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Nursing homeFAID #11670

Avantara Arrowhead

2500 ARROWHEAD DR, RAPID CITY, SD, 57702
(605) 348-0285
68 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
68
CMS facility ID
435051
Care type
Nursing home
County
Pennington
Facility name
Avantara Arrowhead
Street address
2500 ARROWHEAD DR
City / state / ZIP
Rapid City, SD 57702
Phone
(605) 348-0285

About this facility — Avantara Arrowhead

Avantara Arrowhead is a Medicare/Medicaid-certified skilled nursing facility in Rapid City, South Dakota. It is licensed for 68 beds — above the median for skilled nursing facilities in South Dakota (52 beds).

It is one of 23 senior care facilities in Rapid City and 96 skilled nursing facilities across South Dakota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Avantara Arrowhead 46 times across 15 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $153,583 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Legacy Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Doros Generation Trust U/a/d 1/3/12
Direct owner · Additional disclosable party — 43% stake — since 2019
Gpn Family Trust U/a/d 4/28/08
Direct owner · Additional disclosable party — 43% stake — since 2019
Oakway Operations Llc
Direct owner — 15% stake — since 2019
Arrowhead Sd Property Holdings, Llc
Security-interest holder · Additional disclosable party — since 2019
Legacy Healthcare Financial Services Llc
Operational control · Additional disclosable party — since 2019
Martin, Sharon
Operational control · Additional disclosable party — since 2023
Ptacek, Travis
Operational control · Additional disclosable party — since 2025
Rajchenbach, Chaim
Governing body · Operational control · Additional disclosable party — since 2019
Rsm Us Llp
Additional disclosable party — since 2024
Shabat, Menachem
Governing body · Operational control · Additional disclosable party — since 2019
Truist Bank
Security-interest holder · Operational control — since 2022

Regulatory standing

Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1991-01-01
CMS overall rating
1 of 5 stars
Health deficiencies
13 at the last standard inspection
Federal fines
$153,583 total
Last standard inspection
2026-06-22
Nurse staffing
3.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$528 per day (≈ $16,050/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
74% Medicaid · 10% Medicare · 16% private/other
Occupancy
75% (fiscal year 2023)
Vs. state median
28% above the SD median of $412/day — full state cost breakdown

Services & coverage

Licensed beds
68
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-06-22Health inspectionComplaint-triggered9 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-06-12
F-0554
E · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2026-08-04
F-0600
E · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-04-19
F-0658
E · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-06-15
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-03-27
F-0688
D · No harm found
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.
Corrected 2026-08-04
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-08-04
F-0867
F · No harm foundFrom a complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2026-08-04
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-08-04
2025-12-10Health inspectionComplaint-triggered3 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
9 earlier / fire-safety inspections (34 citations)
2025-11-06Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-06
2025-09-11Health inspectionComplaint-triggered16 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-10-15
F-0578
D · No harm found
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.
Corrected 2025-10-15
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2025-10-15
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-10-15
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-10-15
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-15
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-10-15
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-15
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-10-15
F-0697
G · Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-10-15
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-10-15
F-0745
D · No harm found
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2025-10-15
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-10-15
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-15
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-10-15
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-10-15
2025-06-18Health inspectionComplaint-triggered3 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-07-18
F-0600
E · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-07-18
F-0760
E · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-07-18
2025-03-26Health inspectionComplaint-triggered2 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-25
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-30
2025-03-05Health inspectionComplaint-triggered3 citations
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-04
F-0678
D · No harm foundFrom a complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-03-04
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-03-04
2024-08-06Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-22
2024-07-10Health inspectionComplaint-triggered2 citations
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-03
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-06-21
2024-05-15Health inspection5 citations
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-13
F-0690
G · Actual harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-06-13
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2024-06-13
F-0761
D · No harm found
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.
Corrected 2024-06-13
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-06-13
2024-05-15Fire-safety inspection1 citation
K-0222
D · No harm found
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.
Corrected 2024-06-11

Federal penalties

2025-11-06Fine$70,720
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
Total fines$153,583
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 435051.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 46 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered