Avantara Pierre
950 East Park Street, Pierre, SD 57501 · (605) 224-8628
For profit - Limited Liability company · 65 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Avantara Pierre has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in July 2026, found 10 citations (the South Dakota average is 6.7). It was fined 1 time in the last three years, $22,048 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on July 1, 2026 found 10 citations. What an inspection citation means
- Assure that each resident’s assessment is updated at least once every 3 months.July 1, 2026 · F0638 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.July 1, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.July 1, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.July 1, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Allow residents to self-administer drugs if determined clinically appropriate.July 1, 2026 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.July 1, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care or services that was trauma informed and/or culturally competent.July 1, 2026 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident must receive and the facility must provide necessary behavioral health care and services.July 1, 2026 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 1, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that a working call system is available in each resident's bathroom and bathing area.July 1, 2026 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 8 citations.
- Allow residents to self-administer drugs if determined clinically appropriate.July 1, 2026 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.July 1, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.July 1, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 1, 2026 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 1, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.May 7, 2025 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 2, 2025 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.January 9, 2024 · F0678 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $22,048April 2, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | South Dakota average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 2.81 | 3.79 | 3.86 |
| Registered nurses (RN) | 0.60 | 0.80 | 0.69 |
| Licensed practical nurses (LPN) | 0.53 | 0.47 | 0.86 |
| Nurse aides | 1.69 | 2.52 | 2.32 |
| Total nursing staff turnover | 40.5% | 48.2% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 65 |
| Average residents per day | 58.8 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Avera Maryhouse Long Term Care Pierre · ★★★★★ 5 out of 5 stars
- Avera Rosebud Country Care Center Gregory · ★★★★★ 4 out of 5 stars
- Kadoka Nursing Home Kadoka · ★★★★★ 4 out of 5 stars
- Scotchman Living Center Philip · ★★★★★ 3 out of 5 stars
- White River Health Care Center White River · ★★★★★ 5 out of 5 stars
Compare every nursing home in Pierre, SD · Nursing homes in South Dakota
Comparing nursing homes?
See whether help at home or assisted living fits better. Answer four questions and we'll suggest where to start: a medical alert, help at home, or assisted living.
Free for families. This isn't medical advice.
Care matcherStep 1 of 7
Who are you looking for help for?
Free for families. Your answers aren't saved.
Data from Medicare (CMS), updated October 2026, from Avantara Pierre on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.