Skip to the page
Get started free

Data / Nursing homes / South Dakota / Avantara Pierre

Avantara Pierre, Pierre, SD: 2 star rating, fined $39,713 across 2 fines

Avantara Pierre in Pierre, SD is owned by Oakway Operations LLC, is rated 2 of 5 stars by Medicare, and was fined $39,713 across 2 fines in the three years to October 1, 2026. CMS lists 37 health citations from inspections in that time, the latest survey on August 6, 2026, and 3 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in South Dakota
Address
950 East Park Street, Pierre, SD 57501
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measure rating
2 of 5
Certified beds
65
Residents per day
59 on average
Ownership type
For profit, limited liability company
Legal business name
Pierre SD Skilled Nursing Facility, LLC
Chain
Legacy Healthcare, 96 facilities
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$39,713 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
37, of which 3 with actual harm or immediate jeopardy
Latest survey
August 6, 2026
CMS Certification Number
435047
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
July 1, 2026Fine$17,665Not listeddata.cms.gov
April 2, 2025Fine$22,048Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 6, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E: pattern, no actual harm, potential for more than minimal harmPast noncompliancedata.cms.gov
July 1, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedAugust 1, 2026data.cms.gov
July 1, 2026F919Make sure that a working call system is available in each resident's bathroom and bathing area.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2026data.cms.gov
July 1, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2026data.cms.gov
July 1, 2026F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2026data.cms.gov
July 1, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2026data.cms.gov
July 1, 2026F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2026data.cms.gov
July 1, 2026F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2026data.cms.gov
July 1, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2026data.cms.gov
July 1, 2026F638Assure that each resident’s assessment is updated at least once every 3 months.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2026data.cms.gov
July 1, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceApril 17, 2026data.cms.gov
July 1, 2026F554Allow residents to self-administer drugs if determined clinically appropriate.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2026data.cms.gov
July 1, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2026data.cms.gov
May 7, 2025F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceApril 24, 2025data.cms.gov
April 2, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedMay 1, 2025data.cms.gov
April 2, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedMay 1, 2025data.cms.gov
April 2, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
April 2, 2025F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
April 2, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
April 2, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
April 2, 2025F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
April 2, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
April 2, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 1, 2025data.cms.gov
January 9, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 20, 2024data.cms.gov
January 9, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 20, 2024data.cms.gov
January 9, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 20, 2024data.cms.gov
January 9, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 20, 2024data.cms.gov
January 9, 2024F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 20, 2024data.cms.gov
January 9, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 20, 2024data.cms.gov
January 9, 2024F732Post nurse staffing information every day.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 20, 2024data.cms.gov
January 9, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 20, 2024data.cms.gov
January 9, 2024F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 20, 2024data.cms.gov
January 9, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 20, 2024data.cms.gov
January 9, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceJanuary 4, 2024data.cms.gov
January 9, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 20, 2024data.cms.gov
January 9, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 20, 2024data.cms.gov
January 9, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 20, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 14 individual or personal trusts (2 owners, 6 managers, 6 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Oakway Operations LLCDirect owner15%July 1, 2019data.cms.gov
Truist BankOperational or managerial controlNot listedApril 1, 2022data.cms.gov
Pierre SD Property Holdings, LLCSecurity interestNot listedJuly 1, 2019data.cms.gov
Truist BankSecurity interestNot listedApril 1, 2022data.cms.gov
Legacy Healthcare Financial Services LLCAdditional disclosable partyNot listedJuly 1, 2019data.cms.gov
Pierre SD Property Holdings, LLCAdditional disclosable partyNot listedJuly 1, 2019data.cms.gov
Roth & Co, LLPAdditional disclosable partyNot listedJanuary 1, 2024data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.