Avantara Arrowhead
Rapid City, SD · Medicare and Medicaid-certified nursing home (CCN 435051) · 68 certified beds
Health inspection: 1 · Quality measures: 2 · Staffing: 2
Federal fines: 6 totaling $153,583
Phone: (605) 348-0285 · Verify on Medicare Care Compare ↗
Avantara Arrowhead has a CMS overall rating of 1 star, below the South Dakota state average of 2.88 stars. Its health inspection rating is 1 star and its staffing rating is 2 stars.
Avantara Arrowhead reports total nurse staffing of about 3.52 hours per resident per day, including 0.98 RN hours per resident per day, with a nursing staff turnover rate of 76.1%. CMS gives the facility a staffing rating of 2 stars.
CMS records show 6 federal fines against Avantara Arrowhead totaling $153,583.00, with no current payment denials. CMS also displays its abuse warning icon for this facility, so families should review the inspection record on Care Compare.
About this facility
Avantara Arrowhead is a Medicare and Medicaid certified nursing home in Rapid City, Pennington County, South Dakota, with 68 certified beds and an average of 59.3 residents. It operates as a for-profit facility organized as a Limited Liability Company, first approved for certification in 1991. The facility is part of the Legacy Healthcare chain, which includes 89 facilities nationwide with an average CMS rating of 2.9 stars.
CMS Care Compare gives Avantara Arrowhead an overall rating of 1 star, below the South Dakota state average of 2.88 stars. Its health inspection rating is 1 star, its quality measures rating is 2 stars, and its staffing rating is 2 stars.
Total nurse staffing is reported at 3.52 hours per resident per day, including 0.98 RN hours per resident per day. Nursing staff turnover is reported at 76.1%.
CMS records show 6 federal fines totaling $153,583.00 against this facility. There are no current payment denials on record. CMS displays its abuse warning icon for this facility; families should review the facility's inspection record directly on Care Compare for details on the underlying findings.
Ownership has not changed in the past 12 months, so current ratings reflect the present operator.
Source: CMS Medicare Care Compare.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Avantara Arrowhead has an overall rating of 1 star, below the South Dakota state average of 2.88 stars.
Does this facility accept Medicare, Medicaid, or both?
It accepts both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is about 3.52 hours per resident per day, including 0.98 RN hours, with a nursing staff turnover rate of 76.1%; CMS rates staffing at 2 stars.
Does this facility have federal fines or penalties on record?
Yes, CMS records 6 fines totaling $153,583.00, with no payment denials on record.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
CMS displays its abuse warning icon for this facility; no Special Focus program designation is listed in the data provided.
How large is this facility and how many residents live there?
It has 68 certified beds and an average of 59.3 residents.
Who owns this facility — and is it part of a chain?
It is owned by a for-profit Limited Liability Company and is part of the Legacy Healthcare chain, which has 89 facilities averaging a 2.9-star rating.
How long has this facility been Medicare/Medicaid certified?
It was first approved for certification on January 1, 1991.
What do the four different CMS star ratings mean?
CMS rates facilities on overall quality, health inspections, staffing, and quality measures; this facility scores 1, 1, 2, and 2 stars respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service types; contact the facility at 6053480285 and verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not cover tour details; contact the facility at 6053480285 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can review current details at https://www.medicare.gov/care-compare/details/nursing-home/435051?state=SD.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.