Avantara Redfield
1015 Third Street East, Redfield, SD 57469
Avantara Redfield is a nursing home in Redfield, South Dakota. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 2 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (605) 472-2288
- Last standard health inspection
- January 28, 2026 (9 months ago)
- Certified beds
- 58
- Residents per day, on average
- 53.4
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Redfield Sd Skilled Nursing Facility, LLC
- Chain
- Legacy Healthcare
- Takes part in
- Medicare and Medicaid
Fewer health citations than the South Dakota average (17 vs 18).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS update of March 25, 2026
Fine
CMS changed the fine from March 17, 2025 from $14,015 to $7,008.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
Fine
CMS changed the fine from August 28, 2024 from $12,335 to $8,018.
Fine
CMS changed the fine from August 28, 2024 from $12,335 to $8,018.
6 citations
Health inspection on January 28, 2026
CMS lists this as a standard inspection and a complaint inspection.
Citation F0565. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to organize and participate in resident/family groups in the facility.
CMS lists it as corrected on March 6, 2026.
Citation F0655. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on March 6, 2026.
Citation F0658. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on March 6, 2026.
CMS has cited this home for F0658 2 times since 2024.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on March 6, 2026.
CMS has cited this home for F0812 3 times since 2024.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 6, 2026.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on March 6, 2026.
3 citations
Fire safety inspection on January 28, 2026
CMS lists this as a standard inspection.
Citation K0712. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on March 6, 2026.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on February 11, 2026.
CMS has cited this home for K0321 3 times since 2023.
Citation K0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on March 6, 2026.
CMS update of November 20, 2025
CMS abuse icon
CMS removed its abuse icon from this home.
Fine
CMS changed the fine from August 28, 2024 from $24,670 to $12,335.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.4 to 3.0 hours per resident per day.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
1 citation
Health inspection on April 15, 2025
CMS lists this as a complaint inspection.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on May 12, 2025.
1 citation
Health inspection on March 17, 2025
CMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
37 of 96 South Dakota homes (39%) got a citation at the actual harm level in 2025.
Citation F0806. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS lists it as corrected on March 14, 2025.
Fine
March 17, 2025 (1 year ago)
CMS fine of $7,008 on March 17, 2025.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS abuse icon
CMS added its abuse icon to this home.
4 citations
Health inspection on December 5, 2024
CMS lists this as a standard inspection.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on January 13, 2025.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS lists it as corrected on January 13, 2025.
CMS has cited this home for F0584 2 times since 2023.
Citation F0908. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep all essential equipment working safely.
CMS lists it as corrected on January 13, 2025.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on January 13, 2025.
1 citation
Fire safety inspection on December 5, 2024
CMS lists this as a standard inspection.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on January 15, 2025.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
2 citations
Health inspection on August 28, 2024
CMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
42 of 96 South Dakota homes (44%) got a citation at the actual harm level in 2024.
Citation F0600. Severity G: actual harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on August 26, 2024.
CMS has cited this home for F0600 2 times since 2023.
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on September 19, 2024.
Fine
August 28, 2024 (2 years ago)
CMS fine of $8,018 on August 28, 2024.
Fine
August 28, 2024 (2 years ago)
CMS fine of $8,018 on August 28, 2024.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
1 citation
Health inspection on July 17, 2024
CMS lists this as a complaint inspection.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on August 8, 2024.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 4 of 5 to 2 of 5.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
2 citations
Health inspection on August 31, 2023
CMS lists this as a standard inspection.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS lists it as corrected on October 6, 2023.
Citation F0600. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on October 6, 2023.
2 citations
Fire safety inspection on August 31, 2023
CMS lists this as a standard inspection.
Citation K0211. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on September 15, 2023.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on September 14, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- DOROS GENERATION TRUST U/A/D 1/3/125% or greater direct ownership interest · 43% · since 07/01/2019
- GPN FAMILY TRUST U/A/D 4/28/085% or greater direct ownership interest · 43% · since 07/01/2019
- OAKWAY OPERATIONS LLC5% or greater direct ownership interest · 15% · since 07/01/2019
- BOKF,NAOperational/managerial control · not applicable · since 03/04/2024
- FORGEY, DIANEOperational/managerial control · not applicable · since 07/01/2019
- RAJCHENBACH, CHAIMOperational/managerial control · not applicable · since 07/01/2019
- SHABAT, MENACHEMOperational/managerial control · not applicable · since 07/01/2019
- WALDNER, RANDALLOperational/managerial control · not applicable · since 01/01/2025
Questions
When was Avantara Redfield last inspected?
CMS lists January 28, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Avantara Redfield have?
CMS lists 17 health citations since August 31, 2023. CMS also calls these deficiencies.
Has Avantara Redfield been fined?
CMS lists 3 fines in the past three years, $23,044 in total.
What is the CMS star rating of Avantara Redfield?
Its CMS overall star rating is 2 of 5.
Is Avantara Redfield a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.