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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 Saint Cloud

Avantara Saint Cloud

302 St Cloud Street, Rapid City, SD 577016053434738
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
1/5
Quality
1/5
Beds
78
certified
This facility has been flagged for abuse.
1 fine(s) totaling $11,408

Key Findings

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

• Has 78 certified beds with an average of 74.1 residents per day (95% occupancy)

• Last health inspection found 9 deficiencies (inspected Nov 7, 2024)

• Has been fined a total of $11,408 across 1 fine(s)

• Total nursing staff: 3.07 hours per resident per day

• Staff turnover rate: 53.4% (high)

• Part of the Legacy Healthcare chain (90 facilities)

Avantara Saint Cloud is a 1-star Medicare and Medicaid certified nursing home in Rapid City, South Dakota with 78 certified beds. It has been operating since 1991. The facility scored below average compared to South Dakota facilities.

Beds
78
Avg Residents/Day
74.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
May 1, 1991
Sprinklers
Yes
Council
None
County
Pennington
Last Inspection
Nov 7, 2024
Deficiencies (Cycle 1)
9
Weighted Score
74.0
Infection Citations
0

Deficiency Citations (18)

F0600Actual Harm

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

Survey: Aug 13, 2025Corrected: NoCycle: 1
F0732Potential for Harm

Post nurse staffing information every day.

Survey: Jul 2, 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 27, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Nov 7, 2024Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Nov 7, 2024Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Nov 7, 2024Corrected: NoCycle: 1
F0684Potential for Harm

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

Survey: Nov 7, 2024Corrected: 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: Nov 7, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 7, 2024Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Oct 26, 2023Corrected: NoCycle: 2
F0686Actual Harm

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

Survey: Oct 26, 2023Corrected: NoCycle: 2
F0742Potential for Harm

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Survey: Oct 26, 2023Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Aug 31, 2022Corrected: NoCycle: 3
F0584Potential for Harm

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.

Survey: Aug 31, 2022Corrected: NoCycle: 3
F0689Potential for Harm

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

Survey: Aug 31, 2022Corrected: NoCycle: 3
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Aug 31, 2022Corrected: NoCycle: 3
F0849Potential for Harm

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Survey: Aug 31, 2022Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 31, 2022Corrected: NoCycle: 3
Total Fines
$11,408
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineOct 26, 2023
$11,408

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

Nurse Aide2.17 hrs
National avg: 2.35 hrs
LPN0.44 hrs
National avg: 0.86 hrs
RN0.47 hrs
National avg: 0.68 hrs
Total Nursing3.07 hrs
National avg: 3.89 hrs
Weekend Total2.78 hrs
National avg: 0.00 hrs
Physical Therapist0.05 hrs
National avg: 0.07 hrs
Total Turnover
53.4%
RN Turnover
66.7%
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 (10)

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
TRUIST BANKOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2022
ALTENA, ASHALEYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 8, 2023
PTACEK, TRAVISOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2025
RAJCHENBACH, CHAIMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2019
SHABAT, MENACHEMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2019
SAINT CLOUD 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

Avantara Mountain View

Rapid City, SD · 101 beds

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

Westhills Village Health Care Facility

Rapid City, SD · 44 beds

Non profit
Health
Staffing
Quality
1.6 mi

Avantara North

Rapid City, SD · 68 beds

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

Avantara Arrowhead

Rapid City, SD · 65 beds

For profit$40,014 in finesAbuse
Health
Staffing
Quality
2.1 mi

Fountain Springs Healthcare

Rapid City, SD · 90 beds

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

Clarkson Health Care

Rapid City, SD · 51 beds

Non profit
Health
Staffing
Quality
2.6 mi

Frequently Asked Questions

What is the CMS rating for Avantara Saint Cloud?▾
Avantara Saint Cloud has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 1/5. This facility is rated below average.
Has Avantara Saint Cloud had any health inspection violations?▾
Avantara Saint Cloud had 9 deficiency citations in its most recent health inspection (Nov 7, 2024). The facility has been fined a total of $11,408 across 1 fine(s).
What are the staffing levels at Avantara Saint Cloud?▾
Avantara Saint Cloud provides 3.07 total nursing staff hours per resident per day, including 0.47 RN hours, 0.44 LPN hours, and 2.17 nurse aide hours. The total staff turnover rate is 53.4%.
How many beds does Avantara Saint Cloud have?▾
Avantara Saint Cloud has 78 certified beds with an average of 74.1 residents per day, resulting in approximately 95% 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 Saint Cloud?▾
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 →