59.5/100
Average
201 8Th Avenue Nw, Clark, SD 57225
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
1 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$11,057 in federal fines
CMS has fined this facility across 1 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: January 8, 2026 (7 months ago).
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Actual harm to a resident
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.
No actual harm, potential for more than minimal harm
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) Cor...
No actual harm, potential for more than minimal harm
Part of LEGACY HEALTHCARE, which operates 89 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| BOKF,NA | Organization | 5% OR GREATER SECURITY INTEREST | — |
| RAJCHENBACH, CHAIM | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| SHABAT, MENACHEM | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| BOKF,NA | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| DICKES, EDWARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| MOREHOUSE, RACHEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| RAJCHENBACH, CHAIM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| SHABAT, MENACHEM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| CLARK CITY SD PROPERTY HOLDINGS, LLC | Organization | ADP OF THE SNF | — |
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | ADP OF THE SNF | — |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | ADP OF THE SNF | — |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | ADP OF THE SNF | — |
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Avantara Clark City holds an ElderGrade of C (59.5 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 4.17 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 1 of the 7 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Avantara Clark City is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.