Lilisity

Nursing home

Avantara Clark City

201 8Th Avenue Nw, Clark, SD 57225 · Map
For profit - Limited Liability company · Part of Legacy Healthcare (90 facilities) · 35 certified beds

Medicare and Medicaid certified
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Avantara Clark City is a Medicare-certified nursing home in Clark, South Dakota. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.98 hours per resident per day, above the South Dakota average of 3.89. Its most recent inspection on Jan 8, 2026 cited 4 deficiencies.

4 out of 5Overall CMS rating
4 out of 5Health inspections
3 out of 5Staffing
35 bedsCertified beds
  • 1 fine totaling $11,057In CMS records: 1 total penalty.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating4/5
Health inspections4/5
Staffing3/5
Quality measures2/5
Long-stay quality1/5
Short-stay quality3/5

How Avantara Clark City compares

This facility vs. the South Dakota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilitySouth Dakota avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.983.893.89above avg
RN staffing (hrs/resident/day)0.780.800.68below avg
Aide staffing (hrs/resident/day)2.622.612.34above avg
Nursing staff turnover47.2%49.7%46.4%below avg
Deficiencies cited, last inspection4.06.89.5below avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.98Total nurse hrs/resident/day
0.78RN hrs/resident/day
0.58LPN hrs/resident/day
2.62Aide hrs/resident/day
3.40Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff47.2%
Registered nurses0.0%
Administrator changes0 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Jan 8, 2026Most recent inspection
4Deficiencies found
24Health inspection score
1Fines
  • Every deficiency from the January 8, 2026 inspection was corrected by February 22, 2026

Penalties in CMS records: 1 fine totaling $11,057, 1 total penalty.

What inspectors found at Avantara Clark City

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care Deficiencies · Jan 8, 2026 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Jan 8, 2026 · Full report (PDF)
  • Potential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 8, 2026 · Full report (PDF)
  • Potential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care Deficiencies · Jul 17, 2025 · Full report (PDF)
  • Actual harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care Deficiencies · Sep 12, 2024 · Full report (PDF)
Show all 7 deficiencies
  • Potential for harm

    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.

    Quality of Life and Care Deficiencies · Jun 15, 2023
  • Potential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Resident Assessment and Care Planning Deficiencies · Jun 15, 2023

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
201 8Th Avenue Nw
Clark, SD 57225
CMS certification #
435058
Ownership
For profit - Limited Liability company
Certified beds
35
Avg residents/day
29.3
Provider type
Medicare and Medicaid
First certified
1991-05-01
Chain
Legacy Healthcare (90 facilities)
Setting
Rural

Part of Legacy Healthcare

Legacy Healthcare operates 90 nursing facilities across the United States. View all Legacy Healthcare facilities →

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Avantara Clark City using Google Maps.

Other public records

  • Website says Respite stays, works with hospice, transportation
  • Workplace safety 1 OSHA workplace safety inspection since 2019, no violations cited
Full public records, with dates and sources

Care and services

From the community’s website

What Avantara Clark City says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.

  • Offers respite or short-term stays. Yes, we offer short-term and respite stay options for individuals seeking temporary care and support. (page, checked Oct 12, 2026)
  • Offers hospice care on site or works with hospice providers. We also offer hospice care, ensuring compassionate support through every stage of treatment and recovery. (page, checked Oct 12, 2026)
  • Provides transportation. Our facility assists in arranging transportation for residents to see their doctors. (page, checked Oct 12, 2026)
  • Apartment types named: private room, semi-private room. PRIVATE AND SEMI-PRIVATE SUITES (page, checked Oct 12, 2026)

Staff pay and workplace safety

Federal records about how the employer here treats its staff.

OSHA workplace safety inspections

OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.

  • Mar 6, 2019: programmed (planned) inspection, complete (health). Case closed Jun 13, 2019. No violations cited. OSHA record. OSHA recorded the employer as Clark Care and Rehabilitation Center. Matched by street address; the name OSHA recorded differs from the community's.

Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.

Location and nearby care

Nearest hospital with an emergency room
Prairie Lakes Healthcare System, Inc, Watertown. 30.3 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
Nearest Medicare nursing home
Jenkin's Living Center, Watertown. 30.5 miles away, straight line.
Nearest home health agency office
Prairie Lakes Home Health, Watertown. 30.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Walgreens. 30.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 57225 as rural (rural area).
Hospice
1 Medicare hospice tells CMS it serves ZIP code 57225.
Nearest geriatric medicine practice
Chess Medicine PLLC, Fargo. 141.2 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
Wildfire risk to homes
In Clark, SD, risk to homes is greater than 38% of communities in South Dakota and 55% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
FEMA National Risk Index
Overall: relatively high. By hazard: inland flooding relatively high, wildfire relatively moderate, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026See above
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026See above
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteSee above

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Frequently asked questions

Is Avantara Clark City a good nursing home?

CMS gives Avantara Clark City an overall rating of 4 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Avantara Clark City staffed?

Avantara Clark City reports 3.98 total nurse hours per resident per day, compared with the South Dakota average of 3.89.

Has Avantara Clark City had inspection problems?

Its most recent CMS inspection cited 4 deficiencies.

How many beds does Avantara Clark City have?

Avantara Clark City is certified for 35 beds.