Avantara Clark City
201 8th Avenue NW, Clark, SD 57225
Avantara Clark City, a 35-bed for profit - limited liability company nursing facility in Clark, SD, holds a 4-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 6055323431
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- 3.98
- About average · nurse hrs/day · nat'l 3.89
- 5
- Inspection findings · 1 serious
- $11K
- Federal penalties (1)
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 435058
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 35
- Residents
- 29
- In Hospital
- No
- County
- Clark
- Last Inspection
- Jan 8, 2026
Staffing Data
How the 3.98 total nursing hours per resident-day are staffed:
- RN Hours
- 0.78 (nat'l avg: 0.68)
- LPN Hours
- 0.58
- CNA Hours
- 2.62
- Total Nursing Hours
- 3.98 (nat'l avg: 3.89)
- PT Hours
- 0.03
- Nursing Turnover
- 47.2%
- RN Turnover
- 0.0%
What the CMS Record Reveals About Avantara Clark City
Avantara Clark City operates 35 certified beds in Clark, SD with approximately 29 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (3★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 5 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $11K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.98 total nursing hours per resident day (national average 3.89), with RN coverage at 0.78 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Avantara Clark City falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 47.2%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (5 most recent)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 6, 2024
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.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 30, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 30, 2023
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 13, 2022
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 37.0% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.1% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.1% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.9% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.6% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.8% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.3% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 8.8% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 61.5% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 91.1% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 11.6% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 87.5% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 29.1% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 69.7% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 65.7% | No |
Penalty History 1 penalties totaling $11K
| Date | Type | Amount |
|---|---|---|
| Sep 12, 2024 | Fine | $11K |
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Understanding Nursing Home Data
Frequently Asked Questions
What is the overall CMS rating for Avantara Clark City?
What are the staffing levels at Avantara Clark City?
How many beds does Avantara Clark City have?
Does Avantara Clark City have any deficiencies on record?
Has Avantara Clark City received any fines or penalties?
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When was Avantara Clark City last inspected?
What quality measures are tracked for Avantara Clark City?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
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