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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)

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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.

  • June 18, 2025 · E

    Citation F0760

    Federal surveyors cited this nursing home on 2025-06-18 under CMS tag F0760 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2025-07-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-18.GOV

  • June 18, 2025 · E

    Citation F0600

    Federal surveyors cited this nursing home on 2025-06-18 under CMS tag F0600 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2025-07-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-18.GOV

  • June 18, 2025 · D

    Citation F0580

    Federal surveyors cited this nursing home on 2025-06-18 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2025-07-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-18.GOV

  • March 26, 2025 · D

    Citation F0684

    Federal surveyors cited this nursing home on 2025-03-26 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. The deficiency was recorded as corrected on 2025-04-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-26.GOV

  • March 26, 2025 · D

    Citation F0600

    Federal surveyors cited this nursing home on 2025-03-26 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2025-03-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-26.GOV

  • March 5, 2025 · D

    Citation F0658

    Federal surveyors cited this nursing home on 2025-03-05 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-03-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

  • March 5, 2025 · G

    Citation F0686

    Federal surveyors cited this nursing home on 2025-03-05 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 2025-03-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

  • March 5, 2025 · D

    Citation F0678

    Federal surveyors cited this nursing home on 2025-03-05 under CMS tag F0678 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. The deficiency was recorded as corrected on 2025-03-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

  • August 6, 2024 · D

    Citation F0689

    Federal surveyors cited this nursing home on 2024-08-06 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal 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 2024-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-06.GOV

  • July 10, 2024 · G

    Citation F0600

    Federal surveyors cited this nursing home on 2024-07-10 under CMS tag F0600 (CMS scope/severity G: isolated, actual harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2024-08-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

  • July 10, 2024 · G

    Citation F0686

    Federal surveyors cited this nursing home on 2024-07-10 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 2024-06-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

  • May 15, 2024 · G

    Citation F0690

    Federal surveyors cited this nursing home on 2024-05-15 under CMS tag F0690 (CMS scope/severity G: isolated, actual harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2024-06-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

  • May 15, 2024 · D

    Citation F0761

    Federal surveyors cited this nursing home on 2024-05-15 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. The deficiency was recorded as corrected on 2024-06-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

  • May 15, 2024 · D

    Citation F0760

    Federal surveyors cited this nursing home on 2024-05-15 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2024-06-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

  • May 15, 2024 · D

    Citation F0880

    Federal surveyors cited this nursing home on 2024-05-15 under CMS tag F0880 (CMS scope/severity D: isolated, 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 2024-06-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

  • May 15, 2024 · D

    Citation F0658

    Federal surveyors cited this nursing home on 2024-05-15 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2024-06-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

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

  • March 9, 2023 · D

    Citation F0658

    Federal surveyors cited this nursing home on 2023-03-09 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2023-04-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-09.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
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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

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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.

Avantara Arrowhead in Rapid City, SD · Inspections page 2 · ElderCareCosts