facebook tracking Avantara Saint Cloud, Rapid City SD: CMS Ratings
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Avantara Saint Cloud

All states › South Dakota › Rapid City › Avantara Saint Cloud

302 St Cloud Street Rapid City, SD 57701 · Pennington County

(605) 343-4738

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

Accepts Medicare Accepts Medicaid 78 certified beds For profit

CMS certification number 435060 · 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 Saint Cloud 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 Saint Cloud as of October 2026.

CMS rates it 1 out of 5 stars overall, below the South Dakota average of 3.0. Inspectors issued 17 citations in the last three years. CMS imposed 3 penalties, including $39,131 in fines, in that time.

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.

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Staffing

Nursing staff spend about 3.31 hours per resident per day at Avantara Saint Cloud, below the South Dakota median of 3.69 (US median: 3.72). About 0.47 of those hours are from registered nurses. On weekends it falls to 3.11 hours, 6% below its all-week average. 58.8% of nursing staff left within a year (South Dakota median 46.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 3.31 hours
Below the South Dakota median of 3.69 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.47 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.11 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 58.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 72.2% 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 beds78
Residents per day 69 About 88% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceMay 1991
Part of a chainLegacy Healthcare
Legal business nameSAINT CLOUD SD SKILLED NURSING FACILITY, LLC

Paying for care at Avantara Saint Cloud: Medicare and Medicaid

Avantara Saint Cloud 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 January 27, 2026 and found 3 deficiencies, plus 2 from complaint inspections in the same period. 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 Saint Cloud across 7 inspection dates, 6 of them from complaint investigations. 3 were at the actual-harm level (G–I), most recently on March 18, 2026. The most common areas cited were quality of life and care (4) and resident rights (4). The most serious was cited under the CMS rule to "immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident" (tag F0580, level G, March 18, 2026). 2 citations were under CMS's abuse, neglect and exploitation rules.

March 18, 2026 · 2 citations · includes complaint inspection

GImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Actual harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Apr 14, 2026)

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 (Mar 6, 2026)

January 27, 2026 · 3 citations

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Mar 10, 2026)

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 (Mar 10, 2026)

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 · Deficient, Provider has date of correction (Mar 10, 2026)

August 13, 2025 · 1 citation, 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 (Aug 5, 2025)

July 2, 2025 · 1 citation · includes complaint inspection

EPost nurse staffing information every day.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Complaint inspection · Deficient, Provider has date of correction (Aug 12, 2025)

March 27, 2025 · 1 citation · includes complaint inspection

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Mar 26, 2025)

November 7, 2024 · 6 citations · includes complaint inspection

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 (Dec 22, 2024)

FProvide 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 (Dec 22, 2024)

EKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Deficient, Provider has date of correction (Dec 22, 2024)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Dec 22, 2024)

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 (Dec 22, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Dec 22, 2024)

October 26, 2023 · 3 citations, includes actual harm

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Nov 22, 2023)

EEnsure 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 (Nov 22, 2023)

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 (Nov 22, 2023)

Questions to ask on a tour of Avantara Saint Cloud

  1. Inspectors cited the home at the actual-harm level on March 18, 2026 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on August 13, 2025. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Nursing staff turnover was 58.8% a year. How many of the staff come from agencies?
  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

3 penalties in the last three years, including $39,131 in fines.

DateTypeAmount or length
Mar 18, 2026 Fine $14,380
Aug 13, 2025 Fine $13,343
Oct 26, 2023 Fine $11,408

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 3/5 1/5 1/5
August 2026 1/5 2/5 1/5 2/5
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Location

Hospitals near Avantara Saint Cloud

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

Avantara Mountain View Rapid City · 1.1 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 101 beds · Medicaid
Westhills Village Health Care Facility Rapid City · 1.6 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 44 beds
Avantara North Rapid City · 2.0 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 68 beds · Medicaid
Avantara Arrowhead Rapid City · 2.1 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 68 beds · Medicaid
Fountain Springs Healthcare Rapid City · 2.5 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 90 beds · Medicaid

More nursing homes near Avantara Saint Cloud ›   All nursing homes in Rapid City ›

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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-saint-cloud/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.