Avantara Clark City
201 8Th Avenue Nw, Clark, SD, 57225
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Legacy Healthcare
- Certified beds
- 35 · avg 30 residents/day
- Total nursing staff turnover
- 35.5% — lower than most South Dakota nursing homesSouth Dakota avg: 49.0% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 20% — lower than most South Dakota nursing homesSouth Dakota avg: 37.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the South Dakota averageSouth Dakota avg: 0.3 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $11,057 total
Medicare certification
- CMS Certification Number
- 435058
- Certified beds
- 35 beds · avg 30 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Clark City Sd Skilled Nursing Facility Llc
- Chain affiliation
- Legacy Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Legacy Healthcare chain — 89 facilities across 3 states. Chain-wide average overall rating 2.9 / 5.
Disclosed owners (7 on record)
- Chaim Rajchenbach Descendants tr ua 04282008
5% or Greater Direct Ownership Interest · 50% · since 2019
- Chaim z Rajchenbach
Corporate Officer · since 2019
- Doros Generation Trust U/a/d 1/3/12
5% or Greater Direct Ownership Interest · 50% · since 2019
- Legacy Healthcare Financial Services Llc
Operational/managerial Control · since 2019
- Menachem Shabat
Corporate Officer · since 2019
- Tiffany Schlomer
W-2 Managing Employee · since 2019
+ 1 additional owner on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 7 of 7)
- E0689·Jan 8, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0880·Jan 8, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0609·Jan 8, 2026
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0689·Jul 17, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- G0689·Sep 12, 2024
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0700·Jun 15, 2023
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail…
- E0657·Jun 15, 2023
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Federal penalties
By year
- 20241 fine · $11K
Most recent events
- Sep 12, 2024Fine · $11K
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Jan 8, 2026. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Avantara Clark Cityinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.