Nursing home
Avantara Arrowhead
2500 Arrowhead Dr, Rapid City, SD 57702 · Map
For profit - Limited Liability company · Part of Legacy Healthcare (90 facilities) · 65 certified beds
Avantara Arrowhead is a Medicare-certified nursing home in Rapid City, South Dakota. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.27 hours per resident per day, below the South Dakota average of 3.89. Its most recent inspection on Sep 11, 2025 cited 28 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 4 fines totaling $40,014In CMS records: 4 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avantara Arrowhead compares
This facility vs. the South Dakota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | South Dakota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.27 | 3.89 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.74 | 0.80 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.97 | 2.61 | 2.34 | below avg |
| Nursing staff turnover | 61.9% | 49.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 28.0 | 6.8 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 4 fines totaling $40,014, 4 total penalties.
What inspectors found at Avantara Arrowhead
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Dec 10, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Dec 10, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 10, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 6, 2025 · Full report (PDF) - Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Sep 11, 2025 · Full report (PDF)
Show all 12 deficiencies
- Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Sep 11, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Sep 11, 2025 · Full report (PDF) - Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Sep 11, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 11, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 11, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Sep 11, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Sep 11, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 2500 Arrowhead Dr
Rapid City, SD 57702 - CMS certification #
- 435051
- Ownership
- For profit - Limited Liability company
- Certified beds
- 65
- Avg residents/day
- 60.0
- Provider type
- Medicare and Medicaid
- First certified
- 1991-01-01
- Chain
- Legacy Healthcare (90 facilities)
- Setting
- Urban
Part of Legacy Healthcare
Legacy Healthcare operates 90 nursing facilities across the United States. View all Legacy Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Avantara Arrowhead using Google Maps.
Other public records
- Website says Respite stays, works with hospice, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Avantara Arrowhead says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Yes, we offer short-term and respite stay options for individuals seeking temporary care and support.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
We also offer hospice care, ensuring compassionate support through every stage of treatment and recovery.
(page, checked Oct 12, 2026) - Provides transportation.
Our facility assists in arranging transportation for residents to see their doctors.
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
Private and semi-private suites
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Monument Health Rapid City Hospital, Rapid City. 3.0 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Clarkson Health Care, Rapid City. 0.5 miles away, straight line.
- Nearest home health agency office
- Interim Healthcare, Rapid City. 2.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57702 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Monument Health Dialysis LLC Rapid City, Rapid City, 4.2 miles away, straight line
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 57702.
Stillwater Hospice Of South Dakota, office in Rapid City, 1.5 miles away, straight line (CMS family survey rating 5 of 5 stars)
Monument Health Home Plus Hospice, office in Rapid City, 2.4 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Monument Health Rapid City Hospital Inc, Rapid City. 3.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- Wildfire risk to homes
- In Rapid City, SD, risk to homes is greater than 92% of communities in South Dakota and 89% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire relatively high, tornado relatively moderate, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Avantara Arrowhead a good nursing home?
CMS gives Avantara Arrowhead an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avantara Arrowhead staffed?
Avantara Arrowhead reports 3.27 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Avantara Arrowhead had inspection problems?
Its most recent CMS inspection cited 28 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Avantara Arrowhead have?
Avantara Arrowhead is certified for 65 beds.