Clarkson Health Care
Rapid City · 1.4 mi · 49 beds
Citations0Substantiated0
Avantara Arrowhead
2500 ARROWHEAD DR, Rapid City, SD, 57702
Nursing home68 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 20 deficiencies against Avantara Arrowhead in Rapid City, South Dakota at its most recent standard inspection on 2025-09-11, 5 of them arising from complaints. 9 findings have been recorded at the actual-harm level. Medicare has fined it 5 times, totalling $82,863. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
68certified beds
20deficiencies at the last inspection
0immediate-jeopardy findings on record
9actual-harm findings on record
5federal fines, $82,863
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.9
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.28
Potential for minimal harmThe least serious band.0
Most recentDDDGGGGGEEEEDDDDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2025-12-10 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-12-10 · from a complaint · No actual harm, potential for more than minimal harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · F0697 · 2025-12-10 · from a complaint · No actual harm, potential for more than minimal 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 · F0689 · 2025-11-06 · from a complaint · Actual harm to a resident
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-09-11 · from a complaint · Actual harm to a resident
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2025-09-11 · standard survey · Actual harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-09-11 · standard survey · Actual harm to a resident
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · F0697 · 2025-09-11 · standard survey · Actual harm to a resident
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2025-09-11 · standard survey · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2025-09-11 · standard survey · No actual harm, potential for more than minimal 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 · F0812 · 2025-09-11 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-09-11 · standard survey · No actual harm, potential for more than minimal harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · F0554 · 2025-09-11 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0578 · 2025-09-11 · standard survey · No actual harm, potential for more than minimal harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · F0583 · 2025-09-11 · standard survey · No actual harm, potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · F0645 · 2025-09-11 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2025-09-11 · standard survey · No actual harm, potential for more than minimal harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · F0699 · 2025-09-11 · standard survey · No actual harm, potential for more than minimal harm
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · F0745 · 2025-09-11 · standard survey · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2025-09-11 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS3.52278
Nursing staff turnoverShare of nursing staff who left in a year76.1%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS5
Total fined$82,863
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one5
Ownership
Who owns Avantara Arrowhead
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | 43% | since 07/01/2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | 43% | since 07/01/2019 |
| OAKWAY OPERATIONS LLC | Organization | 15% | since 07/01/2019 |
| ARROWHEAD SD PROPERTY HOLDINGS, LLC | Organization | NOT APPLICABLE | since 07/01/2019 |
| TRUIST BANK | Organization | NOT APPLICABLE | since 04/01/2022 |
| RAJCHENBACH, CHAIM | Individual | NOT APPLICABLE | since 07/01/2019 |
| SHABAT, MENACHEM | Individual | NOT APPLICABLE | since 07/01/2019 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | NOT APPLICABLE | since 07/01/2019 |
| TRUIST BANK | Organization | NOT APPLICABLE | since 04/01/2022 |
| MARTIN, SHARON | Individual | NOT APPLICABLE | since 04/09/2023 |
| PTACEK, TRAVIS | Individual | NOT APPLICABLE | since 01/01/2025 |
| RAJCHENBACH, CHAIM | Individual | NOT APPLICABLE | since 07/01/2019 |
Part of the LEGACY HEALTHCARE group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Avantara Mountain View
Rapid City · 1.5 mi · 101 beds
Citations0Substantiated0
Avantara Saint Cloud
Rapid City · 2.6 mi · 78 beds
Citations0Substantiated0
Westhills Village Health Care Facility
Rapid City · 2.7 mi · 44 beds
Citations0Substantiated0
Fountain Springs Healthcare
Rapid City · 3.1 mi · 90 beds
Citations0Substantiated0
Good Samaritan Society - ST Martin Village
Rapid City · 3.5 mi · 60 beds
Citations0Substantiated0
Contact
Ask Avantara Arrowhead a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 435051.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction