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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeSouth DakotaAvantara Arrowhead

Avantara Arrowhead

2500 Arrowhead Dr, Rapid City, SD 577026053480285
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
2/5
Beds
65
certified
This facility has been flagged for abuse.
4 fine(s) totaling $40,014

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 65 certified beds with an average of 60 residents per day (92% occupancy)

• Last health inspection found 28 deficiencies (inspected Sep 11, 2025)

• Has been fined a total of $40,014 across 4 fine(s)

• Total nursing staff: 3.27 hours per resident per day

• Staff turnover rate: 61.9% (high)

• Part of the Legacy Healthcare chain (90 facilities)

Avantara Arrowhead is a 1-star Medicare and Medicaid certified nursing home in Rapid City, South Dakota with 65 certified beds. It has been operating since 1991. The facility scored below average compared to South Dakota facilities.

Beds
65
Avg Residents/Day
60
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)
28
Weighted Score
194.0
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
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: 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: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Jun 18, 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: Mar 26, 2025Corrected: NoCycle: 1
F0684Potential for Harm

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

Survey: Mar 26, 2025Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Mar 5, 2025Corrected: NoCycle: 1
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: 1
F0686Actual Harm

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

Survey: Mar 5, 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
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
F0695Potential for Harm

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

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
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
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
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
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0684Actual Harm

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

Survey: Sep 11, 2025Corrected: NoCycle: 1
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
$40,014
Number of Fines
4
Payment Denials
0
Total Penalties
4

Penalty History

FineMar 5, 2025
$7,968
FineJul 10, 2024
$8,018
FineJul 10, 2024
$11,333
FineMay 15, 2024
$12,695

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

Nurse Aide1.97 hrs
National avg: 2.35 hrs
LPN0.57 hrs
National avg: 0.86 hrs
RN0.74 hrs
National avg: 0.68 hrs
Total Nursing3.27 hrs
National avg: 3.89 hrs
Weekend Total2.85 hrs
National avg: 0.00 hrs
Physical Therapist0.05 hrs
National avg: 0.07 hrs
Total Turnover
61.9%
RN Turnover
53.3%
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 (11)

NameRoleTypeOwnership %Since
DOROS GENERATION TRUST U/A/D 1/3/125% OR GREATER DIRECT OWNERSHIP INTERESTOrganization43%Jul 1, 2019
GPN FAM TR UA 042820085% OR GREATER DIRECT OWNERSHIP INTERESTOrganization43%Jul 1, 2019
OAKWAY OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization15%Jul 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, LLC5% OR GREATER SECURITY INTERESTOrganizationN/AJul 1, 2019
TRUIST BANK5% OR GREATER SECURITY INTERESTOrganizationN/AApr 1, 2022

Nearby Nursing Homes

All South Dakota facilities

Clarkson Health Care

Rapid City, SD · 51 beds

Non profit
Health
Staffing
Quality
2694 ft

Avantara Mountain View

Rapid City, SD · 101 beds

For profit$9,318 in fines
Health
Staffing
Quality
1.5 mi

Avantara Saint Cloud

Rapid City, SD · 78 beds

For profit$11,408 in finesAbuse
Health
Staffing
Quality
2.1 mi

Westhills Village Health Care Facility

Rapid City, SD · 44 beds

Non profit
Health
Staffing
Quality
2.6 mi

Fountain Springs Healthcare

Rapid City, SD · 90 beds

For profit$32,276 in fines
Health
Staffing
Quality
3.2 mi

Avantara North

Rapid City, SD · 68 beds

For profit$6,168 in fines
Health
Staffing
Quality
3.4 mi

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.
Has Avantara Arrowhead had any health inspection violations?▾
Avantara Arrowhead had 28 deficiency citations in its most recent health inspection (Sep 11, 2025). The facility has been fined a total of $40,014 across 4 fine(s).
What are the staffing levels at Avantara Arrowhead?▾
Avantara Arrowhead provides 3.27 total nursing staff hours per resident per day, including 0.74 RN hours, 0.57 LPN hours, and 1.97 nurse aide hours. The total staff turnover rate is 61.9%.
How many beds does Avantara Arrowhead have?▾
Avantara Arrowhead has 65 certified beds with an average of 60 residents per day, resulting in approximately 92% 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, there are 7 other nursing homes in Rapid City, South Dakota with an average rating of 2.8/5. You can compare all facilities on the Rapid City nursing homes page.

Part of Legacy Healthcare

This chain operates 90 facilities. View all →