CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in South Dakota. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Avantara Arrowhead is a 1-star Medicare and Medicaid certified nursing home in Rapid City, South Dakota with 68 certified beds. It has been operating since 1991. Its overall CMS rating is 1 out of 5.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide safe, appropriate pain management for a resident who requires such services.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe, appropriate pain management for a resident who requires such services.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Allow residents to self-administer drugs if determined clinically appropriate.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide care or services that was trauma informed and/or culturally competent.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
+ 7 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 43% | Jul 1, 2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 43% | Jul 1, 2019 |
| OAKWAY OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 15% | Jul 1, 2019 |
| ARROWHEAD SD PROPERTY HOLDINGS, LLC | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Jul 1, 2019 |
| TRUIST BANK | 5% OR GREATER SECURITY INTEREST | Organization | N/A | Apr 1, 2022 |
| RAJCHENBACH, CHAIM | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jul 1, 2019 |
| SHABAT, MENACHEM | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jul 1, 2019 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jul 1, 2019 |
| TRUIST BANK | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2022 |
| MARTIN, SHARON | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 9, 2023 |
| PTACEK, TRAVIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2025 |
| RAJCHENBACH, CHAIM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 1, 2019 |
| SHABAT, MENACHEM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 1, 2019 |
| ARROWHEAD SD PROPERTY HOLDINGS, LLC | ADP OF THE SNF | Organization | N/A | Jul 1, 2019 |
| DOROS GENERATION TRUST U/A/D 1/3/12 | ADP OF THE SNF | Organization | N/A | Jul 1, 2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 | ADP OF THE SNF | Organization | N/A | Jul 1, 2019 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | ADP OF THE SNF | Organization | N/A | Nov 10, 2025 |
| RSM US LLP | ADP OF THE SNF | Organization | N/A | Jan 1, 2024 |
| MARTIN, SHARON | ADP OF THE SNF | Individual | N/A | Apr 9, 2023 |
| PTACEK, TRAVIS | ADP OF THE SNF | Individual | N/A | Jan 1, 2025 |
| RAJCHENBACH, CHAIM | ADP OF THE SNF | Individual | N/A | Jul 1, 2019 |
| SHABAT, MENACHEM | ADP OF THE SNF | Individual | N/A | Jul 1, 2019 |
Compare CMS ratings and recorded fines for Avantara Arrowhead and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 89 facilities. View all →