Avantara Pierre
Nursing home in Pierre, South Dakota, CMS certification number 435047
950 East Park Street, Pierre, SD 57501 · Hughes County
- CMS overall rating
- 2 of 5 stars
- Certified beds
- 65
- Certified for
- Medicare and Medicaid
- Last standard inspection
- July 1, 2026
- Deficiencies at that inspection
- 13
- Fines in 3 years
- $39,713 (2)
Does Avantara Pierre take Medicare and Medicaid?
Yes to both. Avantara Pierre is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 3 of 5 |
| Quality of resident care | 2 of 5 |
| Long-stay quality | 1 of 5 |
| Short-stay quality | 3 of 5 |
Nurse staffing hours and turnover
These are the hours Avantara Pierre reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.01
- Registered nurse hours
- 0.62
- Licensed practical nurse hours
- 0.52
- Nurse aide hours
- 1.87
- Weekend total hours
- 2.61
- Nursing staff turnover
- 45%
- Registered nurse turnover
- 22.2%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on July 1, 2026 and cited 13 deficiencies, plus 6 from complaint visits.
The visit before, on April 2, 2025, found 8.
CMS shows an abuse icon for Avantara Pierre. That means inspectors cited it for abuse, neglect or exploitation in the past year or two.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Avantara Pierre 2 times in the past 3 years, for $39,713 in total.
Beds and residents
On an average day 58.7 residents live here, about 90% of its 65 certified beds.
- Certified beds
- 65
- Average residents per day
- 58.7
- Certified since
- September 1, 1991
- Resident or family council
- Resident
Who owns Avantara Pierre
- Legal business name
- Pierre SD Skilled Nursing Facility, LLC
- Ownership type
- For profit - Limited Liability company
- Chain
- 96 homes nationally under Legacy Healthcare, 3-star chain average
Other nursing homes near Avantara Pierre
- Avera Maryhouse Long Term Care717 East Dakota, Pierre 57501
- Highmore Health410 8th Street SE, Highmore 57345
- Avera Oahe Manor700 E Garfield, Gettysburg 57442
- White River Health Care Center515 E 8th Street, White River 57579
- Medicine Wheel Village24266 Airport Road, Eagle Butte 57625
Who inspects nursing homes in South Dakota
South Dakota's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in South Dakota, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Avantara Pierre, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Avantara Pierre
What is the CMS star rating of Avantara Pierre?
2 out of 5 stars overall.
Does Avantara Pierre accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Avantara Pierre?
13 cited at the last standard visit.
Who owns Avantara Pierre?
Pierre SD Skilled Nursing Facility, LLC, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.