Nursing Homes · Rapid City, SD
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.
June 18, 2025
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 18, 2025.
June 18, 2025
Tag F0760Ensure that residents are free from significant medication errors.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 18, 2025.
June 18, 2025
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 18, 2025.
March 26, 2025
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 25, 2025.
March 26, 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. Corrected April 30, 2025.
March 5, 2025
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity G: isolated, actual harm. Corrected March 4, 2025.
March 5, 2025
Tag F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.
March 5, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 4, 2025.
August 6, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 22, 2024.
July 10, 2024
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity G: isolated, actual harm. Corrected August 3, 2024.
July 10, 2024
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity G: isolated, actual harm. Corrected June 21, 2024.
May 15, 2024
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 13, 2024.
May 15, 2024
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 13, 2024.
May 15, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 13, 2024.
May 15, 2024
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity G: isolated, actual harm. Corrected June 13, 2024.
May 15, 2024
Tag F0761Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 13, 2024.
March 9, 2023
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 11, 2023.
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.
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Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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