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Nursing homeFAID #11678

Avantara North

1620 NORTH 7TH STREET, RAPID CITY, SD, 57701
(605) 343-4958
68 licensed beds
★★★★★3/5CMS Five-Star overall3/5 health inspections3/5 staffing2/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
68
CMS facility ID
435064
Care type
Nursing home
County
Pennington
Facility name
Avantara North
Street address
1620 NORTH 7TH STREET
City / state / ZIP
Rapid City, SD 57701
Phone
(605) 343-4958

Avantara North 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 North 19 times across 9 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $24,108 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.

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
Bokf,na
Security-interest holder · Operational control — since 2024
Legacy Healthcare Financial Services Llc
Operational control · Additional disclosable party — since 2019
Lohre, Celina
Operational control · Additional disclosable party — since 2021
Ptacek, Travis
Operational control · Additional disclosable party — since 2025
Rajchenbach, Chaim
Governing body · Operational control · Additional disclosable party — since 2019
Rc North Sd Property Holdings, Llc
Additional disclosable party — since 2019
Roth & Co, Llp
Additional disclosable party — since 2024
Shabat, Menachem
Governing body · Operational control · Additional disclosable party — since 2019

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
1992-07-01
CMS overall rating
3 of 5 stars
Health deficiencies
7 at the last standard inspection
Federal fines
$24,108 total
Last standard inspection
2026-02-20
Nurse staffing
3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$519 per day (≈ $15,780/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
53% Medicaid · 15% Medicare · 32% private/other
Occupancy
87% (fiscal year 2023)
Vs. state median
26% 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.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-02-20Health inspection2 citations
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-04-06
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-04-06
2025-08-07Health inspectionComplaint-triggered5 citations
F-0628
D · No harm foundFrom a complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-09-05
F-0690
G · Actual harmFrom a 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.
Corrected 2025-09-05
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-05
F-0726
D · No harm foundFrom a 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.
Corrected 2025-05-07
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-09-05
5 earlier / fire-safety inspections (12 citations)
2025-01-14Health inspectionComplaint-triggered5 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-02-28
F-0604
D · No harm foundFrom a complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-01-13
F-0742
D · No harm found
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.
Corrected 2025-02-28
F-0804
F · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-02-28
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-02-28
2024-10-07Health 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 2024-09-29
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.
Corrected 2024-09-29
2023-09-28Health inspection3 citations
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 2023-11-12
F-0693
D · No harm found
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.
Corrected 2023-11-12
F-0812
F · 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 2023-11-12
2025-01-14Fire-safety inspection1 citation
K-0222
E · 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 2025-02-10
2023-09-28Fire-safety inspection1 citation
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-09-29

Federal penalties

2025-08-07Fine$17,940
2024-10-07Fine$6,168
Total fines$24,108
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 435064.
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 19 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.
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