Senior Care Records.

Avantara Saint Cloud

302 ST CLOUD STREET, Rapid City, SD, 57701

Nursing home78 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 7 deficiencies against Avantara Saint Cloud in Rapid City, South Dakota at its most recent standard inspection on 2026-01-27, 4 of them arising from complaints. 3 findings have been recorded at the actual-harm level. Medicare has fined it 2 times, totalling $24,751. CMS currently flags this home for abuse. Medicare rates it 1 out of 5 overall.

1 / 5Medicare overall rating
78certified beds
7deficiencies at the last inspection
0immediate-jeopardy findings on record
3actual-harm findings on record
2federal fines, $24,751
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.3
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.14
Potential for minimal harmThe least serious band.0
Most recent

The last 17 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.

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 · F0580 · 2026-03-18 · from a complaint · Actual harm to a resident

G

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 · F0726 · 2026-03-18 · from a complaint · No actual harm, potential for more than minimal harm

D

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 · F0761 · 2026-01-27 · standard survey · No actual harm, potential for more than minimal harm

E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2026-01-27 · standard survey · No actual harm, potential for more than minimal harm

E

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies · F0695 · 2026-01-27 · standard survey · No actual harm, potential for more than minimal harm

D

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 · F0600 · 2025-08-13 · from a complaint · Actual harm to a resident

G

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies · F0732 · 2025-07-02 · from a complaint · No actual harm, potential for more than minimal harm

E

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 · F0600 · 2025-03-27 · from a complaint · No actual harm, potential for more than minimal harm

D

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 · 2024-11-07 · standard survey · No actual harm, potential for more than minimal harm

F

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2024-11-07 · from a complaint · No actual harm, potential for more than minimal harm

F

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies · F0583 · 2024-11-07 · standard survey · No actual harm, potential for more than minimal harm

E

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 · F0584 · 2024-11-07 · standard survey · No actual harm, potential for more than minimal harm

E

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies · F0550 · 2024-11-07 · standard survey · No actual harm, potential for more than minimal harm

D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · F0684 · 2024-11-07 · standard survey · No actual harm, potential for more than minimal harm

D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies · F0686 · 2023-10-26 · standard survey · Actual harm to a resident

G

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies · F0658 · 2023-10-26 · standard survey · No actual harm, potential for more than minimal harm

E

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.

Quality of Life and Care Deficiencies · F0742 · 2023-10-26 · standard survey · No actual harm, potential for more than minimal harm

D
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 cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS3.11848
Nursing staff turnoverShare of nursing staff who left in a year57.3%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS2
Total fined$24,751
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one2
Ownership

Who owns Avantara Saint Cloud

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.

OwnerRoleShareSince
DOROS GENERATION TRUST U/A/D 1/3/12Organization43%since 07/01/2019
GPN FAMILY TRUST U/A/D 4/28/08Organization43%since 07/01/2019
OAKWAY OPERATIONS LLCOrganization15%since 07/01/2019
SAINT CLOUD SD PROPERTY HOLDINGS, LLCOrganizationNOT APPLICABLEsince 07/01/2019
TRUIST BANKOrganizationNOT APPLICABLEsince 04/01/2022
RAJCHENBACH, CHAIMIndividualNOT APPLICABLEsince 07/01/2019
SHABAT, MENACHEMIndividualNOT APPLICABLEsince 07/01/2019
TRUIST BANKOrganizationNOT APPLICABLEsince 04/01/2022
ALTENA, ASHALEYIndividualNOT APPLICABLEsince 10/08/2023
PTACEK, TRAVISIndividualNOT APPLICABLEsince 01/01/2025
RAJCHENBACH, CHAIMIndividualNOT APPLICABLEsince 07/01/2019
SHABAT, MENACHEMIndividualNOT APPLICABLEsince 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.

Contact

Ask Avantara Saint Cloud a question

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What is needed

Avantara Saint Cloud has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 6053434738 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 435060.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction