nursing home in Rapid City, SD
Avantara North
1620 North 7th Street, Rapid City, SD 57701 · (605) 343-4958
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★3
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avantara North at a glance
Avantara North is a 68-bed for-profit nursing home in Rapid City, South Dakota (Pennington County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the South Dakota average of 2.9.
Residents receive about 3.1 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 (February 20, 2026) found 2 health citations. The South Dakota average is 6.7.
Federal regulators fined it 2 times in the past three years, totaling $24,108.
Nursing staff turnover is 35.4% 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
- July 1, 1992
- Resident/family council
- Resident
- County
- Pennington County
- CMS Certification Number
- 435064
Ratings
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.9 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.9 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.5 / 5 | 2.9 / 5 | Average |
| 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 |
| 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) | 3.06 hrs | 3.79 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.99 hrs | 0.80 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.86 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.44 hrs | 3.26 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 35.4% | 48.2% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 9.1% | 34.7% | 42.9% | Better |
| 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) | 2 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 34 | 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) | 2 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $24,108 | $40,815 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 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 | 66 | 52 | 86 | |
| Occupancy | 96.6% | 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) | 3.2% | 5.5% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 5.8% | 4.6% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 11.1% | 24.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 6.2% | 2.9% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 3.4% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 31.5% | 21.3% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 27.3% | 19.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 7.8% | 5.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 2.6% | 5.7% | 12.8% | Better |
| 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) | 13.7% | 17.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 14.6% | 25.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 95.2% | 96.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.6% | 94.9% | 93.6% | Average |
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) | 0% | 2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 86.1% | 78.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 74.5% | 83.5% | 82% | Worse |
Inspection citations
State inspectors cited this home for 17 health deficiencies and 2 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 20, 2026 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 April 6, 2026 |
| February 20, 2026 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 April 6, 2026 |
| August 7, 2025 Complaint | 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 September 5, 2025 |
| August 7, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected September 5, 2025 |
| August 7, 2025 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 May 7, 2025 |
| August 7, 2025 Complaint | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected September 5, 2025 |
| August 7, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected September 5, 2025 |
| January 14, 2025 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 | E Potential harm, pattern | Corrected February 10, 2025 |
| January 14, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected February 28, 2025 |
| January 14, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected February 28, 2025 |
| January 14, 2025 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 February 28, 2025 |
| January 14, 2025 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 February 28, 2025 |
| January 14, 2025 Complaint | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected January 13, 2025 |
| October 7, 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 September 29, 2024 |
| October 7, 2024 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 | Corrected September 29, 2024 |
| September 28, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected September 29, 2023 |
| September 28, 2023 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 November 12, 2023 |
| September 28, 2023 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected November 12, 2023 |
| September 28, 2023 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 November 12, 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 2 federal penalties in the past three years, including $24,108 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 7, 2025 | Fine | $17,940 |
| October 7, 2024 | Fine | $6,168 |
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 |
| BOKF,NA Organization | 5% or greater security interest | NOT APPLICABLE | 03/04/2024 |
| 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 | 12/03/2025 |
| LOHRE, CELINA Individual | adp of the snf | NOT APPLICABLE | 08/30/2021 |
| PTACEK, TRAVIS Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| RAJCHENBACH, CHAIM Individual | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| RC NORTH SD PROPERTY HOLDINGS, LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| ROTH & CO, 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 |
| BOKF,NA Organization | operational/managerial control | NOT APPLICABLE | 03/04/2024 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 07/01/2019 |
| LOHRE, CELINA Individual | operational/managerial control | NOT APPLICABLE | 08/30/2021 |
| 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 |
Other nursing homes near Avantara North
Fountain Springs Healthcare
2000 Wesleyan Blvd, Rapid City, SD 57702 · 1 mi
For-profit · 90 beds · Part of Evergreen Healthcare Group
★★★★★3AverageAvantara Mountain View
916 Mountain View Road, Rapid City, SD 57702 · 1.9 mi
For-profit · 101 beds · Part of Legacy Healthcare
★★★★★2Below averageAvantara Saint Cloud
302 St Cloud Street, Rapid City, SD 57701 · 2 mi
For-profit · 78 beds · Part of Legacy Healthcare
★★★★★2Below averageAvantara Arrowhead
2500 Arrowhead Dr, Rapid City, SD 57702 · 3.4 mi
For-profit · 68 beds · Part of Legacy Healthcare
- Abuse citation
★★★★★1Much below averageGood Samaritan Society - St Martin Village
4825 Jericho Way, Rapid City, SD 57702 · 3.5 mi
Non-profit · 60 beds · Part of Good Samaritan Society
★★★★★3AverageWesthills Village Health Care Facility
255 Texas St, Rapid City, SD 57701 · 3.6 mi
Non-profit · 44 beds
★★★★★5Much above average
Frequently asked questions
What is Avantara North's rating?
Avantara North has 3 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 North receive?
Its most recent standard health inspection found 2 citations, compared with a South Dakota average of 6.7. Every citation is listed on this page with its severity.
Does Avantara North 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 North?
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 North and how do I contact it?
Avantara North is at 1620 North 7th Street, Rapid City, SD 57701. Phone: (605) 343-4958.
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.