AVANTARA SAINT CLOUD

302 ST CLOUD STREET, RAPID CITY, SD 57701 · CCN 435060 · 78 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections2 of 5CMS staffing1 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 2 citation(s) in the last three years where CMS determined a resident was actually harmed.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

Serious inspection findings

2026-03-18 ACTUAL HARM (tag F0580, severity G)
Resident Rights Deficiencies · correction not recorded in CMS data
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2025-08-13 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.
2023-10-26 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.

Staffing, from payroll records

Nursing hours / resident / day

2.72

state median 2.96

Weekend staffing gap

−1%

fewer nursing hours on weekends · state median −10%

RN hours / resident / day

0.33

registered nurses only

Contract (agency) staff

20%

share of all nursing hours

Days with zero RN hours reported

1

with residents present

Nursing staff turnover

57%

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

2 enforcement action(s), totaling $24,751 in fines.

DateTypeAmount
2025-08-13Fine$13,343
2023-10-26Fine$11,408

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: 3 · Potential for more than minimal harm: 14

Survey dateTagCategorySeverityCorrected
2026-03-18F0580Resident Rights DeficienciesGnot recorded
2026-03-18F0726Nursing and Physician Services DeficienciesDnot recorded
2026-01-27F0695Quality of Life and Care DeficienciesDnot recorded
2026-01-27F0761Pharmacy Service DeficienciesEnot recorded
2026-01-27F0880Infection Control DeficienciesEnot recorded
2025-08-13F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2025-07-02F0732Nursing and Physician Services DeficienciesEnot recorded
2025-03-27F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-11-07F0550Resident Rights DeficienciesDnot recorded
2024-11-07F0583Resident Rights DeficienciesEnot recorded
2024-11-07F0584Resident Rights DeficienciesEnot recorded
2024-11-07F0684Quality of Life and Care DeficienciesDnot recorded
2024-11-07F0812Nutrition and Dietary DeficienciesFnot recorded
2024-11-07F0880Infection Control DeficienciesFnot recorded
2023-10-26F0658Resident Assessment and Care Planning DeficienciesEnot recorded
2023-10-26F0686Quality of Life and Care DeficienciesGnot recorded
2023-10-26F0742Quality of Life and Care 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 SAINT CLOUD, RAPID CITY” at medicare.gov/care-compare.