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Avantara Arrowhead

2500 Arrowhead Dr, Rapid City, SD 577026053480285Ownership: For profit - Limited Liability companyCertified beds: 68Avg. daily residents: 59Chain: Legacy Healthcare (89 facilities)County: Pennington
Abuse icon — CMS displays this icon when a facility was cited for abuse that led to resident harm in the past year, or for abuse that could have led to harm in each of the last two years.

The complete public record on Avantara Arrowhead, a Medicare & Medicaid–certified nursing home in Rapid City, South Dakota, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. South Dakota average: 2.9 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Avantara Arrowhead holds a 1-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 76% is well above the South Dakota average of 48%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $153,583 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.52 total nurse staff hours per resident per day
below the state average (3.79)
0.98 RN hours per resident per day
above the state average (0.80)
3.27 weekend nurse staff hours per resident per day
76.1% total nursing staff turnover
above the state average (48.2)
75.0% RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

June 22, 2026 most recent standard health inspection
13 health deficiencies cited in the most recent inspection cycle
above the state average (7.0)
27 health deficiencies in the two prior cycles combined
$153,583 in federal fines across 6 penalties (last 3 years)
above the state average ($33,944)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

45 citations on record across recent inspections, 10 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
June 22, 20260684Provide appropriate treatment and care according to orders, resident’s preferences and goals. ComplaintG · Actual harm
June 22, 20260867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. ComplaintF · Potential for more than minimal harm
June 22, 20260554Allow residents to self-administer drugs if determined clinically appropriate.E · Potential for more than minimal harm
June 22, 20260600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. ComplaintE · Potential for more than minimal harm
June 22, 20260658Ensure services provided by the nursing facility meet professional standards of quality. ComplaintE · Potential for more than minimal harm
June 22, 20260880Provide and implement an infection prevention and control program.E · Potential for more than minimal harm
June 22, 20260550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. ComplaintD · Potential for more than minimal harm
June 22, 20260688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline…D · Potential for more than minimal harm
June 22, 20260695Provide safe and appropriate respiratory care for a resident when needed.D · Potential for more than minimal harm

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Other Nursing Homes in Rapid City

Clarkson Health Care (5★)Westhills Village Health Care Facility (5★)Avantara North (3★)Fountain Springs Healthcare (3★)Avantara Mountain View (2★)Good Samaritan Society - St Martin Village (2★)Avantara Saint Cloud (1★)All Rapid City facilities →

Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.