Cycle 1
Health 2024-11-14 · Fire 2024-11-14
7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Huron, SD
Avantara Huron
3-star overall rating with 3-star inspections with $8,338 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1345 Michigan Avenue Sw, Huron, SD
(605) 352-8471
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
119
Certified beds
Average residents
66
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Legacy Healthcare
Operator or chain grouping
Approved since
1968-05-03
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
90 facilities
Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.59
Registered nurse staffing · state 0.80 · national 0.68
LPN hours / resident day
0.58
Licensed practical nurse staffing · state 0.49 · national 0.87
Aide hours / resident day
2.45
Nurse aide staffing · state 2.61 · national 2.35
Total nurse hours
3.61
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.16
RN + LPN hours · state 1.28 · national 1.54
Weekend hours
3.05
Weekend nurse staffing · state 3.32 · national 3.43
Weekend RN hours
0.35
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.55
CMS adjusted RN staffing hours
Adjusted total hours
3.41
CMS adjusted total nurse staffing hours
Case-mix index
1.45
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
57%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,255
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.96
Composite VBP score used to determine payment impact.
Payment multiplier
0.9825
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.7
Baseline 18.47% · Performance 18.79% · Measure score 5.7 · Achievement 5.7 · Improvement 0
Healthcare-associated infections
0
Baseline 7.70% · Performance 8.94% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
1.09
Baseline 47.76% · Performance 59.21% · Measure score 1.09 · Achievement 1.09 · Improvement 0
Adjusted total nurse staffing
1.59
Baseline 3.46 hours · Performance 3.53 hours · Measure score 1.59 · Achievement 1.59 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.29% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 81 · Observed rate 7.41% · Lower 95% interval 7.2% |
| Discharge to community | 33.5% |
50.57%
17.1 pts worse
|
Worse than the National Rate · Eligible stays 66 · Observed rate 27.27% · Lower 95% interval 24.7% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 99.01% |
95.27%
3.7 pts better
|
Numerator 100 · Denominator 101 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 101 |
| Discharge self-care score | 50% |
53.69%
3.7 pts worse
|
Numerator 38 · Denominator 76 |
| Discharge mobility score | 56.58% |
50.94%
5.6 pts better
|
Numerator 43 · Denominator 76 |
| Pressure ulcers or injuries, new or worsened | 4.95% |
2.29%
2.7 pts worse
|
Numerator 5 · Denominator 101 · Adjusted rate 4.76% |
| Healthcare-associated infections requiring hospitalization | 8.94% |
7.12%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 52 · Observed rate 11.54% · Lower 95% interval 4.43% |
| Staff COVID-19 vaccination coverage | 20.72% |
8.2%
12.5 pts better
|
Numerator 23 · Denominator 111 |
| Staff flu vaccination coverage | 40.24% |
42%
1.8 pts worse
|
Numerator 66 · Denominator 164 |
| Discharge function score | 60.53% |
56.45%
4.1 pts better
|
Numerator 46 · Denominator 76 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 25 · Denominator 25 |
| Transfer of health information to patient | 97.3% |
96.28%
1 pts better
|
Numerator 36 · Denominator 37 |
| Resident COVID-19 vaccinations up to date | 40.63% |
25.2%
15.4 pts better
|
Numerator 26 · Denominator 64 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
1.5
1 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.1 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.1 |
1.9
2.2 pts worse
|
1.8
2.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.1 · Observed 3.6 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 87.8% |
95.4%
7.6 pts worse
|
93.4%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 92.2% · Q2 86.0% · Q3 77.6% · Q4 94.8% · 4Q avg 87.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.8% |
96.9%
0.1 pts worse
|
95.5%
1.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
5.1%
2.6 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.8% · Q3 3.4% · Q4 3.4% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 17.1% |
4.6%
12.5 pts worse
|
11.4%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 20.4% · Q3 10.7% · Q4 26.8% · 4Q avg 17.1% |
| Percentage of long-stay residents who lose too much weight | 7.5% |
5.5%
2 pts worse
|
5.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 10.4% · Q3 11.1% · Q4 3.8% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.6% |
17.8%
8.2 pts better
|
19.6%
10 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 9.1% · Q3 10.5% · Q4 7.1% · 4Q avg 9.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.1% |
