Nursing home
Avantara Saint Cloud
302 St Cloud Street, Rapid City, SD 57701 · Map
For profit - Limited Liability company · Part of Legacy Healthcare (90 facilities) · 78 certified beds
Avantara Saint Cloud is a Medicare-certified nursing home in Rapid City, South Dakota. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.07 hours per resident per day, below the South Dakota average of 3.89. Its most recent inspection on Jan 27, 2026 cited 6 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 1 fine totaling $11,408In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avantara Saint Cloud 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) | 3.07 | 3.89 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.47 | 0.80 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.17 | 2.61 | 2.34 | below avg |
| Nursing staff turnover | 53.4% | 49.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 6.0 | 6.8 | 9.5 | below 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: 1 fine totaling $11,408, 1 total penalty.
What inspectors found at Avantara Saint Cloud
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Mar 18, 2026 · Full report (PDF) - Potential for harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Mar 18, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 27, 2026 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jan 27, 2026 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Jan 27, 2026 · Full report (PDF)
Show all 12 deficiencies
- Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 13, 2025 · Full report (PDF) - Potential for harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Jul 2, 2025 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 27, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 7, 2024 · 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 · Nov 7, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Nov 7, 2024 · Full report (PDF) - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Nov 7, 2024 · 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
- 302 St Cloud Street
Rapid City, SD 57701 - CMS certification #
- 435060
- Ownership
- For profit - Limited Liability company
- Certified beds
- 78
- Avg residents/day
- 74.1
- Provider type
- Medicare and Medicaid
- First certified
- 1991-05-01
- 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 Saint Cloud using Google Maps.
Other public records
- Website says A memory care unit, respite stays, transportation, secured outdoor area
- Workplace safety 2 OSHA workplace safety inspections since 2022, 3 violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Avantara Saint Cloud says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Has a separate memory care unit, wing or neighborhood.
The goal of our memory care unit is to increase the level of function, interaction and engagement while simultaneously providing a calm, safe and anxiety-reducing environment that supports improvement for Avantara St.
(page, checked Oct 15, 2026) - 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) - Provides transportation.
Our facility assists in arranging transportation for residents to see their doctors.
(page, checked Oct 12, 2026) - Has a secured outdoor area.
COMMUNITY SPACES AVAILABLE FOR FAMILY GATHERING OR SPECIAL EVENTS (*Enclosed outdoor courtyard)
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
PRIVATE AND SEMI-PRIVATE SUITES
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Mar 3, 2026: complaint inspection, partial (safety). Case closed Sep 18, 2026. No violations cited. OSHA record. OSHA recorded the employer as Saint Cloud SD Skilled Nursing Facility, LLC.
- Mar 22, 2022: monitoring inspection, partial (health). Case closed Aug 10, 2022. 3 violations cited (3 serious). Penalties: $8,702 proposed, $5,221 now. OSHA record. OSHA recorded the employer as Saint Cloud SD Skilled Nursing Facility, LLC.
Details
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(d)(1)(iv)). Penalty $8,702 proposed, $5,221 now. To be fixed by Aug 16, 2022.
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(h)(2)(i)). Penalty $0 proposed, $0 now. To be fixed by Aug 16, 2022.
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(k)). Penalty $0 proposed, $0 now. To be fixed by Aug 16, 2022.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Monument Health Rapid City Hospital, Rapid City. 1.5 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Avantara Mountain View, Rapid City. 1.1 miles away, straight line.
- Nearest home health agency office
- Interim Healthcare, Rapid City. 0.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- The Medicine Shoppe. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57701 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Monument Health Dialysis LLC Rapid City, Rapid City, 2.1 miles away, straight line
- Hospice
- 7 Medicare hospices tell CMS they serve ZIP code 57701.
Monument Health Home Plus Hospice, office in Rapid City, 1.3 miles away, straight line (CMS family survey rating 3 of 5 stars)
Stillwater Hospice Of South Dakota, office in Rapid City, 2.2 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Monument Health Rapid City Hospital Inc, Rapid City. 1.5 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
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: inland flooding relatively low, wildfire relatively low, tornado relatively low, 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 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| 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 |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Avantara Saint Cloud a good nursing home?
CMS gives Avantara Saint Cloud an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avantara Saint Cloud staffed?
Avantara Saint Cloud reports 3.07 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Avantara Saint Cloud had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Avantara Saint Cloud have?
Avantara Saint Cloud is certified for 78 beds.