Nursing home
Avantara Huron
1345 Michigan Avenue Sw, Huron, SD 57350 · Map
For profit - Limited Liability company · Part of Legacy Healthcare (90 facilities) · 119 certified beds
Avantara Huron is a Medicare-certified nursing home in Huron, South Dakota. CMS rates it 3 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.61 hours per resident per day, below the South Dakota average of 3.89. Its most recent inspection on Nov 14, 2024 cited 7 deficiencies.
- 1 fine totaling $8,338In 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.
How Avantara Huron 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.
| Metric | This facility | South Dakota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.61 | 3.89 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.59 | 0.80 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.45 | 2.61 | 2.34 | below avg |
| Nursing staff turnover | 56.9% | 49.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 7.0 | 6.8 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $8,338, 1 total penalty.
What inspectors found at Avantara Huron
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 12, 2026 · Full report (PDF) - Actual harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 12, 2026 · Full report (PDF) - Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 12, 2026 · 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 · Mar 12, 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 · Mar 12, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 12, 2026 · Full report (PDF) - Potential for harm
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Nursing and Physician Services Deficiencies · Mar 12, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 12, 2026 · Full report (PDF) - 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 · Mar 12, 2026 · Full report (PDF) - Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Mar 12, 2026 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Mar 12, 2026 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Mar 12, 2026 · Full report (PDF)
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
- 1345 Michigan Avenue Sw
Huron, SD 57350 - CMS certification #
- 435020
- Ownership
- For profit - Limited Liability company
- Certified beds
- 119
- Avg residents/day
- 65.6
- Provider type
- Medicare and Medicaid
- First certified
- 1968-05-03
- 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 →
Location and nearby
Explore the area around Avantara Huron using Google Maps.
Other public records
- Website says Respite stays, transportation
- Staff pay 1 federal wage case with violations found, since 2023
Full public records, with dates and sources
Care and services
From the community’s website
What Avantara Huron 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) - 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 & SEMI-PRIVATE SUITES
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for May 1, 2023 to Oct 17, 2023. Violations found: Fair Labor Standards Act (pay and hours). Employer as DOL recorded it: Avantara Huron (Huron SD Skilled Nursing Facility, LLC). Case 1986568.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Huron Regional Medical Center, Huron. 1.3 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Prairie View Healthcare Center, Woonsocket. 20.8 miles away, straight line.
- Nearest home health agency office
- Huron Regional Medical Ctr Hha, Huron. 1.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Lewis Pharmacy. 45.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57350 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Huron Regional Medical Ctr, Huron, 1.3 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 57350.
Huron Regional Medical Center, office in Huron, 1.2 miles away, straight line - Nearest geriatric medicine practice
- Chess Medicine PLLC, Fargo. 184.0 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 Huron, SD, risk to homes is greater than 62% of communities in South Dakota and 67% 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 very high, heat wave relatively high, 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.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Avantara Huron a good nursing home?
CMS gives Avantara Huron an overall rating of 3 out of 5 stars, including 3/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avantara Huron staffed?
Avantara Huron reports 3.61 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Avantara Huron had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Avantara Huron have?
Avantara Huron is certified for 119 beds.