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
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
AVANTARA ARROWHEAD (Rapid City, SD) has a 1-star overall rating, with 1-star health inspection and 2-star staffing and quality ratings. Reported nurse staffing is 3.52 hours per resident per day, below the federal benchmark of 4.1, and the facility has had $70,168 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.5228 hrs/resident/day
Quality measures
Last inspection: December 10, 2025Penalties, last 24 months: $70,168recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5228.
Staffing detail
- Registered nurses
- 0.98
- Licensed practical nurses
- 0.30
- Nurse aides
- 2.23
- Weekend nursing
- 3.27
Hours per resident per day.
Total staff turnover: 76%
Registered nurse turnover: 75%
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
43.3%25.7%Improving
Residents with a fall causing major injury
0%10.2%Worsening
Residents with pressure ulcers (bedsores)
5.1%4%Improving
Residents with a urinary tract infection
5.9%11.4%Worsening
Residents who lost too much weight
12.5%6.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
28.3%38.6%Worsening
Residents whose ability to walk got worse
—34.8%—
Long-stay residents on antianxiety or sleep medication
23.1%14.3%Improving
Short-stay residents newly given an antipsychotic
7.4%9.1%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
38.1%15.8%Improving
Residents with depressive symptoms
13.7%23.4%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
81.8%79.6%Worsening
Short-stay residents given the seasonal flu vaccine
—48.5%—
Short-stay residents given the pneumonia vaccine
42.9%64.4%Improving
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 $42,705 was recorded.
- 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 · $82,863 in total fines.
- $42,705
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
Recent ownership change · Jul 1, 2019
Now operated by Avantara Arrowhead, previously Meadowbrook Care and Rehabilitation Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 3 stars avg
- Occupancy
- 59.3 residents on an average day (87% 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.