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Nursing Homes · Medicare certified

Avantara Saint Cloud

302 St Cloud Street · Rapid City, SD 57701 · 78 certified beds

(605) 343-4738

NPI 1770149833 (opens in a new tab)

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About Avantara Saint Cloud

Avantara Saint Cloud is a nursing home in Rapid City, South Dakota. Its capacity is 78 beds, above the Pennington County median of 68 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 17 citations, the most recent on March 18, 2026. CMS also lists 3 fines or payment denials against it. Nurse staffing averages 3.31 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

1.0

Staffing

1.0

Quality measures

1.0

CMS Care Compare, October 2026.

Inspection history (17)

Records from October 2023 to March 2026.

  • March 18, 2026

    Tag F0580

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Severity G: isolated, actual harm. Corrected April 14, 2026.

  • March 18, 2026

    Tag F0726

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 6, 2026.

  • January 27, 2026

    Tag F0761

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 10, 2026.

  • January 27, 2026

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 10, 2026.

  • January 27, 2026

    Tag F0695

    Provide safe and appropriate respiratory care for a resident when needed.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 10, 2026.

  • August 13, 2025

    Tag F0600

    Protect 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 5, 2025.

  • July 2, 2025

    Tag F0732

    Post nurse staffing information every day.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 12, 2025.

  • March 27, 2025

    Tag F0600

    Protect 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 26, 2025.

  • November 7, 2024

    Tag F0584

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 22, 2024.

  • November 7, 2024

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 22, 2024.

  • November 7, 2024

    Tag F0684

    Provide 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 December 22, 2024.

  • November 7, 2024

    Tag F0583

    Keep residents' personal and medical records private and confidential.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 22, 2024.

  • November 7, 2024

    Tag F0550

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 22, 2024.

  • November 7, 2024

    Tag F0812

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 22, 2024.

  • October 26, 2023

    Tag F0742

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 22, 2023.

  • October 26, 2023

    Tag F0658

    Ensure services provided by the nursing facility meet professional standards of quality.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 22, 2023.

  • October 26, 2023

    Tag F0686

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Severity G: isolated, actual harm. Corrected November 22, 2023.

See the source data on data.cms.gov (opens in a new tab)

Penalties (3)

Total fines: $24,751

  • March 18, 2026 · Fine

    CMS recorded a civil money penalty of $14,380 against this nursing home on March 18, 2026.

  • August 13, 2025 · Fine

    CMS recorded a civil money penalty of $13,343 against this nursing home on August 13, 2025.

  • October 26, 2023 · Fine

    CMS recorded a civil money penalty of $11,408 against this nursing home on October 26, 2023.

See the source data on data.cms.gov (opens in a new tab)

Staffing

3.31 nurse hours per resident per day in Q2 2026, about the same as 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.

Nursing Homes

South Dakota median$9,444/mo

Nearby alternatives

Other licensed providers in Rapid City.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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Avantara Saint Cloud in Rapid City, SD · ElderCareCosts