Nursing Homes · Medicare certified
Avantara Arrowhead
2500 Arrowhead Dr · Rapid City, SD 57702 · 68 certified beds
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About Avantara Arrowhead
Avantara Arrowhead is a nursing home in Rapid City, South Dakota. Its capacity is 68 beds, the same as the Pennington County median for nursing homes. It is run by a for-profit operator and is part of Legacy Healthcare. It is Medicare certified. Its public inspection record shows 37 citations, the most recent on December 10, 2025. CMS also lists 7 fines or payment denials against it. Nurse staffing averages 3.39 hours per resident per day. It is one of 8 nursing homes listed in Rapid City. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
2.0Quality measures
1.0CMS Care Compare, October 2026.
Inspection history (37)
Records from March 2023 to December 2025.
December 10, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm.
December 10, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm.
December 10, 2025
Tag F0697Provide safe, appropriate pain management for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm.
November 6, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected December 6, 2025.
September 11, 2025
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 15, 2025.
September 11, 2025
Tag F0697Provide safe, appropriate pain management for a resident who requires such services.
Severity G: isolated, actual harm. Corrected October 15, 2025.
September 11, 2025
Tag F0578Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 15, 2025.
September 11, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected October 15, 2025.
September 11, 2025
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 15, 2025.
September 11, 2025
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 15, 2025.
September 11, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 15, 2025.
September 11, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 15, 2025.
September 11, 2025
Tag F0699Provide care or services that was trauma informed and/or culturally competent.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 15, 2025.
September 11, 2025
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 15, 2025.
September 11, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity G: isolated, actual harm. Corrected October 15, 2025.
September 11, 2025
Tag F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 15, 2025.
September 11, 2025
Tag F0583Keep residents' personal and medical records private and confidential.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 15, 2025.
September 11, 2025
Tag F0645PASARR screening for Mental disorders or Intellectual Disabilities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 15, 2025.
September 11, 2025
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity G: isolated, actual harm. Corrected October 15, 2025.
September 11, 2025
Tag F0554Allow residents to self-administer drugs if determined clinically appropriate.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 15, 2025.
Penalties (7)
Total fines: $105,858
June 22, 2026 · Fine
CMS recorded a civil money penalty of $26,300 against this nursing home on June 22, 2026.
November 6, 2025 · Fine
CMS recorded a civil money penalty of $70,720 against this nursing home on November 6, 2025.
September 11, 2025 · Fine
CMS recorded a civil money penalty of $42,705 against this nursing home on September 11, 2025.
March 5, 2025 · Fine
CMS recorded a civil money penalty of $8,112 against this nursing home on March 5, 2025.
July 10, 2024 · Fine
CMS recorded a civil money penalty of $8,018 against this nursing home on July 10, 2024.
July 10, 2024 · Fine
CMS recorded a civil money penalty of $11,333 against this nursing home on July 10, 2024.
May 15, 2024 · Fine
CMS recorded a civil money penalty of $12,695 against this nursing home on May 15, 2024.
Staffing
3.39 nurse hours per resident per day in Q2 2026, up from 3.24 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Legacy Healthcare, a chain of 96 nursing homes.
Average CMS star ratings across the chain: 3.0 overall, 2.8 for health inspections, 2.7 for staffing, 3.5 for quality measures.
- Parent company: Legacy Healthcare Financial Services LLC
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in South Dakota.
Nearby alternatives
Other licensed providers in Rapid City.
Avantara North
Avantara Saint Cloud
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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