nursing home in Rapid City, SD
Avantara Arrowhead
2500 Arrowhead Dr, Rapid City, SD 57702 · (605) 348-0285
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★2
- Quality measures★★★★★2
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avantara Arrowhead at a glance
Avantara Arrowhead is a 68-bed for-profit nursing home in Rapid City, South Dakota (Pennington County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the South Dakota average of 2.9.
Residents receive about 3.5 hours of nursing care per day (1 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (June 22, 2026) found 13 health citations. The South Dakota average is 6.7.
Federal regulators fined it 6 times in the past three years, totaling $153,583.
Nursing staff turnover is 76.1% per year (state average 48.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 68
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Legacy Healthcare
- Medicare-certified since
- January 1, 1991
- Resident/family council
- Both
- County
- Pennington County
- CMS Certification Number
- 435051
Ratings
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.6 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.52 hrs | 3.79 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.98 hrs | 0.80 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.23 hrs | 2.52 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.27 hrs | 3.26 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 76.1% | 48.2% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 75% | 34.7% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 13 | 7 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 9 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 145 | 72.2 | 80.6 | Worse |
Penalties
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 6 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $153,583 | $40,815 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 6 | 2 | 1 | Worse |
Size
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 68 | 61 | 107 | |
| Average residents per day | 59 | 52 | 86 | |
| Occupancy | 87.2% | 85.2% | 80.9% |
Long-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.6% | 5.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.5% | 4.6% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 30.2% | 24.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 7.6% | 2.9% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.4% | 2.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 28.8% | 21.3% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 34.8% | 19.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 8.5% | 5.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 19.2% | 5.7% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 21.8% | 17.4% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 34% | 25.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 90.3% | 96.9% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 81.6% | 94.9% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 7.1% | 2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 48.5% | 78.2% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 46.7% | 83.5% | 82% | Worse |
Inspection citations
State inspectors cited this home for 45 health deficiencies and 1 fire safety deficiency in the inspection records CMS currently publishes. 10 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 22, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected March 27, 2026 |
| June 22, 2026 Complaint | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | F Potential harm, widespread | Corrected August 4, 2026 |
| June 22, 2026 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected June 15, 2026 |
| June 22, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 4, 2026 |
| June 22, 2026 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | E Potential harm, pattern | Corrected August 4, 2026 |
| June 22, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | E Potential harm, pattern | Corrected April 19, 2026 |
| June 22, 2026 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected August 4, 2026 |
| June 22, 2026 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected June 12, 2026 |
| June 22, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected August 4, 2026 |
| December 10, 2025 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Past Non-Compliance |
| December 10, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Past Non-Compliance |
| December 10, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Past Non-Compliance |
| November 6, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected December 6, 2025 |
| September 11, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected October 15, 2025 |
| September 11, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected October 15, 2025 |
| September 11, 2025 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | G Actual harm, isolated | Corrected October 15, 2025 |
| September 11, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected October 15, 2025 |
| September 11, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected October 15, 2025 |
| September 11, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected October 15, 2025 |
| September 11, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected October 15, 2025 |
| September 11, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected October 15, 2025 |
| September 11, 2025 Standard | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Tag F0745 | D Potential harm, isolated | Corrected October 15, 2025 |
| September 11, 2025 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected October 15, 2025 |
| September 11, 2025 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected October 15, 2025 |
| September 11, 2025 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected October 15, 2025 |
