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
Abuse citationFor-profitChain member
1 of 5 overall
AVANTARA SAINT CLOUD has a 1 out of 5 overall rating, with 1-star staffing and 2-star health inspection and quality ratings. Reported staffing is below the federal benchmark (3.35 vs 4.1 hours per resident per day), and it has had $26,685 in fines in the last 24 months plus a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.3527 hrs/resident/day
Quality measures
Last inspection: March 18, 2026Penalties, last 24 months: $26,685recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3527.
Staffing detail
- Registered nurses
- 0.52
- Licensed practical nurses
- 0.51
- Nurse aides
- 2.32
- Weekend nursing
- 3.08
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 73%
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
56.2%56.5%No change
Residents with a fall causing major injury
5.6%10.8%Worsening
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
7%2.8%Improving
Residents who lost too much weight
4.7%3.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
31%16.7%Improving
Residents whose ability to walk got worse
33.9%24.9%Improving
Long-stay residents on antianxiety or sleep medication
40%26.5%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
37.6%38.9%Worsening
Residents with depressive symptoms
4.5%40%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
81.9%63.5%Worsening
Short-stay residents given the pneumonia vaccine
—24.5%—
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
- 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 $26,685 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $38,093 in total fines.
- $26,685
Federal fine
Aug 13, 2025
- $11,408
Federal fine
Oct 26, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 2.9 stars avg
- Occupancy
- 70.2 residents on an average day (90% 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.