Avantara Arrowhead

Public-record details

Address

2500 Arrowhead Dr, Rapid City, SD 57702

Phone

(605) 348-0285

Listed under

For-profit

Medicare CCN

435051

Overall star rating

1 of 5 ★☆☆☆☆

Health inspection rating

1 of 5

Staffing rating

2 of 5

Quality measures rating

2 of 5

Certified beds

68

Average residents per day

59

Ownership

For-profit, limited Liability company

Legal business name

Arrowhead Sd Skilled Nursing Facility LLC

Chain

Legacy Healthcare (89 facilities)

Certified for

Medicare and Medicaid

First approved by Medicare/Medicaid

Jan 1, 1991

Changed ownership in last 12 months

No

Continuing care retirement community

No

Located inside a hospital

No

Resident or family council

Resident and family councils

Sprinklers in all required areas

Yes

CMS certification number 435051. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 22, 2026. CMS lists 45 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 15, 2024 to Jun 22, 2026): 21 from complaint inspections, 10 at the “actual harm” level or higher. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

Showing the 12 most recent of 45. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 6 fines totalling $153,583 in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day

3.52 hours

Registered nurse (RN) time per resident per day

0.98 hours

Nurse aide time per resident per day

2.23 hours

Total nurse staffing on weekends

3.27 hours

Nursing staff turnover (yearly)

76%

RN turnover (yearly)

75%

Administrators who left in the past year

0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.