Avantara Arrowhead
Cost data not yet available
Nursing Homes · Medicare certified
302 St Cloud Street · Rapid City, SD 57701 · 78 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1770149833. Look this up in the CMS NPPES registry (opens in a new tab)
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In Rapid City, South Dakota, Avantara Saint Cloud is listed as a nursing home. Public records list 78 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 18 March 2026. CMS also lists 2 fine or payment denial actions against it. Reported staffing works out to 3.12 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
1.0Quality-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
1.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
14
Staffing rating
1.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
14
Records from October 2023 to March 2026.
March 18, 2026 · D
Citation F0726Federal surveyors cited this nursing home on 2026-03-18 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 2026-03-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 18, 2026 · G
Citation F0580Federal surveyors cited this nursing home on 2026-03-18 under CMS tag F0580 (CMS scope/severity G: isolated, actual 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 2026-04-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 27, 2026 · E
Citation F0880Federal surveyors cited this nursing home on 2026-01-27 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 2026-03-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 27, 2026 · E
Citation F0761Federal surveyors cited this nursing home on 2026-01-27 under CMS tag F0761 (CMS scope/severity E: pattern, 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 2026-03-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 27, 2026 · D
Citation F0695Federal surveyors cited this nursing home on 2026-01-27 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 2026-03-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 13, 2025 · G
Citation F0600Federal surveyors cited this nursing home on 2025-08-13 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 2025-08-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 2, 2025 · E
Citation F0732Federal surveyors cited this nursing home on 2025-07-02 under CMS tag F0732 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2025-08-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 27, 2025 · D
Citation F0600Federal surveyors cited this nursing home on 2025-03-27 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 2025-03-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 7, 2024 · E
Citation F0584Federal surveyors cited this nursing home on 2024-11-07 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. The deficiency was recorded as corrected on 2024-12-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 7, 2024 · F
Citation F0880Federal surveyors cited this nursing home on 2024-11-07 under CMS tag F0880 (CMS scope/severity F: widespread, 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 2024-12-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 7, 2024 · D
Citation F0684Federal surveyors cited this nursing home on 2024-11-07 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 2024-12-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 7, 2024 · E
Citation F0583Federal surveyors cited this nursing home on 2024-11-07 under CMS tag F0583 (CMS scope/severity E: pattern, 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 2024-12-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 7, 2024 · D
Citation F0550Federal surveyors cited this nursing home on 2024-11-07 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 2024-12-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 7, 2024 · F
Citation F0812Federal surveyors cited this nursing home on 2024-11-07 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 2024-12-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 26, 2023 · D
Citation F0742Federal surveyors cited this nursing home on 2023-10-26 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 2023-11-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 26, 2023 · G
Citation F0686Federal surveyors cited this nursing home on 2023-10-26 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 2023-11-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 26, 2023 · E
Citation F0658Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0658 (CMS scope/severity E: pattern, 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 2023-11-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $24,751
August 13, 2025 · Fine
Citation FINE-138084CMS recorded a civil money penalty of $13,343 against this nursing home on 2025-08-13 (Fine ID: 138084). Source: CMS Care Compare Penalties (as of 2026-07-01).
October 26, 2023 · Fine
Citation FINE-100159CMS recorded a civil money penalty of $11,408 against this nursing home on 2023-10-26 (Fine ID: 100159). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 3.12 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is lower than 2025Q4 (-0.23 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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