AVANTARA ARROWHEAD

2500 ARROWHEAD DR, RAPID CITY, SD 57702 · CCN 435051 · 68 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 9 citation(s) in the last three years where CMS determined a resident was actually harmed.

Serious inspection findings

2025-11-06 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-09-11 ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-09-11 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-09-11 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-09-11 ACTUAL HARM (tag F0697, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.
2025-03-05 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-07-10 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-07-10 ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Staffing, from payroll records

Nursing hours / resident / day

2.90

state median 2.96

Weekend staffing gap

−1%

fewer nursing hours on weekends · state median −10%

RN hours / resident / day

0.75

registered nurses only

Contract (agency) staff

29%

share of all nursing hours

Nursing staff turnover

76%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

5 enforcement action(s), totaling $82,863 in fines.

DateTypeAmount
2025-09-11Fine$42,705
2025-03-05Fine$8,112
2024-07-10Fine$8,018
2024-07-10Fine$11,333
2024-05-15Fine$12,695

Ownership

Ownership type: For profit - Limited Liability company. Part of the LEGACY HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 9 · Potential for more than minimal harm: 28

Survey dateTagCategorySeverityCorrected
2025-12-10F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-12-10F0684Quality of Life and Care DeficienciesDnot recorded
2025-12-10F0697Quality of Life and Care DeficienciesDnot recorded
2025-11-06F0689Quality of Life and Care DeficienciesGnot recorded
2025-09-11F0554Resident Rights DeficienciesDnot recorded
2025-09-11F0578Resident Rights DeficienciesDnot recorded
2025-09-11F0583Resident Rights DeficienciesDnot recorded
2025-09-11F0645Resident Assessment and Care Planning DeficienciesDnot recorded
2025-09-11F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2025-09-11F0684Quality of Life and Care DeficienciesGnot recorded
2025-09-11F0686Quality of Life and Care DeficienciesGnot recorded
2025-09-11F0689Quality of Life and Care DeficienciesGnot recorded
2025-09-11F0695Quality of Life and Care DeficienciesEnot recorded
2025-09-11F0697Quality of Life and Care DeficienciesGnot recorded
2025-09-11F0699Quality of Life and Care DeficienciesDnot recorded
2025-09-11F0745Quality of Life and Care DeficienciesDnot recorded
2025-09-11F0759Pharmacy Service DeficienciesEnot recorded
2025-09-11F0812Nutrition and Dietary DeficienciesEnot recorded
2025-09-11F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2025-09-11F0880Infection Control DeficienciesEnot recorded
2025-06-18F0580Resident Rights DeficienciesDnot recorded
2025-06-18F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2025-06-18F0760Pharmacy Service DeficienciesEnot recorded
2025-03-26F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-03-26F0684Quality of Life and Care DeficienciesDnot recorded
2025-03-05F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2025-03-05F0678Quality of Life and Care DeficienciesDnot recorded
2025-03-05F0686Quality of Life and Care DeficienciesGnot recorded
2024-08-06F0689Quality of Life and Care DeficienciesDnot recorded
2024-07-10F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2024-07-10F0686Quality of Life and Care DeficienciesGnot recorded
2024-05-15F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-05-15F0690Quality of Life and Care DeficienciesGnot recorded
2024-05-15F0760Pharmacy Service DeficienciesDnot recorded
2024-05-15F0761Pharmacy Service DeficienciesDnot recorded
2024-05-15F0880Infection Control DeficienciesDnot recorded
2023-03-09F0658Resident Assessment and Care Planning DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “AVANTARA ARROWHEAD, RAPID CITY” at medicare.gov/care-compare.