mi · Watertown, SD · Acute Care Hospital
- Sanford Hospital Webster - CAH33 mi · Webster, SD · Critical Access Hospital
- Avera de Smet Memorial Hospital - CAH35 mi · De Smet, SD · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13