Avantara Clark City: Staffing, Turnover, and Inspection Record
Avantara Clark City is a 35-bed for-profit nursing home in Clark, South Dakota, part of Legacy Healthcare. In the CMS August 2026 release it reported 2.72 nurse aide hours per resident per day, 8% above the South Dakota average of 2.52, and 42.4% nursing staff turnover (South Dakota average 48.2%).
Avantara Clark City
201 8th Avenue NWClark, SD 57225
Clark County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Avantara Clark City, nurse aides logged 2.72 hours per resident per day, 8% above the South Dakota average. With about 29 residents a day, that works out to roughly 80 aide hours a day, or about 10 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.72 | 2.52 | 2.32 |
| Licensed practical nurses | 0.72 | 0.47 | 0.86 |
| Registered nurses | 0.73 | 0.80 | 0.69 |
| All nursing staff | 4.17 | 3.79 | 3.86 |
| All nursing staff, weekends | 3.49 | 3.26 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
42.4% of nursing staff at Avantara Clark City left over the year CMS measured, against a South Dakota average of 48.2% and a US average of 45.8%. Registered nurse turnover was 40.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 8, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (South Dakota average 6.9). CMS lists 1 fine totaling $11,057 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Sep 12, 2024 | Fine | $11,057 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Avantara Clark City holds 4 of 5 overall; the South Dakota average is 2.9.
About Avantara Clark City
- Ownership: For profit - Limited Liability company
- Chain: Legacy Healthcare, 89 homes
- Legal name: Clark City SD Skilled Nursing Facility LLC
- Medicare and Medicaid certified since: May 1, 1991
- Councils: resident and family councils
- Area: rural
Nursing homes near Avantara Clark City
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Jenkin's Living Center Watertown | 30.5 | 110 | 2.11 | 3.67 | 54.1% | 3 | $53,086 |
| Avantara Watertown Watertown · SFF candidate · abuse citation | 30.9 | 51 | 2.09 | 3.57 | 44.2% | 1 | $6,368 |
| Sun Dial Manor Bristol | 31.7 | 37 | 2.47 | 4.08 | 55.6% | 3 | $24,528 |
| Bethesda Home Webster | 33.1 | 50 | 2.88 | 4.53 | 30.6% | 5 | None |
| Avantara Lake Norden Lake Norden | 33.1 | 50 | 2.14 | 3.23 | 32.6% | 5 | None |
| Good Samaritan Society de Smet De Smet | 35.8 | 46 | 2.10 | 3.40 | 64.4% | 1 | $27,989 |
| Avantara Redfield Redfield | 38.0 | 58 | 2.00 | 3.03 | 52.1% | 2 | $23,044 |
| Eastern Star Home of South Dakota, Inc Redfield | 38.4 | 30 | 3.41 | 4.61 | 30.4% | 4 | $17,096 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.