Nursing HomeInspections

Avantara Saint Cloud

Nursing home in Rapid City, SD

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

Call (605) 343-4738Send a messageMap ↗

Public-record details

Address
302 St Cloud Street, Rapid City, SD 57701
Phone
(605) 343-4738
Listed under
For-profit
Medicare CCN
435060
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
2 of 5
Certified beds
78
Average residents per day
72
Ownership
For-profit, limited Liability company
Legal business name
Saint Cloud Sd Skilled Nursing Facility, LLC
Chain
Legacy Healthcare (89 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 1, 1991
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 435060. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jan 27, 2026. CMS lists 17 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 26, 2023 to Mar 18, 2026): 6 from complaint inspections, 3 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.

InspectionCitationSeverity
Mar 18, 2026Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 18, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
G
Actual harm, isolated
Jan 27, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jan 27, 2026Ensure 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…
Pharmacy Service
E
Potential for more than minimal harm, pattern
Jan 27, 2026Provide and implement an infection prevention and control program.
Infection Control
E
Potential for more than minimal harm, pattern
Aug 13, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
G
Actual harm, isolated
Jul 2, 2025Post nurse staffing information every day.
Nursing and Physician Services · complaint inspection
E
Potential for more than minimal harm, pattern
Mar 27, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 7, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Nov 7, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Nov 7, 2024Keep residents' personal and medical records private and confidential.
Resident Rights
E
Potential for more than minimal harm, pattern
Nov 7, 2024Honor 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.
Resident Rights
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 17. 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 2 fines totalling $24,751 in the last three years.

Aug 13, 2025Fine: $13,343
Oct 26, 2023Fine: $11,408

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
3.12 hours
Registered nurse (RN) time per resident per day
0.52 hours
Nurse aide time per resident per day
2.15 hours
Total nurse staffing on weekends
2.85 hours
Nursing staff turnover (yearly)
57%
RN turnover (yearly)
78%
Administrators who left in the past year
0

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

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Rapid City

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All 8 in Rapid City →