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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G8 | H· | I· |
| Potential harm | D16 | E10 | F4 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 9, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jul 9, 2026 | Health | Health Standard | 1 | Potential harm | — | Open → |
| May 7, 2026 | Health | Health Complaint | 12 | Actual harm | — | Open → |
| Mar 13, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Mar 13, 2025 | Health | Health Complaint, Health Standard | 5 | Potential harm | — | Open → |
| Dec 18, 2024 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Oct 8, 2024 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Aug 6, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 8, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Nov 8, 2023 | Health | Health Standard | 5 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 7, 2026 | Civil money penalty (fine) | $70,620 | — | 435009|Fine|143655 |
| Dec 18, 2024 | Civil money penalty (fine) | $28,912 | — | 435009|Fine|100260 |
| Oct 8, 2024 | Civil money penalty (fine) | $15,041 | — | 435009|Fine|100242 |
| Nov 8, 2023 | Civil money penalty (fine) | $11,408 | — | 435009|Fine|100161 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G8 | H· | I· |
| Potential harm | D16 | E10 | F4 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 9, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 23, 2026 | |
| Jul 9, 2026 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 23, 2026 | |
| Jul 9, 2026 | F-0812 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
96 facilities in 4 states. CMS chain ID 306.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Doros Generation Trust U/a/D 1/3/12 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 43% | Jul 1, 2019 |
| Gpn Family Trust U/a/D 4/28/08 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 43% | Jul 1, 2019 |
| Oakway Operations LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | Jul 1, 2019 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Doros Generation Trust U/a/D 1/3/12 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 43% | Jul 1, 2019 |
| Gpn Family Trust U/a/D 4/28/08 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 43% | Jul 1, 2019 |
| Oakway Operations LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | Jul 1, 2019 |
| Chaim Rajchenbach | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2019 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Avantara Huron 1345 Michigan Avenue SW, Huron, SD 57350 CCN 435020 | 119 | Jun 24, 2026 | 281 IJ4 harm | $29k | |
| Avantara Norton 3600 South Norton Avenue, Sioux Falls, SD 57105 CCN 435039 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| St William's Care Center 103 N Viola St, Milbank, SD 57252 CCN 435122 | 1.5 km | 60 | Feb 19, 2026 | 275 harm | $105k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 435009 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 435009 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| F · Potential harm Widespread |
| Corrected Aug 23, 2026 |
| May 7, 2026 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 6, 2026 | Complaint |
| May 7, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | G · Actual harm Isolated | Corrected Jun 6, 2026 | Complaint |
| May 7, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 6, 2026 | Complaint |
| May 7, 2026 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 6, 2026 | Complaint |
| May 7, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 6, 2026 | Complaint |
| May 7, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 6, 2026 | Complaint |
| May 7, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 6, 2026 | Complaint |
| May 7, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 6, 2026 | Complaint |
| May 7, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 6, 2026 | Complaint |
| May 7, 2026 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 6, 2026 | Complaint |
| May 7, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 6, 2026 | Complaint |
| May 7, 2026 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 6, 2026 | Complaint |
| Mar 13, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted Jun 19, 2025 |
| Mar 13, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 18, 2025 |
| Mar 13, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 18, 2025 |
| Mar 13, 2025 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 24, 2025 |
| Mar 13, 2025 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 21, 2025 |
| Mar 13, 2025 | F-0625 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 21, 2025 |
| Mar 13, 2025 | F-0675 | Honor each resident's preferences, choices, values and beliefs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 21, 2025 |
| Mar 13, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 21, 2025 | Complaint |
| Mar 13, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 21, 2025 |
| Dec 18, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | G · Actual harm Isolated | Corrected Jan 17, 2025 | Complaint |
| Dec 18, 2024 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 17, 2025 | Complaint |
| Dec 18, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 17, 2025 | Complaint |
| Oct 8, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Nov 2, 2024 | Complaint |
| Oct 8, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Nov 2, 2024 | Complaint |
| Oct 8, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Nov 2, 2024 | Complaint |
| Aug 6, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 10, 2024 | Complaint |
| Nov 8, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Dec 6, 2023 |
| Nov 8, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Dec 6, 2023 |
| Nov 8, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 24, 2023 |
| Nov 8, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 4, 2023 |
| Nov 8, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 6, 2023 |
| Nov 8, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Nov 8, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Nov 8, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Nov 24, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.53 (case-mix index 1.33).
| Menachem Shabat | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2019 |
| Truist Bank | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2022 |
| Austin Eggers | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Rebecca Pulse | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 2, 2024 |
| Chaim Rajchenbach | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2019 |
| Menachem Shabat | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2019 |
| Milbank Sd Property Holdings, LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Jul 1, 2019 |
| Truist Bank | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Apr 1, 2022 |
| Doros Generation Trust U/a/D 1/3/12 | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2019 |
| Gpn Family Trust U/a/D 4/28/08 | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2019 |
| Legacy Healthcare Financial Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2019 |
| Milbank Sd Property Holdings, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2019 |
| Rsm US LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
| Austin Eggers | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Rebecca Pulse | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 2, 2024 |
| Chaim Rajchenbach | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2019 |
| Menachem Shabat | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2019 |
| 110 |
| Not rated |
| Mar 31, 2026 |
761 IJ18 harm3 open |
| $284k |
| Avantara Mountain View 916 Mountain View Road, Rapid City, SD 57702 CCN 435040 | 101 | Jul 2, 2026 | 222 harm | $39k |
| Avantara Pierre 950 East Park Street, Pierre, SD 57501 CCN 435047Abuse icon | 65 | Aug 6, 2026 | 393 harm | $40k |
| Avantara Groton 1106 North Second Street, Groton, SD 57445 CCN 435048 | 37 | Dec 11, 2025 | 281 harm | $6,168 |
| Avantara Arrowhead 2500 Arrowhead Dr, Rapid City, SD 57702 CCN 435051Abuse icon | 68 | Jun 22, 2026 | 4610 harm | $145k |
| Avantara Redfield 1015 Third Street East, Redfield, SD 57469 CCN 435054 | 58 | Jan 28, 2026 | 233 harm | $23k |
| Avantara Clark City 201 8th Avenue NW, Clark, SD 57225 CCN 435058 | 35 | Jan 8, 2026 | 181 harm | $11k |