| September 11, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected October 15, 2025 |
| September 11, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected October 15, 2025 |
| September 11, 2025 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected October 15, 2025 |
| September 11, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected October 15, 2025 |
| June 18, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | E Potential harm, pattern | Corrected July 18, 2025 |
| June 18, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected July 18, 2025 |
| June 18, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected July 18, 2025 |
| March 26, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 30, 2025 |
| March 26, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected March 25, 2025 |
| March 5, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected March 4, 2025 |
| March 5, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected March 4, 2025 |
| March 5, 2025 Complaint | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | D Potential harm, isolated | Corrected March 4, 2025 |
| August 6, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 22, 2024 |
| July 10, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected June 21, 2024 |
| July 10, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected August 3, 2024 |
| May 15, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected June 11, 2024 |
| May 15, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | G Actual harm, isolated | Corrected June 13, 2024 |
| May 15, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 13, 2024 |
| May 15, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected June 13, 2024 |
| May 15, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 13, 2024 |
| May 15, 2024 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected June 13, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 6 federal penalties in the past three years, including $153,583 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 6, 2025 | Fine | $70,720 |
| September 11, 2025 | Fine | $42,705 |
| March 5, 2025 | Fine | $8,112 |
| July 10, 2024 | Fine | $11,333 |
| July 10, 2024 | Fine | $8,018 |
| May 15, 2024 | Fine | $12,695 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 Organization | 5% or greater direct ownership interest | 43% | 07/01/2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 Organization | 5% or greater direct ownership interest | 43% | 07/01/2019 |
| OAKWAY OPERATIONS LLC Organization | 5% or greater direct ownership interest | 15% | 07/01/2019 |
| ARROWHEAD SD PROPERTY HOLDINGS, LLC Organization | 5% or greater security interest | NOT APPLICABLE | 07/01/2019 |
| TRUIST BANK Organization | 5% or greater security interest | NOT APPLICABLE | 04/01/2022 |
| ARROWHEAD SD PROPERTY HOLDINGS, LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| DOROS GENERATION TRUST U/A/D 1/3/12 Organization | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 Organization | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 11/10/2025 |
| MARTIN, SHARON Individual | adp of the snf | NOT APPLICABLE | 04/09/2023 |
| PTACEK, TRAVIS Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| RAJCHENBACH, CHAIM Individual | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| RSM US LLP Organization | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| SHABAT, MENACHEM Individual | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| RAJCHENBACH, CHAIM Individual | managing control - governing body | NOT APPLICABLE | 07/01/2019 |
| SHABAT, MENACHEM Individual | managing control - governing body | NOT APPLICABLE | 07/01/2019 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 07/01/2019 |
| MARTIN, SHARON Individual | operational/managerial control | NOT APPLICABLE | 04/09/2023 |
| PTACEK, TRAVIS Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| RAJCHENBACH, CHAIM Individual | operational/managerial control | NOT APPLICABLE | 07/01/2019 |
| SHABAT, MENACHEM Individual | operational/managerial control | NOT APPLICABLE | 07/01/2019 |
| TRUIST BANK Organization | operational/managerial control | NOT APPLICABLE | 04/01/2022 |
Other nursing homes near Avantara Arrowhead
- ★★★★★5Much above average
Avantara Mountain View
916 Mountain View Road, Rapid City, SD 57702 · 1.5 mi
For-profit · 101 beds · Part of Legacy Healthcare
★★★★★2Below averageAvantara Saint Cloud
302 St Cloud Street, Rapid City, SD 57701 · 2.1 mi
For-profit · 78 beds · Part of Legacy Healthcare
★★★★★2Below averageWesthills Village Health Care Facility
255 Texas St, Rapid City, SD 57701 · 2.6 mi
Non-profit · 44 beds
★★★★★5Much above averageFountain Springs Healthcare
2000 Wesleyan Blvd, Rapid City, SD 57702 · 3.2 mi
For-profit · 90 beds · Part of Evergreen Healthcare Group
★★★★★3AverageAvantara North
1620 North 7th Street, Rapid City, SD 57701 · 3.4 mi
For-profit · 68 beds · Part of Legacy Healthcare
★★★★★3Average
Frequently asked questions
What is Avantara Arrowhead's rating?
Avantara Arrowhead has 1 out of 5 stars on the CMS overall star rating. The average for South Dakota nursing homes is 2.9 stars.
How many inspection citations did Avantara Arrowhead receive?
Its most recent standard health inspection found 13 citations, compared with a South Dakota average of 6.7. Every citation is listed on this page with its severity.
Does Avantara Arrowhead accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Avantara Arrowhead?
It is for profit - limited liability company and part of Legacy Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Avantara Arrowhead and how do I contact it?
Avantara Arrowhead is at 2500 Arrowhead Dr, Rapid City, SD 57702. Phone: (605) 348-0285.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.