Nursing homeActive
Avantara Saint Cloud
302 St Cloud Street, Rapid City, SD 57701605343473878 certified beds · 72 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
17
● 0● 14● 3
Penalties · 3 yrs
$24,751
2 fines
Last survey
2026-03-18
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 1
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · South Dakota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-18 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2026-01-27 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2025-08-13 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-07-02 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-03-27 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-11-07 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2023-10-26 | Standard | 021 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · South Dakota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity GHarm
Dignity & rights
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-04-14Record 435060-20260318-F580
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-06Record 435060-20260318-F726
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 435060-20260127-F695
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 435060-20260127-F761
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 435060-20260127-F880
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-08-05Record 435060-20250813-F600
F732Post nurse staffing information every day.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-12Record 435060-20250702-F732
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-26Record 435060-20250327-F600
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-22Record 435060-20241107-F550
F583Keep residents' personal and medical records private and confidential.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-22Record 435060-20241107-F583
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-22Record 435060-20241107-F584
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-22Record 435060-20241107-F684
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-12-22Record 435060-20241107-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-12-22Record 435060-20241107-F880
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-11-22Record 435060-20231026-F686
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-22Record 435060-20231026-F658
F742Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-22Record 435060-20231026-F742
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-08-13 | Civil money penalty | $13,343 | CMS · Penalties |
| 2023-10-26 | Civil money penalty | $11,408 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.52
Facility
South Dakota
National
South Dakota 0.80 · National 0.69
Total nurse hours per resident day3.12
Facility
South Dakota
National
South Dakota 3.79 · National 3.86
Weekend total nurse hours2.85
Facility
South Dakota
National
South Dakota 3.26 · National 3.42
Total nursing staff turnover57%
Facility
South Dakota
National
South Dakota 48% · National 46%
Registered nurse turnover78%
Facility
South Dakota
National
South Dakota 35% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | South Dakota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.8% | 4.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 9.2% | 5.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 56.8% | 24.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 4.8% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 36.6% | 21.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.8% | 5.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 26.2% | 17.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Doros Generation Trust U/A/D 1/3/12 Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 43% | — | — |
| Gpn Family Trust U/A/D 4/28/08 Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 43% | — | — |
| Oakway Operations LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | — | — |
| Altena, Ashaley Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ptacek, Travis Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rajchenbach, Chaim Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shabat, Menachem Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Truist Bank Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Altena, Ashaley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Doros Generation Trust U/A/D 1/3/12 Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gpn Family Trust U/A/D 4/28/08 Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Legacy Healthcare Financial Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ptacek, Travis Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rajchenbach, Chaim Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Rajchenbach, Chaim Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rsm Us LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Saint Cloud Sd Property Holdings, LLC Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Saint Cloud Sd Property Holdings, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shabat, Menachem Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Shabat, Menachem Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Truist Bank Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Legacy Healthcare — 89 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or South Dakota.
No county cost figures on file for Pennington.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Avantara Mountain View Rapid City | 1.1 mi | 2026-07-02 | 0182 |
| Westhills Village Health Care Facility Rapid City | 1.6 mi | 2026-03-12 | 0101 |
| Avantara North Rapid City | 2.0 mi | 2026-02-20 | 0152 |
| Fountain Springs Healthcare Rapid City | 2.5 mi | 2026-02-12 | 0132 |
| Avantara Arrowhead Rapid City | 2.1 mi | 2026-06-22 | 03510 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |