CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 4350582026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Avantara Clark City

201 8Th Avenue Nw · Clark, SD 57225 · Clark County

CMS OVERALL RATING★★★★☆4/5CMS field—not our score or recommendation
Certified beds35CMS provider file
Recent citation rows18current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-01-0832026-01-084
Cycle 22024-09-1222024-09-120
Cycle 32023-06-1522023-06-157
02 / CITATION DETAIL

18 rows in the current release

1 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-01-08 · HEALTHF0609Severity D · isolated; 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.

Correction field: Deficient, Provider has date of correction · 2026-02-22
2026-01-08 · HEALTHF0689Severity E · pattern; 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.

Correction field: Deficient, Provider has date of correction · 2026-02-22 · complaint
2026-01-08 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2026-02-22
2026-01-08 · FIREK0211Severity B · pattern; potential for minimal harm

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Correction field: No revisit needed · 2026-02-22
2026-01-08 · FIREK0345Severity C · widespread; potential for minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: No revisit needed · 2026-02-22
2026-01-08 · FIREK0522Severity B · pattern; potential for minimal harm

Services Deficiencies

Have an externally vented heating system.

Correction field: No revisit needed · 2026-02-22
2026-01-08 · FIREK0911Severity B · pattern; potential for minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

Correction field: No revisit needed · 2026-02-22
2025-07-17 · HEALTHF0689Severity D · isolated; 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.

Correction field: Past Non-Compliance · complaint
2024-09-12 · HEALTHF0689Severity G · isolated actual 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.

Correction field: Deficient, Provider has date of correction · 2024-10-06
2023-06-15 · HEALTHF0657Severity E · pattern; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2023-07-30
2023-06-15 · HEALTHF0700Severity E · pattern; 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) Correctly install and maintain the bed rail.

Correction field: Deficient, Provider has date of correction · 2023-07-30
2023-06-15 · FIREK0226Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Have horizontal exits used in accordance with safety requirements.

Correction field: Deficient, Provider has date of correction · 2023-07-17
2023-06-15 · FIREK0271Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Have exits that are accessible at all times.

Correction field: Deficient, Provider has date of correction · 2023-07-30
2023-06-15 · FIREK0321Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2023-07-03
2023-06-15 · FIREK0325Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

Correction field: Deficient, Provider has date of correction · 2023-07-03
2023-06-15 · FIREK0355Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Correction field: Deficient, Provider has date of correction · 2023-07-05
2023-06-15 · FIREK0712Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Correction field: Deficient, Provider has date of correction · 2023-07-13
2023-06-15 · FIREK0914Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Correction field: Deficient, Provider has date of correction · 2023-07-05
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2024-09-12Fine$11,0570
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • DOROS GENERATION TRUST U/A/D 1/3/12Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    43% · since 07/01/2019
  • GPN FAMILY TRUST U/A/D 4/28/08Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    43% · since 07/01/2019
  • OAKWAY OPERATIONS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    15% · since 07/01/2015
  • BOKF,NAOrganization · 5% OR GREATER SECURITY INTEREST
    NOT APPLICABLE · since 03/04/2024
  • RAJCHENBACH, CHAIMIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 07/01/2019
  • SHABAT, MENACHEMIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 07/01/2019
  • BOKF,NAOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/04/2024
  • DICKES, EDWARDIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2025
  • MOREHOUSE, RACHELIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/06/2020
  • RAJCHENBACH, CHAIMIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/01/2019
  • SHABAT, MENACHEMIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/01/2019
  • CLARK CITY SD PROPERTY HOLDINGS, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 07/01/2019
  • DOROS GENERATION TRUST U/A/D 1/3/12Organization · ADP OF THE SNF
    NOT APPLICABLE · since 07/01/2019
  • GPN FAMILY TRUST U/A/D 4/28/08Organization · ADP OF THE SNF
    NOT APPLICABLE · since 07/01/2019
  • LEGACY HEALTHCARE FINANCIAL SERVICES LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 07/01/2019
  • ROTH & CO, LLPOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 01/01/2024
  • DICKES, EDWARDIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/01/2025
  • MOREHOUSE, RACHELIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/06/2020

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours4.17per resident day
RN hours0.73per resident day
Weekend nurse hours3.49per resident day
Staff turnover42.4%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the South Dakota ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.