Avantara Arrowhead

Nursing Home

2500 Arrowhead Dr
Rapid City, SD 57702 · Pennington County
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Call (605) 348-0285

Official website not yet verified

Overall Medicare rating★★★★★
Overall: state avg 3.0 · U.S. 3.0
Health inspections★★★★★
Staffing★★★★★
Staffing: state avg 3.5 · U.S. 3.0
Quality measures★★★★★

Source: CMS Care Compare (data as of October 1, 2026)

View Safety Report
Important notices from CMS:
  • CMS has flagged this facility for abuse citations (the “abuse icon”). It is applied when a facility was cited for abuse at a level of harm in the past year, or at a potential-for-harm level in each of the last two years.

Safety at a glance

10Serious citations (actual harm or immediate jeopardy), last 3 inspection cycles
45Total health citations, last 3 inspection cycles
$144,523Federal fines, last 3 years (7 fines)

Most recent standard inspection: June 22, 2026.

Most recent serious findings

G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
June 22, 2026 · Inspectors rated this “actual harm to a resident (not immediate jeopardy).” The problem affected one or a very small number of residents or staff. Found during a complaint investigation.
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 6, 2025 · Inspectors rated this “actual harm to a resident (not immediate jeopardy).” The problem affected one or a very small number of residents or staff. Found during a complaint investigation.
G
Provide safe, appropriate pain management for a resident who requires such services.
September 11, 2025 · Inspectors rated this “actual harm to a resident (not immediate jeopardy).” The problem affected one or a very small number of residents or staff.

View the full Safety Report →

Availability

Availability Unknown

This facility has not confirmed current availability. We never estimate vacancies. Please call (605) 348-0285 to ask about openings and waiting lists.

We'll show the answer here once the facility provides it.

E-mail Avantara Arrowhead about openings We help you write the message; you send it from your own e-mail.

Nurse staffing

Total nurse hours per resident per day
3.39 hours · state avg 3.86, U.S. 3.90
Registered nurse (RN) hours per resident per day
0.83 hours
Total nurse hours on weekends
3.05 hours · state avg 3.28
Nursing staff turnover (yearly)
77.5% · state avg 48.6%
RN turnover (yearly)
86.7%
Administrators who left (yearly)
0

Hours per resident per day = total nursing hours worked ÷ number of residents. Higher usually means more hands-on time. Values are from payroll records reported to CMS (Payroll-Based Journal).

Source: CMS Provider Information (data as of October 1, 2026)

Paying for care

Medicaid: This nursing home is certified to accept Medicaid. It is also Medicare certified, so Medicare can pay for short-term skilled care after a qualifying hospital stay.

In South Dakota, Medicaid long-term care is provided through HOPE Waiver.

Ways to pay for care in South Dakota →

Pricing

Published price: Not Yet Verified

What families report paying

No family reports yet. To protect privacy and avoid misleading figures, we show a summary only after 5 reports.

Yearly price increases

No increase reports yet. Shown after 5 reports.

We'll show the answer here once the facility provides it.

Nursing home care may be paid by Medicare (short-term skilled care after a qualifying hospital stay), Medicaid (if eligible), long-term care insurance, or privately. This facility is Medicaid certified.

Family Cameras & Video Access

Family-installed room cameras
Not Verified
Facility-provided room cameras
Not Verified
Authorized remote family viewing
Not Verified
Live video visitation
Not Verified
We'll show the answer here once the facility provides it.

We have not yet verified this facility’s camera policy. Rules for in-room cameras vary by state and usually require consent from the resident and any roommate. Ask the facility for its written electronic-monitoring policy.

Applying & contacting

Online admission application
Not yet checked
Online waiting-list form
Not yet checked
Online inquiry form
Not yet checked
Online tour scheduling
Not yet checked
We'll show the answer here once the facility provides it.

Application checklist & links Applying to several facilities? Add each one to your compare list and open the apply page.

Ownership

Ownership type
For profit - Limited Liability company
Chain / affiliation
Legacy Healthcare
Legal business name
Arrowhead Sd Skilled Nursing Facility LLC
Owner or managerRoleShare
DOROS GENERATION TRUST U/A/D 1/3/125% OR GREATER DIRECT OWNERSHIP INTEREST43%
GPN FAMILY TRUST U/A/D 4/28/085% OR GREATER DIRECT OWNERSHIP INTEREST43%
OAKWAY OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST15%
ARROWHEAD SD PROPERTY HOLDINGS, LLC5% OR GREATER SECURITY INTEREST—
ARROWHEAD SD PROPERTY HOLDINGS, LLCADP OF THE SNF—
DOROS GENERATION TRUST U/A/D 1/3/12ADP OF THE SNF—
GPN FAMILY TRUST U/A/D 4/28/08ADP OF THE SNF—
LEGACY HEALTHCARE FINANCIAL SERVICES LLCADP OF THE SNF—
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROL—
MARTIN, SHARONADP OF THE SNF—
MARTIN, SHARONOPERATIONAL/MANAGERIAL CONTROL—
PTACEK, TRAVISADP OF THE SNF—

Source: CMS Provider Information (data as of October 1, 2026)

About this listing

CMS Certification Number
435051
Certified beds
68
Average residents per day
61.5
Medicare / Medicaid
Medicare and Medicaid
Continuing care retirement community
No
First certified
January 1, 1991
Last confirmed by official source
October 1, 2026

Read full inspection narratives at Medicare Care Compare or ProPublica Nursing Home Inspect.

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Overall (Medicare)★★★★★
Health inspections★★★★★
Staffing★★★★★
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Avantara Mountain View

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Health inspections★★★★★
Staffing★★★★★
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Avantara Saint Cloud

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Overall (Medicare)★★★★★
Health inspections★★★★★
Staffing★★★★★
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Fountain Springs Healthcare

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Overall (Medicare)★★★★★
Health inspections★★★★★
Staffing★★★★★
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Avantara North

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Overall (Medicare)★★★★★
Health inspections★★★★★
Staffing★★★★★
Serious citations*2
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