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Nursing homeFAID #11675

Avantara Saint Cloud

302 ST CLOUD STREET, RAPID CITY, SD, 57701

(605) 343-4738

78 licensed beds

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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Address

302 St Cloud Street

Rapid City, SD 57701

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

435060

Care type

Nursing home

County

Pennington

Facility name

Avantara Saint Cloud

Street address

302 ST CLOUD STREET

City / state / ZIP

Rapid City, SD 57701

Phone

(605) 343-4738

About this facility — Avantara Saint Cloud

Avantara Saint Cloud is a Medicare/Medicaid-certified skilled nursing facility in Rapid City, South Dakota. It is licensed for 78 beds — well 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 Saint Cloud 20 times across 11 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $24,751 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

Altena, Ashaley

Operational control · Additional disclosable party — since 2023

Legacy Healthcare Financial Services Llc

Additional disclosable party — since 2019

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

Saint Cloud Sd Property Holdings, Llc

Security-interest holder · Additional disclosable party — since 2019

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

1991-05-01

CMS overall rating

1 of 5 stars

Health deficiencies

6 at the last standard inspection

Federal fines

$24,751 total

Last standard inspection

2026-01-27

Nurse staffing

3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$439 per day (≈ $13,350/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

65% Medicaid · 8% Medicare · 27% private/other

Occupancy

89% (fiscal year 2023)

Vs. state median

7% above the SD median of $412/day — full state cost breakdown

Services & coverage

Licensed beds

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.

2026-03-18Health inspectionComplaint-triggered2 citations

F-0580

G · Actual harmFrom 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 2026-04-14

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 2026-03-06

2026-01-27Health inspection3 citations

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-03-10

F-0761

E · 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 2026-03-10

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-03-10

7 earlier / fire-safety inspections (15 citations)

2025-08-13Health inspectionComplaint-triggered1 citation

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 2025-08-05

2025-07-02Health inspectionComplaint-triggered1 citation

F-0732

E · No harm foundFrom a complaint

Post nurse staffing information every day.

Corrected 2025-08-12

2025-03-27Health inspectionComplaint-triggered1 citation

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 2025-03-26

2024-11-07Health inspectionComplaint-triggered6 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 2024-12-22

F-0583

E · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2024-12-22

F-0584

E · No harm found

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-12-22

F-0684

D · No harm found

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

Corrected 2024-12-22

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 2024-12-22

F-0880

F · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-12-22

2023-10-26Health inspection3 citations

F-0658

E · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-11-22

F-0686

G · Actual harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-11-22

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 2023-11-22

2026-01-27Fire-safety inspection1 citation

K-0712

E · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-03-10

2024-11-07Fire-safety inspection2 citations

E-0015

C · No harm found

Address subsistence needs for staff and patients.

Corrected 2024-12-22

K-0293

B · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2024-12-22

Federal penalties

2025-08-13Fine$13,343

2023-10-26Fine$11,408

Total fines$24,751

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 435060.

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 20 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

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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