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HomeSouth DakotaAvantara Arrowhead

Avantara Arrowhead

2500 Arrowhead Dr, Rapid City, SD 577026053480285WebsiteGoogle Maps
4.3on Google(26 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
2/5
Quality
2/5
Beds
68
certified
5 fine(s) totaling $82,863

How Avantara Arrowhead Compares in South Dakota

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.

CMS overall rating
1/5
SD average
2.9/5
Below state average
Health inspection rating
1/5
SD average
2.8/5
Below state average
Staffing rating
2/5
SD average
3.6/5
Below state average
Nursing hours per resident
3.52 hrs/day
SD average
3.81 hrs/day
Below state average
RN hours per resident
0.98 hrs/day
SD average
0.80 hrs/day
Above state average
Staff turnover
76.1%
SD average
48.2%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the South Dakota average of 2.9/5.
Its 1/5 health inspection rating is below the South Dakota average of 2.8/5.
Reported nursing time is 3.52 hours per resident per day, below the state average of 3.81.
Reported RN time is 0.98 hours per resident per day, above the state average of 0.80.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
16
deficiency citations
Inspected May 15, 2024
Most recent cycle
20
deficiency citations
Inspected Sep 11, 2025
The most recent cycle recorded 4 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$8,122/mo
South Dakota median
Private Room
$9,429/mo
South Dakota median
Pennington County 65+
21,126
19.1% of county
County Population
110,386
Pennington County

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.

Beds
68
Avg Residents/Day
59.3
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 1, 1991
Sprinklers
Yes
Council
Both
County
Pennington
Last Inspection
Sep 11, 2025
Deficiencies (Cycle 1)
20
Weighted Score
166.0
Infection Citations
0

Deficiency Citations (37)

F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0697Potential for Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Nov 6, 2025Corrected: NoCycle: 1
F0684Actual Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0697Actual Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0578Potential for Harm

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.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0699Potential for Harm

Provide care or services that was trauma informed and/or culturally competent.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0745Potential for Harm

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jun 18, 2025Corrected: NoCycle: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Jun 18, 2025Corrected: NoCycle: 2
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Jun 18, 2025Corrected: NoCycle: 2
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Mar 26, 2025Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Mar 26, 2025Corrected: NoCycle: 2
F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Mar 5, 2025Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Mar 5, 2025Corrected: NoCycle: 2
F0678Potential for Harm

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Survey: Mar 5, 2025Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Aug 6, 2024Corrected: NoCycle: 2
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jul 10, 2024Corrected: NoCycle: 2

+ 7 more deficiencies

Total Fines
$82,863
Number of Fines
5
Payment Denials
0
Total Penalties
5

Penalty History

FineJul 10, 2024
$8,018
FineMar 5, 2025
$8,112
FineJul 10, 2024
$11,333
FineMay 15, 2024
$12,695
FineSep 11, 2025
$42,705

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.23 hrs
National avg: 2.32 hrs
LPN0.30 hrs
National avg: 0.86 hrs
RN0.98 hrs
National avg: 0.69 hrs
Total Nursing3.52 hrs
National avg: 3.86 hrs
Weekend Total3.27 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
76.1%
RN Turnover
75.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (22)

