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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D3 | E8 | F2 |
| Minimal | A· | B3 | 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 | |
|---|---|---|---|---|---|---|
| Jan 8, 2026 | Fire safety | Fire Safety Standard | 4 | Minimal | — | Open → |
| Jan 8, 2026 | Health | Health Complaint, Health Standard | 3 | Potential harm | — | Open → |
| Jul 17, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 12, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Sep 12, 2024 | Health | Health Standard | 1 | Actual harm | — | Open → |
| Jun 15, 2023 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Jun 15, 2023 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Sep 12, 2024 | Civil money penalty (fine) | $11,057 | — | 435058|Fine|100235 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D3 | E8 | F2 |
| Minimal | A· | B3 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 8, 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 Feb 22, 2026 | |
| Jan 8, 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 Feb 22, 2026 | Complaint |
“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, 2015 |
| 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, 2015 |
| 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 Milbank 1103 South Second Street, Milbank, SD 57252 CCN 435009 | 55 | Jul 9, 2026 | 398 harm | $126k | |
| Avantara Huron 1345 Michigan Avenue SW, Huron, SD 57350 CCN 435020 | 119 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 435058 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 435058 | 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
| Jan 8, 2026 |
| F-0880 |
| Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention |
| E · Potential harm Pattern |
| Corrected Feb 22, 2026 |
| Jan 8, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | B · Minimal Pattern | No revisit needed Feb 22, 2026 |
| Jan 8, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | No revisit needed Feb 22, 2026 |
| Jan 8, 2026 | K-0522 | Have an externally vented heating system. Services Deficiencies · Environment & life safety | B · Minimal Pattern | No revisit needed Feb 22, 2026 |
| Jan 8, 2026 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | B · Minimal Pattern | No revisit needed Feb 22, 2026 |
| Jul 17, 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 | D · Potential harm Isolated | Past non-compliance | Complaint |
| Sep 12, 2024 | 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 Oct 6, 2024 |
| Jun 15, 2023 | K-0226 | Have horizontal exits used in accordance with safety requirements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 17, 2023 |
| Jun 15, 2023 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 30, 2023 |
| Jun 15, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 3, 2023 |
| Jun 15, 2023 | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 3, 2023 |
| Jun 15, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 5, 2023 |
| Jun 15, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 13, 2023 |
| Jun 15, 2023 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 5, 2023 |
| Jun 15, 2023 | 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 | E · Potential harm Pattern | Corrected Jul 30, 2023 |
| Jun 15, 2023 | F-0700 | 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. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 30, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.14 (case-mix index 1.74).
| Menachem Shabat | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2019 |
| Bokf,Na | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 4, 2024 |
| Edward Dickes | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Rachel Morehouse | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 6, 2020 |
| 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 |
| Bokf,Na | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Mar 4, 2024 |
| Clark City Sd Property Holdings, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2019 |
| 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 |
| Roth & Co, LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
| Edward Dickes | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Rachel Morehouse | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 6, 2020 |
| 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 |
| Jun 24, 2026 |
281 IJ4 harm |
| $29k |
| Avantara Norton 3600 South Norton Avenue, Sioux Falls, SD 57105 CCN 435039SFFAbuse icon | 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 |