The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
AVANTARA ARROWHEAD
RAPID CITY, SD · Medicare-certified · 68 beds
Needs attention
Abuse citationFor-profitChain member
1 of 5 overall
AVANTARA ARROWHEAD in Rapid City, SD has an overall rating of 1 out of 5 stars, with 1-star health inspections and 2-star staffing and quality measures. Reported nurse staffing is 3.24 hours per resident per day, below the federal benchmark of 4.1, and the facility has $105,858 in fines in the last 24 months plus a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.2373 hrs/resident/day
Quality measures
Last inspection: December 10, 2025Penalties, last 24 months: $105,858recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2373.
Staffing detail
- Registered nurses
- 0.78
- Licensed practical nurses
- 0.42
- Nurse aides
- 2.03
- Weekend nursing
- 2.90
Hours per resident per day.
Total staff turnover: 66%
Registered nurse turnover: 64%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
33.3%24.1%Improving
Residents with a fall causing major injury
0%9.6%Worsening
Residents with pressure ulcers (bedsores)
6%6.4%No change
Residents with a urinary tract infection
3.8%4.3%Worsening
Residents who lost too much weight
0%6.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.4%34.9%Worsening
Residents whose ability to walk got worse
—32.8%—
Long-stay residents on antianxiety or sleep medication
25.5%30.6%Worsening
Short-stay residents newly given an antipsychotic
—7.4%—
Residents with a long-term catheter
0%2%Worsening
Residents with new or worsening incontinence
22.9%34.9%Worsening
Residents with depressive symptoms
0%14.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—90.3%—
Long-stay residents given the pneumonia vaccine
98.3%84.6%Worsening
Short-stay residents given the seasonal flu vaccine
—48.5%—
Short-stay residents given the pneumonia vaccine
39.4%37.5%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $65,700 was recorded.
- INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $8,112 was recorded.
- PENALTY
A federal fine of $11,333 was recorded.
- PENALTY
A federal fine of $8,018 was recorded.
- PENALTY
A federal fine of $12,695 was recorded.
Penalties & enforcement
On record with Medicare: 5 fines · $105,858 in total fines.
- $65,700
Federal fine
Sep 11, 2025
- $8,112
Federal fine
Mar 5, 2025
- $11,333
Federal fine
Jul 10, 2024
- $8,018
Federal fine
Jul 10, 2024
- $12,695
Federal fine
May 15, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 2.9 stars avg
- Occupancy
- 60.5 residents on an average day (89% of 68 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.