NameRoleTypeOwnership %Since
DOROS GENERATION TRUST U/A/D 1/3/125% OR GREATER DIRECT OWNERSHIP INTERESTOrganization43%Jul 1, 2019
GPN FAMILY TRUST U/A/D 4/28/085% OR GREATER DIRECT OWNERSHIP INTERESTOrganization43%Jul 1, 2019
OAKWAY OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization15%Jul 1, 2019
ARROWHEAD SD PROPERTY HOLDINGS, LLC5% OR GREATER SECURITY INTERESTOrganizationN/AJul 1, 2019
TRUIST BANK5% OR GREATER SECURITY INTERESTOrganizationN/AApr 1, 2022
RAJCHENBACH, CHAIMMANAGING CONTROL - GOVERNING BODYIndividualN/AJul 1, 2019
SHABAT, MENACHEMMANAGING CONTROL - GOVERNING BODYIndividualN/AJul 1, 2019
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJul 1, 2019
TRUIST BANKOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2022
MARTIN, SHARONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 9, 2023
PTACEK, TRAVISOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2025
RAJCHENBACH, CHAIMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2019
SHABAT, MENACHEMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2019
ARROWHEAD SD PROPERTY HOLDINGS, LLCADP OF THE SNFOrganizationN/AJul 1, 2019
DOROS GENERATION TRUST U/A/D 1/3/12ADP OF THE SNFOrganizationN/AJul 1, 2019
GPN FAMILY TRUST U/A/D 4/28/08ADP OF THE SNFOrganizationN/AJul 1, 2019
LEGACY HEALTHCARE FINANCIAL SERVICES LLCADP OF THE SNFOrganizationN/ANov 10, 2025
RSM US LLPADP OF THE SNFOrganizationN/AJan 1, 2024
MARTIN, SHARONADP OF THE SNFIndividualN/AApr 9, 2023
PTACEK, TRAVISADP OF THE SNFIndividualN/AJan 1, 2025
RAJCHENBACH, CHAIMADP OF THE SNFIndividualN/AJul 1, 2019
SHABAT, MENACHEMADP OF THE SNFIndividualN/AJul 1, 2019

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Avantara Arrowhead and nearby alternatives.

All South Dakota facilities
Avantara Arrowhead
Rapid City, SDCurrent facility
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $82,863
Clarkson Health Care
Rapid City, SD2,640 ft
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
Avantara Mountain View
Rapid City, SD1.5 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $9,318
Avantara Saint Cloud
Rapid City, SD2.1 miAbuse flag
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $24,751
Westhills Village Health Care Facility
Rapid City, SD2.6 mi
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: $8,788
Fountain Springs Healthcare
Rapid City, SD3.2 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: $22,526
Avantara North
Rapid City, SD3.4 mi
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: $24,108
FacilityDistanceCMSHealthStaffingRecorded fines
Avantara Arrowhead
Rapid City, SD · Current facility
—1/51/52/5$82,863
Clarkson Health Care
Rapid City, SD
2,640 ft5/54/55/5None recorded
Avantara Mountain View
Rapid City, SD
1.5 mi2/52/53/5$9,318
Avantara Saint Cloud
Rapid City, SD
2.1 mi1/52/51/5$24,751
Westhills Village Health Care Facility
Rapid City, SD
2.6 mi5/54/54/5$8,788
Fountain Springs Healthcare
Rapid City, SD
3.2 mi3/53/52/5$22,526
Avantara North
Rapid City, SD
3.4 mi3/53/53/5$24,108

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.

Frequently Asked Questions

What is the CMS rating for Avantara Arrowhead?▾
Avantara Arrowhead has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 2/5. This facility is rated below average.
How much does Avantara Arrowhead cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in South Dakota is $8,122/month for a semi-private room and $9,429/month for a private room (Genworth/CareScout 2024). Avantara Arrowhead participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Avantara Arrowhead had any health inspection violations?▾
Avantara Arrowhead had 20 deficiency citations in its most recent health inspection (Sep 11, 2025). The current CMS dataset records 5 fine(s) totaling $82,863.
What are the staffing levels at Avantara Arrowhead?▾
Avantara Arrowhead provides 3.52 total nursing staff hours per resident per day, including 0.98 RN hours, 0.30 LPN hours, and 2.23 nurse aide hours. The total staff turnover rate is 76.1%.
How many beds does Avantara Arrowhead have?▾
Avantara Arrowhead has 68 certified beds with an average of 59.3 residents per day, resulting in approximately 87% occupancy. The facility is For profit - Limited Liability company owned and is part of the Legacy Healthcare chain.
Are there other nursing homes near Avantara Arrowhead?▾
Yes. This page lists 6 nearby nursing homes in South Dakota, including 6 in Rapid City. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Avantara Arrowhead?▾
On Google Maps, Avantara Arrowhead has a rating of 4.3 out of 5 based on 26 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Legacy Healthcare

This chain operates 89 facilities. View all →