AVANTARA ARROWHEAD

RAPID CITY, SD · 65 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • This facility has a substantiated finding of abuse
  • 1-star health inspection rating (lowest possible)
  • 28 deficiencies — 4.1x the state average
  • 9 citation(s) where residents suffered actual harm
  • 62% total nursing staff turnover

Green Flags

No positive signals identified yet.

Quick Facts

★☆☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
28
4.1x state avg
Deficiencies
$40,014
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

December 9, 2025

3 deficiencyies
F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

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

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

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

F0697 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide safe, appropriate pain management for a resident who requires such services.

November 5, 2025

1 deficiency
F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

Show details

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

September 10, 2025

16 deficiencyies
F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Allow residents to self-administer drugs if determined clinically appropriate.

F0578 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

F0583 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Keep residents' personal and medical records private and confidential.

F0645 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

PASARR screening for Mental disorders or Intellectual Disabilities

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

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

F0686 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

Show details

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

F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

Show details

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0695 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

Show details

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

F0697 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

Show details

Provide safe, appropriate pain management for a resident who requires such services.

F0699 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide care or services that was trauma informed and/or culturally competent.

F0745 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide medically-related social services to help each resident achieve the highest possible quality of life.

F0759 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

Show details

Ensure medication error rates are not 5 percent or greater.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

Show details

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

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

F0684 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

Show details

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

See full violation history →

Staffing

0.65
RN hrs/res/day
0.50
LPN hrs/res/day
1.73
CNA hrs/res/day
2.52
Weekend hrs/res/day
62%
Total nurse turnover
53%
RN turnover

A nurse checks on each resident roughly every 8.3 hours on average.

Fines & Penalties

  • Fine Mar 4, 2025
    $7,968
  • Fine Jul 9, 2024
    $8,018
  • Fine Jul 9, 2024
    $11,333
  • Fine May 14, 2024
    $12,695
Total $40,014

Ownership

For profit - Limited Liability company Chain: LEGACY HEALTHCARE
  • DOROS GENERATION TRUST U/A/D 1/3/12

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 07/01/2019

    43% Organization
  • GPN FAM TR UA 04282008

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 07/01/2019

    43% Organization
  • OAKWAY OPERATIONS LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 07/01/2019

    15% Organization
  • LEGACY HEALTHCARE FINANCIAL SERVICES LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2019

    Organization
  • TRUIST BANK

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2022

    Organization
  • MARTIN, SHARON

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/09/2023

    Individual
  • PTACEK, TRAVIS

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2025

    Individual
  • RAJCHENBACH, CHAIM

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2019

    Individual
  • SHABAT, MENACHEM

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2019

    Individual
  • ARROWHEAD SD PROPERTY HOLDINGS, LLC

    5% OR GREATER SECURITY INTEREST

    Since since 07/01/2019

    Organization
  • TRUIST BANK

    5% OR GREATER SECURITY INTEREST

    Since since 04/01/2022

    Organization

Nearby Facilities in RAPID CITY, SD