Avantara Arrowhead
Cost data not yet available
Nursing Homes · Medicare certified
1620 North 7th Street · Rapid City, SD 57701 · 68 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1427614585. Look this up in the CMS NPPES registry (opens in a new tab)
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Avantara North is a nursing home in Rapid City, South Dakota. Public records list 68 beds. It is Medicare certified. Ownership records list a for-profit operator and tie the listing to Legacy Healthcare. We hold 17 inspection citations for this listing, the most recent dated 20 February 2026. CMS also lists 2 fine or payment denial actions against it. Reported staffing works out to 3.06 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.
CMS Care Compare · Source data August 2026
Staffing rating
3.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
14
Staffing rating
3.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
14
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
3.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
14
Records from September 2023 to February 2026.
February 20, 2026 · E
Citation F0695Federal surveyors cited this nursing home on 2026-02-20 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 2026-04-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 20, 2026 · D
Citation F0658Federal surveyors cited this nursing home on 2026-02-20 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 2026-04-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 7, 2025 · D
Citation F0726Federal surveyors cited this nursing home on 2025-08-07 under CMS tag F0726 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. The deficiency was recorded as corrected on 2025-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 7, 2025 · G
Citation F0690Federal surveyors cited this nursing home on 2025-08-07 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 2025-09-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 7, 2025 · E
Citation F0880Federal surveyors cited this nursing home on 2025-08-07 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 2025-09-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 7, 2025 · D
Citation F0628Federal surveyors cited this nursing home on 2025-08-07 under CMS tag F0628 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. The deficiency was recorded as corrected on 2025-09-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 7, 2025 · D
Citation F0695Federal surveyors cited this nursing home on 2025-08-07 under CMS tag F0695 (CMS scope/severity D: isolated, 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 2025-09-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · F
Citation F0804Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0804 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The deficiency was recorded as corrected on 2025-02-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · E
Citation F0880Federal surveyors cited this nursing home on 2025-01-14 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 2025-02-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · D
Citation F0550Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2025-02-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · D
Citation F0604Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0604 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. The deficiency was recorded as corrected on 2025-01-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 14, 2025 · D
Citation F0742Federal surveyors cited this nursing home on 2025-01-14 under CMS tag F0742 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-02-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 7, 2024 · D
Citation F0609Federal surveyors cited this nursing home on 2024-10-07 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. The deficiency was recorded as corrected on 2024-09-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 7, 2024 · G
Citation F0600Federal surveyors cited this nursing home on 2024-10-07 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 2024-09-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 28, 2023 · F
Citation F0812Federal surveyors cited this nursing home on 2023-09-28 under CMS tag F0812 (CMS scope/severity F: widespread, 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 2023-11-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 28, 2023 · D
Citation F0657Federal surveyors cited this nursing home on 2023-09-28 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 2023-11-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 28, 2023 · D
Citation F0693Federal surveyors cited this nursing home on 2023-09-28 under CMS tag F0693 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. The deficiency was recorded as corrected on 2023-11-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $33,768
August 7, 2025 · Fine
Citation FINE-138082CMS recorded a civil money penalty of $17,940 against this nursing home on 2025-08-07 (Fine ID: 138082). Source: CMS Care Compare Penalties (as of 2026-07-01).
October 7, 2024 · Fine
Citation FINE-100241CMS recorded a civil money penalty of $6,168 against this nursing home on 2024-10-07 (Fine ID: 100241). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 3.06 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is higher than 2025Q4 (+0.10 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
For profit
CMS Care Compare chain: Legacy Healthcare
Chain ID 306 · 89 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Legacy Healthcare Financial Services LLC
parent · PAC 5799046132
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
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.
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/moOther licensed providers in Rapid City, with their own public records.
Cost data not yet available
Cost data not yet available
Cost data not yet available
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.
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