AVANTARA CLARK CITY – CLARK, SD

CMS Verified | 2026-03-01

Avantara Clark City

201 8TH AVENUE NW, Clark, SD 57225
(605) 532-3431
35 beds
All Clark facilities
4.0*
Overall
4.0*
Health Inspection
2.0*
Quality Care
3.0*
Staffing
66.61
Score /100
#9752
National Rank

#9752
of 14703 facilities
National
33.7% position
#47
of 97 in SD
State Rank
#1
of 1 in Clark
County Rank
#1
of 1 in Clark
City Rank
#1
of 1 in ZIP 57225
ZIP Rank






About Avantara Clark CityAvantara Clark City is located at 201 8Th Avenue Nw, Clark, SD, reachable at (605) 532-3431. This For profit – Limited Liability company facility operates 35.0 certified beds and serves an average of 29 residents per day. It is part of the Legacy Healthcare network (90 facilities nationwide). Medicare and Medicaid services have been provided since 1991-05-01. The facility currently holds a above average (4-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Facility

Avantara Clark City

Address

201 8Th Avenue Nw, Clark, SD 57225

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 35 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Both
  • Automatic Sprinklers: Yes
  • Network: LEGACY HEALTHCARE

Quick Verdict

Overall Quality
✅ Above Average (4★) overall rating
Health Inspection
✅ Above Average (4★) health inspection
Staffing
⚠️ Average (3★) staffing rating
Quality of Care
⚠️ Below Average (2★) quality of care
Compliance
❌ 6 fine(s) over 5 years
5-Year Trend
Improving over 5 years
66.61
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#9752 of 14703 nationally – #47 of 97 in South Dakota

Who Is This Facility Best For?

Avantara Clark City is a strong choice for families in the Clark, SD area seeking a well-inspected, high-quality care environment.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

4 / 5
Health Inspection

4 / 5
Staffing Rating

3 / 5
Quality Measures (QM)

2 / 5
Long-Stay QM Rating

1 / 5
Short-Stay QM Rating

3 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightAvantara Clark City currently provides 3 hours 59 minutes of total nurse staffing per resident per day, including 47 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating is 3 out of 5 (average). Total nursing staff turnover stands at 47.2% — above the national average of ~35%.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 59 minutes
Nurse Aide Hours2 hours 37 minutes
Licensed Practical Nurse (LPN) Hours35 minutes
Registered Nurse (RN) Hours47 minutes
Physical Therapist Hours2 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 24 minutes
Weekend Registered Nurse (RN) Hours34 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $11,057. 3 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 1
Total Fines Amount $11057.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 23.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#9,752
of 14,703
National
Bottom 34%
#47
of 97
SD State
Top 48% in SD
#1
of 1
️ Clark County
Best in county
#1
of 1
️ Clark
Best in city
#1
of 1
ZIP 57225
Best in ZIP

Nationally, Avantara Clark City ranks 9752nd out of 14,703 facilities (composite score: 66.6/100), placing it in the below average nationwide. Within SD, it ranks 47th out of 97 nursing homes. For 2026 staffing: total nurse hours rank #4,963 nationally and RN hours rank #3,861 nationally (#41 in SD).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank SD State Rank Note
2022 2.90 #12,303 / 14,703 #76 / 97 ⚠️ Bottom 25%
2023 3.04 #11,677 / 14,703 #74 / 97 ⚠️ Bottom 25%
2024 3.48 #8,429 / 14,703 #45 / 97 Below average
2025 3.74 #6,618 / 14,703 #37 / 97 Above average
2026 3.98 #4,963 / 14,703 #31 / 97 Above average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank SD State Rank Note
2022 0.58 #7,151 / 14,703 #72 / 97 Above average
2023 0.64 #5,482 / 14,703 #64 / 97 Above average
2024 0.55 #7,199 / 14,703 #79 / 97 Above average
2025 0.59 #6,639 / 14,703 #75 / 97 Above average
2026 0.78 #3,861 / 14,703 #41 / 97 Above average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Avantara Clark City is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1991-05-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (605) 532-3431 or your local Medicaid office to verify current eligibility.

Avantara Clark City holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (3★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 66.6/100, placing it #9752 of 14703 facilities nationally and #47 of 97 in South Dakota. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Avantara Clark City receives a reported average of 3 hours 59 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 47 minutes; Licensed Practical Nurse (LPN) — 35 minutes; Nurse Aide — 2 hours 37 minutes. On weekends, total nurse staffing is 3 hours 24 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 47.2%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $11,057. 3 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $11,057, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 23.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Avantara Clark City ranks 9752nd out of 14,703 facilities (composite score: 66.6/100), placing it in the below average nationwide. Within SD, it ranks 47th out of 97 nursing homes. For 2026 staffing: total nurse hours rank #4,963 nationally and RN hours rank #3,861 nationally (#41 in SD). Our composite quality score of 66.6/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Clark, visit: https://nursinghomesnearme.org/south_dakota/clark/

Contact and Location

ADR
Address

201 8TH AVENUE NW, Clark, SD 57225
Get directions on Google Maps

TEL
LLC
Legal Name

CLARK CITY SD SKILLED NURSING FACILITY LLC

MAP
Browse by Location

All South Dakota ·
Clark County ·
Clark ·
ZIP 57225

Facility Details

Number of Certified Beds 35
Average Residents / Day 29 (84% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Clark County, SD
City Clark, SD
ZIP Code 57225
Approved Since May 1, 1991
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 435058
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org