facebook tracking Avantara North, Rapid City SD: CMS Ratings & Inspections
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Avantara North

All states › South Dakota › Rapid City › Avantara North

1620 North 7th Street Rapid City, SD 57701 · Pennington County

(605) 343-4958

All 8 nursing homes in Rapid City, SD (7 take Medicaid)

Accepts Medicare Accepts Medicaid 68 certified beds For profit

CMS certification number 435064 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Avantara North a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avantara North as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the South Dakota average of 3.0. Inspectors issued 17 citations in the last three years. CMS imposed 2 penalties, including $24,108 in fines, in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 2 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.14 hours per resident per day at Avantara North, below the South Dakota median of 3.69 (US median: 3.72). About 1.01 of those hours are from registered nurses. On weekends it falls to 2.57 hours, 18% below its all-week average. Ask how weekends are staffed. 32.6% of nursing staff left within a year (South Dakota median 46.5%). That is lower than most homes in South Dakota, a sign of a steadier team.

Nursing care per resident per day 3.14 hours
Below the South Dakota median of 3.69 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.01 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.57 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 32.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 14.3% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds68
Residents per day 63 About 93% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceJuly 1992
Part of a chainLegacy Healthcare
Legal business nameRC NORTH SD SKILLED NURSING FACILITY LLC

Paying for care at Avantara North: Medicare and Medicaid

Avantara North is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet South Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on February 20, 2026 and found 2 deficiencies. In total, inspectors issued 17 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 17 citations at Avantara North across 5 inspection dates, 8 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on August 7, 2025. The most common areas cited were quality of life and care (5) and freedom from abuse, neglect, and exploitation (3). The most serious was cited under the CMS rule to "provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections" (tag F0690, level G, August 7, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.

February 20, 2026 · 2 citations

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Apr 6, 2026)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Apr 6, 2026)

August 7, 2025 · 5 citations, includes actual harm · includes complaint inspection

GProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Actual harm · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (Sep 5, 2025)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Sep 5, 2025)

DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0628 · Complaint inspection · Deficient, Provider has date of correction (Sep 5, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Complaint inspection · Deficient, Provider has date of correction (Sep 5, 2025)

DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Complaint inspection · Past Non-Compliance (May 7, 2025)

January 14, 2025 · 5 citations · includes complaint inspection

FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Feb 28, 2025)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Feb 28, 2025)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Feb 28, 2025)

DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 · Complaint inspection · Past Non-Compliance (Jan 13, 2025)

DProvide 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0742 · Deficient, Provider has date of correction (Feb 28, 2025)

October 7, 2024 · 2 citations, includes actual harm · includes complaint inspection

GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Sep 29, 2024)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Past Non-Compliance (Sep 29, 2024)

September 28, 2023 · 3 citations

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Nov 12, 2023)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Nov 12, 2023)

DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Nov 12, 2023)

Questions to ask on a tour of Avantara North

  1. Inspectors cited the home at the actual-harm level on August 7, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on January 14, 2025. How are staff trained, and how are concerns reported?
  3. Weekend staffing is 18% below the all-week average. Who is on duty on Saturday nights?
  4. CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

2 penalties in the last three years, including $24,108 in fines.

DateTypeAmount or length
Aug 7, 2025 Fine $17,940
Oct 7, 2024 Fine $6,168

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 3/5 4/5 2/5
August 2026 3/5 3/5 3/5 2/5
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Location

Hospitals near Avantara North

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Fountain Springs Healthcare Rapid City · 1.0 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 90 beds · Medicaid
Avantara Mountain View Rapid City · 1.9 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 101 beds · Medicaid
Avantara Saint Cloud Rapid City · 2.0 mi away ★☆☆☆☆ Inspection 3/5 · Staffing 1/5 78 beds · Medicaid
Avantara Arrowhead Rapid City · 3.4 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 68 beds · Medicaid
Good Samaritan Society - St Martin Village Rapid City · 3.5 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 60 beds · Medicaid

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Other Legacy Healthcare nursing homes in South Dakota

Affiliation comes from CMS's affiliated-entity data, October 2026. All 96 Legacy Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/south-dakota/rapid-city/avantara-north/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.