Home›South Dakota›Hughes County›AVANTARA PIERRE
D
Poor

AVANTARA PIERRE

950 EAST PARK STREET · PIERRE, SD 57501

6052248628 · For profit - Limited Liability company

65 beds53.7 residents84 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
B
Good
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

AVANTARA PIERRE receives an overall staffing grade of D (Poor). With 2.9306 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.716 HPRD, below the recommended 0.75. It is 0.97 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.77% compared to weekdays. The facility uses a moderate level of agency staff (11.82% of hours), suggesting some reliance on temporary workers.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.9306 HPRD — needs 0.55 more hours per resident per day.
⚠️RN staffing (0.716 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
2.9306hrs/resident/day▼ 0.97
CMS benchmark: 3.48
RN HPRD
0.716hrs/resident/day▲ 0.03
Recommended: 0.75
Weekend Drop-off
20.77%
3.1133 weekday → 2.4666 weekend
⚠ Significant weekend reduction
Agency Staff
11.82%
7.75% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7677hrs/resident/day
Direct care aides
LPN HPRD
0.4469hrs/resident/day
Licensed practical nurses
Consistency
0.4596std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Hughes County Average-0.76 HPRD
3.69
02.93 HPRD
vs. South Dakota State Average-0.90 HPRD
3.83
02.93 HPRD
vs. National Average-0.97 HPRD
3.90
02.93 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
AVANTARA PIERRE ★
PIERRE · This facility
—
D
2.93060.716★★☆☆☆
AVERA MARYHOUSE LONG TERM CARE
PIERRE
0.1 mi
A
4.45261.0781★★★★★
HIGHMORE HEALTH
HIGHMORE
45.7 mi
D
2.9610.875★★★☆☆
AVERA OAHE MANOR
GETTYSBURG
49.1 mi
B
4.02040.7343★★★☆☆
White River Health Care Center
WHITE RIVER
57.9 mi
B
4.64530.6098★★★★★
Medicine Wheel Village
EAGLE BUTTE
62.4 mi
B
4.56160.7289★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
35
Total Deficiencies
$33,920
Fines Assessed
May 7, 2025Health
1 deficiency cited
▼
Apr 2, 2025Health
9 deficiencies cited· Includes actual harm
▼
Jan 9, 2024Health
14 deficiencies cited
▼
Jun 16, 2023Health
2 deficiencies cited
▼
Jan 13, 2023Health
9 deficiencies cited· Includes actual harm
▼

Penalty History

Apr 2, 2025Fine
$33,920
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.