Skip to content
ElderCareCosts
SOURCE DATA AUG 2026

Nursing Homes · Medicare certified

Avantara Arrowhead

2500 Arrowhead Dr · Rapid City, SD 57702 · 68 certified beds

6053480285

License number not yet on file. We only publish license numbers we can source from an official registry.

NPI 1881250397. Look this up in the CMS NPPES registry (opens in a new tab)

Are you the operator? Claim this profile. Corrections are free, always.

About Avantara Arrowhead

In Rapid City, South Dakota, Avantara Arrowhead is listed as a nursing home. Its reported capacity is 68 beds. Federal records list it as Medicare certified. It is recorded as a for-profit operator, part of Legacy Healthcare. Our copy of the inspection record holds 37 citations, the newest dated 10 December 2025. Federal enforcement records add 6 fine or payment denial actions. Staffing reports put it at 3.52 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.

Public record

CMS Care Compare · Source data August 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

2.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

36

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

2.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

36

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

2.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

40

Inspection history (37)

Records from March 2023 to December 2025.

  • December 10, 2025 · D

    Citation F0609

    Federal surveyors cited this nursing home on 2025-12-10 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-10.GOV

  • December 10, 2025 · D

    Citation F0697

    Federal surveyors cited this nursing home on 2025-12-10 under CMS tag F0697 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate pain management for a resident who requires such services. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-10.GOV

  • December 10, 2025 · D

    Citation F0684

    Federal surveyors cited this nursing home on 2025-12-10 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-10.GOV

  • November 6, 2025 · G

    Citation F0689

    Federal surveyors cited this nursing home on 2025-11-06 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-11-06.GOV

  • September 11, 2025 · D

    Citation F0554

    Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOV

  • September 11, 2025 · D

    Citation F0657

    Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOV

  • September 11, 2025 · G

    Citation F0697

    Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0697 (CMS scope/severity G: isolated, actual harm) for Provide safe, appropriate pain management for a resident who requires such services. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOV

  • September 11, 2025 · D

    Citation F0745

    Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0745 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide medically-related social services to help each resident achieve the highest possible quality of life. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOV

  • September 11, 2025 · G

    Citation F0689

    Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOV

  • September 11, 2025 · E

    Citation F0695

    Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0695 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOV

  • September 11, 2025 · E

    Citation F0759

    Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0759 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOV

  • September 11, 2025 · E

    Citation F0880

    Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOV

  • September 11, 2025 · D

    Citation F0842

    Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOV

  • September 11, 2025 · D

    Citation F0645

    Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0645 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for PASARR screening for Mental disorders or Intellectual Disabilities. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOV

  • September 11, 2025 · G

    Citation F0686

    Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0686 (CMS scope/severity G: isolated, actual harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOV

  • September 11, 2025 · D

    Citation F0699

    Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0699 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care or services that was trauma informed and/or culturally competent. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOV

  • September 11, 2025 · D

    Citation F0578

    Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOV

  • September 11, 2025 · D

    Citation F0583

    Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0583 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Keep residents' personal and medical records private and confidential. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOV

  • September 11, 2025 · G

    Citation F0684

    Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0684 (CMS scope/severity G: isolated, actual harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOV

  • September 11, 2025 · E

    Citation F0812

    Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-10-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOV

Penalties (6)

Total fines on file: $105,858

  • November 6, 2025 · Fine

    Citation FINE-140991

    CMS recorded a civil money penalty of $70,720 against this nursing home on 2025-11-06 (Fine ID: 140991). Source: CMS Care Compare Penalties (as of 2026-08-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-11-06.GOV

  • September 11, 2025 · Fine

    Citation FINE-138094

    CMS recorded a civil money penalty of $42,705 against this nursing home on 2025-09-11 (Fine ID: 138094). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOV

  • March 5, 2025 · Fine

    Citation FINE-100278

    CMS recorded a civil money penalty of $8,112 against this nursing home on 2025-03-05 (Fine ID: 100278). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-05.GOV

  • July 10, 2024 · Fine

    Citation FINE-100220

    CMS recorded a civil money penalty of $8,018 against this nursing home on 2024-07-10 (Fine ID: 100220). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-10.GOV

  • July 10, 2024 · Fine

    Citation FINE-100219

    CMS recorded a civil money penalty of $11,333 against this nursing home on 2024-07-10 (Fine ID: 100219). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-10.GOV

  • May 15, 2024 · Fine

    Citation FINE-100212

    CMS recorded a civil money penalty of $12,695 against this nursing home on 2024-05-15 (Fine ID: 100212). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-15.GOV

Staffing

Latest: 3.52 nurse staffing hours per resident per day (2026Q1)

Staffing trend (5 periods)

  1. 2025Q43.24 hrs/resident/day
  2. 2026-06-013.24 hrs/resident/day
  3. 2026-07-013.52 hrs/resident/day
  4. 2026-08-013.52 hrs/resident/day
  5. 2026Q13.52 hrs/resident/day

Most recent period is higher than 2025Q4 (+0.29 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit

CMS Care Compare chain: Legacy Healthcare

Chain ID 306 · 89 facilities in chain (CMS)

  • Chain average overall rating: 2.9
  • Chain average health inspection rating: 2.8
  • Chain average staffing rating: 2.5
  • Chain average quality measure rating: 3.3

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

  1. Parent organization: Legacy Healthcare Financial Services LLC

    parent · PAC 5799046132

Recent changes to this listing

Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.

Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

  1. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  2. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

  3. Aug 6, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  4. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

  5. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth CareScout Cost of Care Survey · 2025

This provider doesn't publish a specific price to us. Below is the typical SD range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · SD$9,444/mo
See full SD cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in Rapid City, with their own public records.

Compare side by side
Compare side by side
Compare side by side

A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

Check availability and pricing at Avantara Arrowhead

Request info and we'll pass it directly to Avantara Arrowhead, or call them at 6053480285 if you'd rather talk now.

Request info

Trust & methodology

Where this information came from

Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.

CMS nursing homes (provider info)as of August 2026
Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
CMS nursing homes (ownership)as of July 2026
Ownership type, Parent organization
CMS enrollmentas of July 2026
NPI
CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day

Read how we handle every file on the data sources page.