Avantara Arrowhead

Nursing Home · Rapid City, SD

CMS overall rating 1/5 Abuse citation For profit - Limited Liability company

CMS certification number435051
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

2500 Arrowhead DR
Rapid City, SD 57702
Pennington County
Phone
(605) 348-0285
ZIP code
57702 – all care providers

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Facility details

Certified beds
68
Residents per day
59.3 (87% occupied)
Ownership
For profit - Limited Liability company
Legal name
Arrowhead SD Skilled Nursing Facility LLC
Chain
Legacy Healthcare (89 facilities, avg 2.9★)
Medicare certified since
January 1, 1991
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.9
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 3.5
Quality measures★★★★★ 2/5
State avg 2.8
Long-stay quality★★★★★ 1/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.52 (state 3.79 · U.S. 3.86)
Registered nurses (RN)
0.98 (state 0.80 · U.S. 0.69)
Licensed practical nurses
0.30 (state 0.47 · U.S. 0.86)
Nurse aides
2.23 (state 2.52 · U.S. 2.32)
Weekend total
3.27 (state 3.26 · U.S. 3.42)
Nursing staff turnover
76.1 (state 48.2 · U.S. 45.8)%
RN turnover
75.0 (state 34.7 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
June 22, 2026
Health deficiencies (last cycle)
13.0 (state 6.9 · U.S. 9.3)
From complaints
9
Citations on record (3 years)
45 health · 1 fire safety · includes actual harm
DateCitationSeverityStatus
2026-06-22 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2026-03-27
2026-06-22 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-08-04
2026-06-22 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-08-04
2026-06-22 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-19
2026-06-22 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-15
2026-06-22 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-08-04
2026-06-22 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-12
2026-06-22 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-08-04
2026-06-22 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-08-04
2025-12-10 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Past Non-Compliance
2025-12-10 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Past Non-Compliance
2025-12-10 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Past Non-Compliance
2025-11-06 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-12-06
2025-09-11 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-10-15
2025-09-11 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2025-10-15
2025-09-11 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2025-10-15
2025-09-11 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2025-10-15
2025-09-11 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-11 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-11 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-11 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-11 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-11 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-11 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-11 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-11 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-11 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-11 Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-09-11 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-15
2025-06-18 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-18
2025-06-18 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-18
2025-06-18 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-18
2025-03-26 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-25
2025-03-26 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-30
2025-03-05 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-03-04
2025-03-05 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-04
2025-03-05 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F0678 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-04
2024-08-06 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-22
2024-07-10 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-08-03
2024-07-10 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-06-21
2024-05-15 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2024-06-13
2024-05-15 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-13
2024-05-15 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-13
2024-05-15 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-13
2024-05-15 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-13

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

6 penalties in the last three years, including $153,583 in fines.

DateTypeAmount
2025-11-06Fine$70,720
2025-09-11Fine$42,705
2025-03-05Fine$8,112
2024-07-10Fine$11,333
2024-07-10Fine$8,018
2024-05-15Fine$12,695

Ownership & management

NameRoleSince
Doros Generation Trust U/A/D 1/3/12 (organization)5%+ Direct Ownership Interest · 43%
GPN Family Trust U/A/D 4/28/08 (organization)5%+ Direct Ownership Interest · 43%
Oakway Operations LLC (organization)5%+ Direct Ownership Interest · 15%
Arrowhead SD Property Holdings, LLC (organization)5%+ Security Interest · NOT APPLICABLE
Truist Bank (organization)5%+ Security Interest · NOT APPLICABLE
Arrowhead SD Property Holdings, LLC (organization)Administrator · NOT APPLICABLE
Doros Generation Trust U/A/D 1/3/12 (organization)Administrator · NOT APPLICABLE
GPN Family Trust U/A/D 4/28/08 (organization)Administrator · NOT APPLICABLE
Legacy Healthcare Financial Services LLC (organization)Administrator · NOT APPLICABLE
Martin, Sharon (individual)Administrator · NOT APPLICABLE
Ptacek, Travis (individual)Administrator · NOT APPLICABLE
Rajchenbach, Chaim (individual)Administrator · NOT APPLICABLE
RSM US LLP (organization)Administrator · NOT APPLICABLE
Shabat, Menachem (individual)Administrator · NOT APPLICABLE
Rajchenbach, Chaim (individual)Managing Control - Governing Body · NOT APPLICABLE
Shabat, Menachem (individual)Managing Control - Governing Body · NOT APPLICABLE
Legacy Healthcare Financial Services LLC (organization)Operational/managerial Control · NOT APPLICABLE
Martin, Sharon (individual)Operational/managerial Control · NOT APPLICABLE
Ptacek, Travis (individual)Operational/managerial Control · NOT APPLICABLE
Rajchenbach, Chaim (individual)Operational/managerial Control · NOT APPLICABLE
Shabat, Menachem (individual)Operational/managerial Control · NOT APPLICABLE
Truist Bank (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Avantara Arrowhead?

Avantara Arrowhead has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in South Dakota.

How many beds does Avantara Arrowhead have?

It has 68 certified beds and cares for about 59 residents per day.

Has Avantara Arrowhead been fined?

Yes. CMS lists 6 penalties totaling $153,583 in the last three years.

Who owns Avantara Arrowhead?

It is part of Legacy Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Avantara Arrowhead?

(605) 348-0285. The facility is located at 2500 Arrowhead DR, Rapid City, SD 57702.

Other nursing homes in Rapid City

Compare all nursing homes in Rapid City, SD →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.