nursing home in Rapid City, SD
Avantara Saint Cloud
302 St Cloud Street, Rapid City, SD 57701 · (605) 343-4738
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avantara Saint Cloud at a glance
Avantara Saint Cloud is a 78-bed for-profit nursing home in Rapid City, South Dakota (Pennington County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the South Dakota average of 2.9.
Residents receive about 3.1 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (January 27, 2026) found 5 health citations. The South Dakota average is 6.7.
Federal regulators fined it 3 times in the past three years, totaling $39,131.
Nursing staff turnover is 57.3% per year (state average 48.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 78
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Legacy Healthcare
- Medicare-certified since
- May 1, 1991
- Resident/family council
- None
- County
- Pennington County
- CMS Certification Number
- 435060
Ratings
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.9 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 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) | 2 / 5 | 2.6 / 5 | 3.8 / 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) | 3.12 hrs | 3.79 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.52 hrs | 0.80 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.15 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.85 hrs | 3.26 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 57.3% | 48.2% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 77.8% | 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) | 5 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 55 | 72.2 | 80.6 | Better |
Penalties
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $39,131 | $40,815 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
Size
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 78 | 61 | 107 | |
| Average residents per day | 72 | 52 | 86 | |
| Occupancy | 92.6% | 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) | 9.2% | 5.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 0.8% | 4.6% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 56.8% | 24.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 4.8% | 2.9% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 2.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 36.6% | 21.3% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 30.3% | 19.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.8% | 5.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 38% | 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) | 26.2% | 17.4% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 31% | 25.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 82.7% | 96.9% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 67% | 94.9% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 40.7% | 83.5% | 82% | Worse |
Inspection citations
State inspectors cited this home for 17 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 18, 2026 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 | G Actual harm, isolated | Corrected April 14, 2026 |
| March 18, 2026 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 27, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | E Potential harm, pattern | Corrected March 10, 2026 |
| January 27, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 10, 2026 |
| January 27, 2026 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 | E Potential harm, pattern | Corrected March 10, 2026 |
| January 27, 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 March 10, 2026 |
| August 13, 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 | G Actual harm, isolated | Corrected August 5, 2025 |
| July 2, 2025 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | E Potential harm, pattern | Corrected August 12, 2025 |
| March 27, 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 26, 2025 |
| November 7, 2024 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | C No harm, widespread | Corrected December 22, 2024 |
| November 7, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | B No harm, pattern | Corrected December 22, 2024 |
| November 7, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected December 22, 2024 |
| November 7, 2024 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 | F Potential harm, widespread | Corrected December 22, 2024 |
| November 7, 2024 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | E Potential harm, pattern | Corrected December 22, 2024 |
| November 7, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected December 22, 2024 |
| November 7, 2024 Standard | 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 December 22, 2024 |
| November 7, 2024 Standard | 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 December 22, 2024 |
| October 26, 2023 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 November 22, 2023 |
| October 26, 2023 Standard | 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 November 22, 2023 |
| October 26, 2023 Standard | 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. Quality of Life and Care Deficiencies · Tag F0742 | D Potential harm, isolated | Corrected November 22, 2023 |
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 3 federal penalties in the past three years, including $39,131 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 18, 2026 | Fine | $14,380 |
| August 13, 2025 | Fine | $13,343 |
| October 26, 2023 | Fine | $11,408 |
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 |
| SAINT CLOUD 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 |
| ALTENA, ASHALEY Individual | adp of the snf | NOT APPLICABLE | 10/08/2023 |
| 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 | 07/01/2019 |
| 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 |
| SAINT CLOUD SD PROPERTY HOLDINGS, LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| 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 |
| ALTENA, ASHALEY Individual | operational/managerial control | NOT APPLICABLE | 10/08/2023 |
| 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 Saint Cloud
Avantara Mountain View
916 Mountain View Road, Rapid City, SD 57702 · 1.1 mi
For-profit · 101 beds · Part of Legacy Healthcare
★★★★★2Below averageWesthills Village Health Care Facility
255 Texas St, Rapid City, SD 57701 · 1.6 mi
Non-profit · 44 beds
★★★★★5Much above averageAvantara North
1620 North 7th Street, Rapid City, SD 57701 · 2 mi
For-profit · 68 beds · Part of Legacy Healthcare
★★★★★3AverageAvantara Arrowhead
2500 Arrowhead Dr, Rapid City, SD 57702 · 2.1 mi
For-profit · 68 beds · Part of Legacy Healthcare
- Abuse citation
★★★★★1Much below averageFountain Springs Healthcare
2000 Wesleyan Blvd, Rapid City, SD 57702 · 2.5 mi
For-profit · 90 beds · Part of Evergreen Healthcare Group
★★★★★3Average- ★★★★★5Much above average
Frequently asked questions
What is Avantara Saint Cloud's rating?
Avantara Saint Cloud has 2 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 Saint Cloud receive?
Its most recent standard health inspection found 5 citations, compared with a South Dakota average of 6.7. Every citation is listed on this page with its severity.
Does Avantara Saint Cloud 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 Saint Cloud?
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 Saint Cloud and how do I contact it?
Avantara Saint Cloud is at 302 St Cloud Street, Rapid City, SD 57701. Phone: (605) 343-4738.
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.