Avantara Saint Cloud
Nursing home in Rapid City, SD
Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon
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
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.
| Inspection | Citation | Severity |
|---|---|---|
| Mar 18, 2026 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D |
| Mar 18, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G |
| Jan 27, 2026 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| Jan 27, 2026 | Ensure 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… | E |
| Jan 27, 2026 | Provide and implement an infection prevention and control program. | E |
| Aug 13, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| Jul 2, 2025 | Post nurse staffing information every day. | E |
| Mar 27, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| Nov 7, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| Nov 7, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| Nov 7, 2024 | Keep residents' personal and medical records private and confidential. | E |
| Nov 7, 2024 | Honor 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. | E |
Fines and payment denials
CMS records 2 fines totalling $24,751 in the last three years.
| Aug 13, 2025 | Fine: $13,343 |
| Oct 26, 2023 | Fine: $11,408 |
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
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.
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