South Dakota › Pennington County › Rapid City
Avantara Saint Cloud
302 St Cloud Street, Rapid City, SD 57701
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Avantara Saint Cloud, in Rapid City, South Dakota, is certified for 78 beds under for-profit, limited liability company ownership and belongs to the Legacy Healthcare chain.
CMS gives it 1 of 5 stars overall, below the South Dakota median of 3; the health inspection rating is 2, staffing 1 and quality measures 2.
Inspectors recorded 17 health deficiencies across the three most recent survey cycles (6, 8, 3 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 21.8 per 100 beds, about the same as the state median of 23.9.
CMS lists 2 penalties in the period covered: fines totalling $25K.
Reported nurse staffing is 3.1 hours per resident per day (0.5 RN), close to the South Dakota median of 3.6; nursing staff turnover is 57.3%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Pennington Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 17 | 18 | 16 | 28.7 |
| Citations per 100 beds | 21.8 | 25.0 | 23.9 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.5 | 1.0 | 0.8 | 0.7 |
| Nursing staff turnover | 57.3% | 53.7% | 46.6% | 45.8% |
| Fines listed | $24,751 | $22,526 | $20,183 | — |
County and state figures are medians across facilities (9 in the county, 96 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: South Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Jan 2026, 7 Nov 2024.
Severity mix: G ×3 D ×6 E ×6 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Mar 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Complaint investigation | 14 Apr 2026 |
| 18 Mar 2026 | F0726 | 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. | D | Complaint investigation | 6 Mar 2026 |
| 27 Jan 2026 | F0761 | 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. | E | Standard survey | 10 Mar 2026 |
| 27 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 10 Mar 2026 |
| 27 Jan 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Mar 2026 |
| 13 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 5 Aug 2025 |
| 2 Jul 2025 | F0732 | Post nurse staffing information every day. | E | Complaint investigation | 12 Aug 2025 |
| 27 Mar 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 26 Mar 2025 |
| 7 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 22 Dec 2024 |
| 7 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 22 Dec 2024 |
| 7 Nov 2024 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 22 Dec 2024 |
| 7 Nov 2024 | F0584 | 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. | E | Standard survey | 22 Dec 2024 |
| 7 Nov 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 22 Dec 2024 |
| 7 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 22 Dec 2024 |
| 26 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 22 Nov 2023 |
| 26 Oct 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 22 Nov 2023 |
| 26 Oct 2023 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Standard survey | 22 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 13 Aug 2025 | Fine | $13,343 | |
| 26 Oct 2023 | Fine | $11,408 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 57.3%, RNs 77.8%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | South Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 36.6% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.8% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.2% | 4.8% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 30.3% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.8% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 56.8% | 22.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Saint Cloud Sd Skilled Nursing Facility, Llc. Chain: Legacy Healthcare (89 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Oakway Operations LLC | 5% or greater direct ownership interest | 15% | 07/01/2019 |
| Saint Cloud Sd Property Holdings, LLC | 5% or greater security interest | NOT APPLICABLE | 07/01/2019 |
| Truist Bank | 5% or greater security interest | NOT APPLICABLE | 04/01/2022 |
| Truist Bank | Operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| Legacy Healthcare Financial Services LLC | Adp of the snf | NOT APPLICABLE | 07/01/2019 |
| Rsm Us LLP | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
| Saint Cloud Sd Property Holdings, LLC | Adp of the snf | NOT APPLICABLE | 07/01/2019 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Pennington County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Clarkson Health Care | Rapid City | 49 | 5 | 4 | 5 | 6 | 12.2 | — | 16 Apr 2026 |
| Westhills Village Health Care Facility | Rapid City | 44 | 5 | 4 | 4 | 11 | 25.0 | $9K | 12 Mar 2026 |
| Avantara North | Rapid City | 68 | 3 | 3 | 3 | 17 | 25.0 | $24K | 20 Feb 2026 |
| Fountain Springs Healthcare | Rapid City | 90 | 3 | 3 | 2 | 18 | 20.0 | $23K | 12 Feb 2026 |
| Avantara Mountain View | Rapid City | 101 | 2 | 2 | 3 | 22 | 21.8 | $9K | 2 Jul 2026 |
| Good Samaritan Society - St Martin Village | Rapid City | 60 | 2 | 2 | 4 | 19 | 31.7 | — | 4 Sep 2025 |
| Good Samaritan Society New Underwood | New Underwood | 41 | 2 | 2 | 3 | 29 | 70.7 | $27K | 8 Dec 2025 |
| Avantara Arrowheadabuse icon | Rapid City | 68 | 1 | 1 | 2 | 45 | 66.2 | $154K | 22 Jun 2026 |
All 9 facilities in Pennington County
Questions and answers
How many deficiencies has Avantara Saint Cloud been cited for?
17 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Avantara Saint Cloud been fined?
Yes. CMS lists fines totalling $25K in the period covered.
How does staffing at Avantara Saint Cloud compare?
Reported total nurse staffing is 3.1 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Avantara Saint Cloud?
It is part of the Legacy Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Oakway Operations LLC and Truist Bank. Individual owners and managers are not listed on this site.
When was Avantara Saint Cloud last inspected?
The most recent survey or investigation in the CMS record is dated 18 Mar 2026; the most recent standard health survey was 27 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.