AVANTARA PIERRE

CMS abuse icon · CCN 435047 · PIERRE SD SKILLED NURSING FACILITY, LLC · For profit - Limited Liability company · LEGACY HEALTHCARE chain · 65 certified beds · Hughes · SD


AVANTARA PIERRE is a 65-bed nursing home in PIERRE, South Dakota. CMS has certified it for Medicare and Medicaid since 1991-09-01. It averages 58.8 residents a day.

What harm was found in the violations cited at AVANTARA PIERRE?

CMS lists 36 health-inspection deficiencies for AVANTARA PIERRE, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-07-01.

Survey dateTagDeficiencySeverity
2026-07-01F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2026-07-01F0638, F0761, F0880Assure that each resident’s assessment is updated at least once every 3 months. / Ensure 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. / Provide and implement an infection prevention and control program.E
2026-07-01F0550, F0554, F0600, F0658, F0699, F0740, F0755, F0919Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to self-administer drugs if determined clinically appropriate. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care or services that was trauma informed and/or culturally competent. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2025-05-07F0697Provide safe, appropriate pain management for a resident who requires such services.D
2025-04-02F0600, F0686Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2025-04-02F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.F
2025-04-02F0584, F0656, F0880Honor 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide and implement an infection prevention and control program.E
2025-04-02F0554, F0625, F0689Allow residents to self-administer drugs if determined clinically appropriate. / Notify 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-01-09F0812, F0835, F0849, F0865Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Have a plan that describes the process for conducting QAPI and QAA activities.F
2024-01-09F0732Post nurse staffing information every day.E
2024-01-09F0561, F0625, F0655, F0678, F0684, F0692, F0695, F0761, F0803Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Notify 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure 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. / Ensure 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

Why was AVANTARA PIERRE fined?

DateTypeAmount
2025-04-02Fine$22,048

How is AVANTARA PIERRE staffed relative to the SD average?

MeasureThis facilitySD average
Total nurse staffing hours per resident per day2.814003.78948
Total nursing staff turnover (%)40.548.2
Average number of residents per day58.852.1

Who owns AVANTARA PIERRE, and what chain is it in?

AVANTARA PIERRE is registered with CMS as For profit - Limited Liability company, operates under the legal business name PIERRE SD SKILLED NURSING FACILITY, LLC and belongs to the LEGACY HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTDOROS GENERATION TRUST U/A/D 1/3/12, GPN FAMILY TRUST U/A/D 4/28/08, OAKWAY OPERATIONS LLCsince 07/01/2019
5% OR GREATER SECURITY INTERESTPIERRE SD PROPERTY HOLDINGS, LLC, TRUIST BANKsince 04/01/2022
MANAGING CONTROL - GOVERNING BODYRAJCHENBACH, CHAIM, SHABAT, MENACHEMsince 07/01/2019
OPERATIONAL/MANAGERIAL CONTROLTRUIST BANK, PLUMAGE, DARRELL, RAJCHENBACH, CHAIM, SHABAT, MENACHEM, WATSON, CHASEsince 04/01/2022
ADP OF THE SNFDOROS GENERATION TRUST U/A/D 1/3/12, GPN FAMILY TRUST U/A/D 4/28/08, LEGACY HEALTHCARE FINANCIAL SERVICES LLC, PIERRE SD PROPERTY HOLDINGS, LLC, ROTH & CO, LLP, PLUMAGE, DARRELL, RAJCHENBACH, CHAIM, SHABAT, MENACHEM, WATSON, CHASEsince 01/01/2024

Were you or a family member harmed at AVANTARA PIERRE?