The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
Nursing home report
AVANTARA SAINT CLOUD
RAPID CITY, SD · Medicare-certified · 78 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
2 of 5 overall
AVANTARA SAINT CLOUD (Rapid City, SD) has an overall rating of 2 out of 5 stars, with especially weak staffing at 1 star and reported nurse staffing of 3.12 hours per resident per day versus the 4.1-hour federal benchmark. It also has a recent federal penalty, $27,723 in fines over the last 24 months, and recent inspection citations involving resident notification, abuse prevention, and pressure ulcer care.
Facility ratings
Health inspections
Staffing
3.1185 hrs/resident/day
Quality measures
Last inspection: March 18, 2026Penalties, last 24 months: $27,723recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1185.
Staffing detail
- Registered nurses
- 0.52
- Licensed practical nurses
- 0.45
- Nurse aides
- 2.15
- Weekend nursing
- 2.85
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 78%
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
56.6%58.5%Worsening
Residents with a fall causing major injury
7.2%10.8%Worsening
Residents with pressure ulcers (bedsores)
1%0%Improving
Residents with a urinary tract infection
10.8%3.2%Improving
Residents who lost too much weight
5.1%3.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
39%35.7%Improving
Residents whose ability to walk got worse
27%27.6%Worsening
Long-stay residents on antianxiety or sleep medication
23.8%29%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
18.1%32.4%Worsening
Residents with depressive symptoms
30.4%39.3%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
—82.7%—
Long-stay residents given the pneumonia vaccine
59.4%81.5%Improving
Short-stay residents given the pneumonia vaccine
—61.9%—
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2023 — 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 provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- PENALTY
A federal fine of $14,380 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $13,343 was recorded.
- PENALTY
A federal fine of $26,685 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $39,131 in total fines.
- $14,380
Federal fine
Mar 18, 2026
- $13,343
Federal fine
Aug 13, 2025
- $11,408
Federal fine
Oct 26, 2023
Operator & ownership
Recent ownership change · Jul 1, 2019
Now operated by Avantara Saint Cloud, previously Bella Vista Care and Rehabilitation Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 95 homes · 2.9 stars avg
- Occupancy
- 72.2 residents on an average day (93% of 78 beds)
- 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.