Avantara Pierre: Staffing, Turnover, and Inspection Record
Avantara Pierre is a 65-bed for-profit nursing home in Pierre, South Dakota, part of Legacy Healthcare. In the CMS August 2026 release it reported 1.69 nurse aide hours per resident per day, 33% below the South Dakota average of 2.52, and 40.5% nursing staff turnover (South Dakota average 48.2%).
Avantara Pierre
950 East Park StreetPierre, SD 57501
Hughes County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Avantara Pierre, nurse aides logged 1.69 hours per resident per day, 33% below the South Dakota average. With about 59 residents a day, that works out to roughly 99 aide hours a day, or about 12 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 19% below the all-days figure.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.69 | 2.52 | 2.32 |
| Licensed practical nurses | 0.53 | 0.47 | 0.86 |
| Registered nurses | 0.60 | 0.80 | 0.69 |
| All nursing staff | 2.81 | 3.79 | 3.86 |
| All nursing staff, weekends | 2.28 | 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
40.5% of nursing staff at Avantara Pierre 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 14.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 1, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 12 health deficiencies (South Dakota average 6.9). CMS lists 1 fine totaling $22,048 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 2, 2025 | Fine | $22,048 |
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 Pierre holds 2 of 5 overall; the South Dakota average is 2.9.
About Avantara Pierre
- Ownership: For profit - Limited Liability company
- Chain: Legacy Healthcare, 89 homes
- Legal name: Pierre SD Skilled Nursing Facility, LLC
- Medicare and Medicaid certified since: Sep 1, 1991
- Councils: resident council
- Area: rural
Nursing homes near Avantara Pierre
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avera Maryhouse Long Term Care Pierre | 0.1 | 80 | 2.79 | 4.62 | 46.6% | 5 | None |
| Highmore Health Highmore | 45.7 | 39 | 2.08 | 3.09 | 51.6% | 3 | None |
| Avera Oahe Manor Gettysburg · many days without an RN | 49.2 | 53 | 2.01 | 3.50 | 43.8% | 2 | None |
| White River Health Care Center White River | 58.0 | 52 | 3.50 | 5.48 | 47.8% | 5 | $6,168 |
| Medicine Wheel Village Eagle Butte · SFF candidate | 62.3 | 50 | 2.69 | 4.79 | 31.4% | 2 | $22,636 |
| Sanford Chamberlain Care Center Chamberlain | 63.9 | 44 | 2.54 | 3.69 | 56.9% | 1 | $124,961 |
| Good Samaritan Society Miller Miller | 67.9 | 50 | 2.67 | 3.81 | 70.8% | 1 | $96,127 |
| Kadoka Nursing Home Kadoka | 68.4 | 31 | 2.88 | 4.25 | 38.2% | 4 | None |
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.