Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
AVANTARA CLARK CITY
CLARK, SD · 35 certified beds · Last Life Safety survey January 8, 2026
CMS Certification Number 435058 · first certified May 1991
Ownership
Operated by LEGACY HEALTHCARE · For profit - Limited Liability company
- Ownership changed July 1, 2019 (change of ownership)from CLARK CARE AND REHABILITATION CENTER LLC
Position within SD
11 citations — more than 93% of the 96 certified nursing homes in SD. Compared within SD rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 4 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens March 2027 — about 6 months from now. This facility’s last Life Safety survey was January 2026. Facilities in SD are typically surveyed 15–16 months after the last one (median 16), measured over 136 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Physical environment (health survey)
4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 11 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in SD, and nationally. Surveyors differ markedly between states, so the SD figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 11 |
| Median facility in SD | 3 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| June 15, 2023 | 7 |
| September 12, 2024 | 0 |
| January 8, 2026 | 4 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2026-01-08 |
| K-0712 | Have simulated fire drills held at unexpected times. | 1 | 2023-06-15 |
| K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. | 1 | 2023-06-15 |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | 1 | 2026-01-08 |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | 1 | 2026-01-08 |
| K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | 1 | 2023-06-15 |
| K-0226 | Have horizontal exits used in accordance with safety requirements. | 1 | 2023-06-15 |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | 1 | 2023-06-15 |
What the citations cover
- Smoke Deficiencies 4
- Egress Deficiencies 3
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Services Deficiencies 1
- Other 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 4 |
| Egress Deficiencies | 3 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Services Deficiencies | 1 |
| Miscellaneous Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
January 8, 2026 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | No revisit needed (February 22, 2026) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | No revisit needed (February 22, 2026) |
| K-0522 | Have an externally vented heating system. | No revisit needed (February 22, 2026) |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | No revisit needed (February 22, 2026) |
June 15, 2023 — 7 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0226 | Have horizontal exits used in accordance with safety requirements. | Deficient, Provider has date of correction (July 17, 2023) |
| K-0271 | Have exits that are accessible at all times. | Deficient, Provider has date of correction (July 30, 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. | Deficient, Provider has date of correction (July 3, 2023) |
| K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. | Deficient, Provider has date of correction (July 3, 2023) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (July 5, 2023) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (July 13, 2023) |
| K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Deficient, Provider has date of correction (July 5, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.