Nursing homeActive
Avantara North
1620 North 7th Street, Rapid City, SD 57701605343495868 certified beds · 66 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
17
● 0● 15● 2
Penalties · 3 yrs
$24,108
2 fines
Last survey
2026-02-20
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 3
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 |
|---|---|---|---|---|
| 2026-02-20 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2025-08-07 | Complaint | 041 | CMS-2567 (Care Compare) | — |
| 2025-01-14 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-10-07 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2023-09-28 | Standard | 030 | 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.
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-06Record 435064-20260220-F658
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-06Record 435064-20260220-F695
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-09-05Record 435064-20250807-F690
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-05Record 435064-20250807-F628
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 2025-09-05Record 435064-20250807-F695
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 2025-05-07Record 435064-20250807-F726
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 2025-09-05Record 435064-20250807-F880
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 2025-02-28Record 435064-20250114-F550
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-13Record 435064-20250114-F604
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 2025-02-28Record 435064-20250114-F742
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 435064-20250114-F804
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 2025-02-28Record 435064-20250114-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 2024-09-29Record 435064-20241007-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-29Record 435064-20241007-F609
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-12Record 435064-20230928-F657
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-12Record 435064-20230928-F693
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 2023-11-12Record 435064-20230928-F812
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-08-07 | Civil money penalty | $17,940 | CMS · Penalties |
| 2024-10-07 | Civil money penalty | $6,168 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.99
Facility
South Dakota
National
South Dakota 0.80 · National 0.69
Total nurse hours per resident day3.06
Facility
South Dakota
National
South Dakota 3.79 · National 3.86
Weekend total nurse hours2.44
Facility
South Dakota
National
South Dakota 3.26 · National 3.42
Total nursing staff turnover35%
Facility
South Dakota
National
South Dakota 48% · National 46%
Registered nurse turnover9%
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 | 5.8% | 4.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.2% | 5.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 11.1% | 24.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 6.2% | 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 | 31.5% | 21.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.8% | 5.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 13.7% | 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% | — | — |
| Bokf,Na Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Legacy Healthcare Financial Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lohre, Celina 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 | — | — |
| Bokf,Na Organization | 5% OR GREATER SECURITY INTEREST | 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 | — | — |
| Lohre, Celina Individual | 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 | — | — |
| Rc North Sd Property Holdings, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Roth & Co, LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shabat, Menachem Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shabat, Menachem Individual | MANAGING CONTROL - GOVERNING BODY | 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 |
|---|---|---|---|
| Fountain Springs Healthcare Rapid City | 1.0 mi | 2026-02-12 | 0132 |
| Avantara Saint Cloud Rapid City | 2.0 mi | 2026-03-18 | 0143 |
| Avantara Mountain View Rapid City | 1.9 mi | 2026-07-02 | 0182 |
| Westhills Village Health Care Facility Rapid City | 3.6 mi | 2026-03-12 | 0101 |
| Avantara Arrowhead Rapid City | 3.4 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 |