Avantara Pierre
950 East Park Street, Pierre, SD, 57501
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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
- 65 · avg 54 residents/day
- Total nursing staff turnover
- 41% — lower than most South Dakota nursing homesSouth Dakota avg: 49.0% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 25% — 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 · $22,048 total
Medicare certification
- CMS Certification Number
- 435047
- Certified beds
- 65 beds · avg 54 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
- Pierre 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 (15 on record)
- Roth & Co, Llp
Adp of The Snf · since 2024
- Truist Bank
5% or Greater Security Interest · 100% · since 2022
- Chase Watson
Operational/managerial Control · since 2021
- Chaim Rajchenbach Descendants tr ua 04282008
5% or Greater Direct Ownership Interest · 43% · since 2019
- Chaim z Rajchenbach
Operational/managerial Control · since 2019
- Darrell w Plumage
Operational/managerial Control · since 2019
+ 9 additional owners 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 8 of 35)
- D0697·May 7, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
- G0600·Apr 2, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E0880·Apr 2, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0847·Apr 2, 2025
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- D0689·Apr 2, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- G0686·Apr 2, 2025
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E0656·Apr 2, 2025
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0625·Apr 2, 2025
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Federal penalties
By year
- 20251 fine · $22K
Most recent events
- Apr 2, 2025Fine · $22K
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Apr 2, 2025. 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 Pierreinto 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.