25.1%
3 pts better
|
16.7%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 29.5% · Q3 20.4% · Q4 17.4% · 4Q avg 22.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 30.5% |
21.3%
9.2 pts worse
|
16.3%
14.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 44.6% · Q2 20.1% · Q3 14.4% · Q4 40.1% · 4Q avg 30.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 31.8% |
21.6%
10.2 pts worse
|
14.9%
16.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.8% · Q2 44.2% · Q3 25.9% · Q4 28.8% · 4Q avg 31.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
2.0%
2 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.8% |
3.3%
3.5 pts worse
|
1.7%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 4.0% · Q3 9.1% · Q4 7.4% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.3% |
25.8%
3.5 pts worse
|
19.8%
9.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 45.4% · Q3 32.2% · Q4 23.8% · 4Q avg 29.3% |
| Percentage of long-stay residents with pressure ulcers | 2.3% |
4.6%
2.3 pts better
|
5.1%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 3.7% · Q4 1.4% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 73.0% |
83.2%
10.2 pts worse
|
81.7%
8.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 77.8% · Q2 67.2% · Q3 67.2% · Q4 83.3% · 4Q avg 73.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.3% |
11.7%
2.4 pts better
|
12.0%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.3% · Observed 9.3% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.7%
1.7 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 57.4% |
78.2%
20.8 pts worse
|
79.7%
22.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 57.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.2% |
21.5%
7.3 pts better
|
23.9%
9.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.2% · Observed 11.6% · Expected 19.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-03 · Fire 2023-08-03
2 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-08-04 · Fire 2022-08-04
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-11-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-10
E · Potential for more than minimal harm
2023-08-03
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-09-13
E · Potential for more than minimal harm
2023-08-03
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2023-09-13
E · Potential for more than minimal harm
2023-08-03
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-13
D · Potential for more than minimal harm
2022-08-04
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-02-14
Inspection history
Recent health citations
G · Actual harm
2024-11-14
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-26
F · Potential for more than minimal harm
2024-11-14
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-12
F · Potential for more than minimal harm
2024-11-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-12
E · Potential for more than minimal harm
2024-11-14
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-11-14
F625 · Resident Rights Deficiencies
Health
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.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-11-14
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-11-14
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-11-14
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-06-19
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-03
G · Actual harm
2022-08-04
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-08-31
Penalties and ownership
What sits behind the stars
$8,338
2024-11-14
Fine
Fine · fine $8,338
Fine
Ownership
Chaim Rajchenbach Descendants Tr Ua 04282008
5% Or Greater Direct Ownership Interest · Organization
Doros Generation Trust U/A/D 1/3/12
5% Or Greater Direct Ownership Interest · Organization
Oakway Operations LLC
5% Or Greater Direct Ownership Interest · Organization
Bokf,na
Operational/Managerial Control · Organization
Bokf,na
5% Or Greater Security Interest · Organization
Huron Sd Property Holdings, LLC
5% Or Greater Security Interest · Organization
Legacy Healthcare Financial Services LLC
Operational/Managerial Control · Organization
Oyler, Vincent
Operational/Managerial Control · Individual
Shabat, Menachem
Operational/Managerial Control · Individual
Solem, Laurie
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Prairie View Healthcare Center
Woonsocket, SD
2-star overall rating with 3-star inspections with $8,512 in total fines with 7 recent health deficiencies
#2
Weskota Manor Inc
Wessington Springs, SD
5-star overall rating with 4-star inspections with 3 recent health deficiencies
#3
Good Samaritan Society De Smet
De Smet, SD
2-star overall rating with 2-star inspections with $10,647 in total fines with 11 recent health deficiencies
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