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).
#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.
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).
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/
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.