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Avantara Saint Cloud

Rapid City, SD · Medicare and Medicaid-certified nursing home (CCN 435060) · 78 certified beds

⚠ CMS consumer warning: CMS displays its abuse warning icon for this facility. Review the full inspection record on Medicare Care Compare ↗.
CMS overall rating: 1★ (state average 2.88★ — below state average)
Health inspection: 2 · Quality measures: 2 · Staffing: 1
Federal fines: 2 totaling $24,751
Phone: (605) 343-4738 · Verify on Medicare Care Compare ↗

Avantara Saint Cloud has a CMS overall rating of 1 out of 5 stars, below the South Dakota state average of 2.88. Its health inspection rating is 2 stars and its staffing rating is 1 star.

Avantara Saint Cloud reports 3.12 total nurse hours per resident per day, including 0.52 RN hours per resident per day, with a nursing staff turnover rate of 57.3%. CMS gives the facility a staffing rating of 1 out of 5 stars.

Avantara Saint Cloud has 2 federal fines on record totaling $24,751.00, with 0 payment denials. CMS also displays its abuse warning icon for this facility, and families should review the inspection record on Medicare Care Compare.

Overall rating vs. benchmarks
Avantara Saint Cloud Avantara Saint Cloud: 1★ 1★ SD average SD average: 2.88★ 2.88★ Legacy Healthcare chain avg Legacy Healthcare chain avg: 2.9★ 2.9★

About this facility

Avantara Saint Cloud is a 78-bed skilled nursing facility in Rapid City, Pennington County, South Dakota, with an average daily census of 72.2 residents. The facility is organized as a for-profit limited liability company and is certified to accept both Medicare and Medicaid, having first been approved for participation on May 1, 1991.

According to CMS Care Compare, Avantara Saint Cloud holds an overall star rating of 1 out of 5, which falls below the South Dakota state average of 2.88. Its component ratings are: health inspection rating of 2 stars, quality measure rating of 2 stars, and staffing rating of 1 star.

Nurse staffing is reported at 3.12 total nurse hours per resident per day, including 0.52 RN hours per resident per day, with a nursing staff turnover rate of 57.3%.

On penalties, CMS records show 2 federal fines totaling $24,751.00, and 0 payment denials on record for this facility.

CMS displays its abuse warning icon for Avantara Saint Cloud. Families are advised to review the facility's inspection record directly on Medicare Care Compare for details on the underlying citation.

Avantara Saint Cloud is part of the Legacy Healthcare chain, which operates 89 facilities nationally with an average chain rating of 2.9 stars. Ownership of this facility has not changed in the past 12 months.

This profile is based on CMS Care Compare data.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

Avantara Saint Cloud has an overall rating of 1 out of 5 stars, which is below the South Dakota state average of 2.88.

Does this facility accept Medicare, Medicaid, or both?

Yes, Avantara Saint Cloud is certified to accept both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

The facility reports 3.12 total nurse hours per resident per day, including 0.52 RN hours per resident per day, and a nursing turnover rate of 57.3%. Its CMS staffing rating is 1 out of 5 stars.

Does this facility have federal fines or penalties on record?

Yes, CMS records show 2 fines totaling $24,751.00, and 0 payment denials.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

CMS displays its abuse warning icon for this facility. There is no Special Focus program designation noted in the available data.

How large is this facility and how many residents live there?

Avantara Saint Cloud is certified for 78 beds and has an average daily census of 72.2 residents.

Who owns this facility — and is it part of a chain?

It is a for-profit limited liability company and is part of the Legacy Healthcare chain, which operates 89 facilities with an average rating of 2.9 stars.

How long has this facility been Medicare/Medicaid certified?

The facility was first approved for Medicare/Medicaid participation on May 1, 1991.

What do the four different CMS star ratings mean?

CMS publishes an overall rating plus three component ratings — health inspections, staffing, and quality measures — which combine to form the overall score; this facility's are 2, 1, and 2 stars respectively.

Does this facility offer short-term rehabilitation as well as long-term care?

This is not specified in the available CMS data; contact the facility at 6053434738 and verify details 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 6053434738 to arrange a visit and verify current conditions on Medicare Care Compare.

How do I verify this facility's current record on Medicare Care Compare?

You can review Avantara Saint Cloud's full current record at https://www.medicare.gov/care-compare/details/nursing-home/435060?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.