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Medicare-certifiedSkilled Nursing

Avantara Arrowhead

Rapid City, South DakotaMedicare inspection record
(605) 348-0285

About Avantara Arrowhead

AVANTARA ARROWHEAD is a for profit - limited liability company nursing home in RAPID CITY, SD with 68 certified beds.

Community at a glance

Capacity

68 residents

Location

Rapid City, SD

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

2500 ARROWHEAD DR, Rapid City, South Dakota 57702

(605) 348-0285

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Medicare flags Avantara Arrowhead for a citation related to abuse of residents in its recent inspections.

At its most recent standard inspection, on June 22, 2026, state inspectors cited 13 health deficiencies (the South Dakota average is 6.7).

Nurses and nurse aides spend 3 hours 31 minutes with each resident a day, below the South Dakota average of 3 hours 47 minutes.

Medicare fined Avantara Arrowhead 6 times in the last three years, $153,583 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 31 minutesBelow the South Dakota average
Registered nurse time per resident, per day59 minutesAbove the South Dakota average
Nursing staff who left in the past year76%Above the South Dakota average

Inspections

45 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

June 22, 2026 · Complaint investigation · 5 citations

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintAlready fixed by Mar 27, 2026
  • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Aug 4, 2026
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Apr 19, 2026
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintAlready fixed by Jun 15, 2026
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintAlready fixed by Jun 12, 2026

June 22, 2026 · Standard inspection · 4 citations

  • Allow residents to self-administer drugs if determined clinically appropriate.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Aug 4, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Aug 4, 2026
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 4, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 4, 2026
December 10, 2025 · Complaint investigation · 3 citations+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintAlready fixed before the inspection
  • Provide safe, appropriate pain management for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintAlready fixed before the inspection
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed before the inspection
November 6, 2025 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Dec 6, 2025
September 11, 2025 · Standard inspection · 16 citations+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Oct 15, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Oct 15, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Oct 15, 2025
  • Provide safe, appropriate pain management for a resident who requires such services.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Oct 15, 2025
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Oct 15, 2025
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Oct 15, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Oct 15, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Oct 15, 2025
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Oct 15, 2025
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Oct 15, 2025
  • Allow residents to self-administer drugs if determined clinically appropriate.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Oct 15, 2025
  • Provide care or services that was trauma informed and/or culturally competent.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Oct 15, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Oct 15, 2025
  • PASARR screening for Mental disorders or Intellectual Disabilities

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Oct 15, 2025
  • Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Oct 15, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Oct 15, 2025
June 18, 2025 · Complaint investigation · 3 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 18, 2025
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Jul 18, 2025
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 18, 2025
March 26, 2025 · Complaint investigation · 2 citations+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Apr 30, 2025
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Mar 25, 2025
March 5, 2025 · Complaint investigation · 3 citations+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintAlready fixed by Mar 4, 2025
  • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintAlready fixed by Mar 4, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintAlready fixed by Mar 4, 2025
August 6, 2024 · Complaint investigation · 1 citation+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 22, 2024
July 10, 2024 · Complaint investigation · 2 citations+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintAlready fixed by Jun 21, 2024
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Aug 3, 2024
May 15, 2024 · Standard inspection · 5 citations+
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Jun 13, 2024
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 13, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 13, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jun 13, 2024
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 13, 2024

Fines and payment denials

6 fines totaling $153,583 in the last three years.

  • November 6, 2025Fine: $70,720
  • September 11, 2025Fine: $42,705
  • March 5, 2025Fine: $8,112
  • July 10, 2024Fine: $11,333
  • July 10, 2024Fine: $8,018
  • May 15, 2024Fine: $12,695

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Arrowhead Sd Skilled Nursing Facility LLC
Medicare-certified beds
68
Average residents per day
59
Accepts
Medicare and Medicaid
First certified
January 1, 1991
Part of a chain
Legacy Healthcare, 95 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Both
Sprinklers in all required areas
Yes
CMS Certification Number
435051

Location

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2500 ARROWHEAD DRRapid City, SD 57702

12 other communities within 10 miles

Senior living near Rapid City

Questions about Avantara Arrowhead

How did Avantara Arrowhead do on its last inspection?+

State inspectors visited on June 22, 2026 and cited 13 health deficiencies, 9 of them from complaint investigations. The South Dakota average is 6.7.

How much nursing care does each resident get at Avantara Arrowhead?+

Nurses and aides spend 3 hours 31 minutes with each resident per day, including 59 minutes from registered nurses. 76% of nursing staff left over the past year.

Has Avantara Arrowhead been fined by Medicare?+

Yes. Medicare fined Avantara Arrowhead 6 times in the last three years, totaling $153,583.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Rapid City Skilled Nursing in South Dakota Skilled Nursing guide Information last updated October 2026