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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Operating a 68-bed nursing home at 1620 North 7th Street in Rapid City’s North 7th Street neighborhood, Avantara North serves residents under administrator Celina Block’s leadership.
The privately owned facility, operational since early 2025, accepts Medicare, Medicaid, and private-pay residents and maintains 87% occupancy; exceeding South Dakota’s average of 79.9%. Average resident stay extends to 151 days.
CMS assigns a 2-star overall rating, 20.3% below state average, driven by health inspection performance rated 2 stars (21.6% below state) and below-average quality measures.
Conversely, staffing earns a 3-star rating, 4.5% above state benchmarks, as does quality measures at 3 stars with 9.9% above-state performance. Total nursing care averages 3 hours 7 minutes per resident daily, falling 17% below the state average. Weekend nursing drops to 2 hours 32 minutes daily, 23% below state norms. Staff-to-resident ratio of 1.32:1 underperforms the state standard of 1.93:1 by 31%, indicating concentrated staffing constraints.
Rehabilitation programming encompasses post-surgical recovery, short-term skilled rehabilitation, stroke and neurological care, cardiac services, oncology recovery, orthopedic rehabilitation, and pulmonary support. Respite care and on-site salon services complement clinical offerings. Wi-Fi access and community spaces support resident engagement.
Five inspections since 2022 identified 20 health citations with no critical findings. One $12,000 federal penalty was imposed in October 2024.
Clinical strengths include zero reported depressive symptoms and minimal antipsychotic use (10.0%, well below state average of 24.4%). Walking ability decline at 37.2% significantly exceeds state benchmarks.
The location sits 1.4 miles from downtown and adjacent to Black Hills Urgent Care (0.37 miles). Walk score of 39 indicates somewhat walkable surroundings dependent on transportation for most errands.
Avantara North operates as a newly established short-stay rehabilitation facility managing competing staffing constraints against selected clinical outcome advantages.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 49th out of 57 homes in South Dakota for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 0m per day | ▲ 21% State avg: 49m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 11m per day | ▼ 63% State avg: 29m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 47m per day | ▼ 31% State avg: 2h 34m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 28m per day | ▼ 27% State avg: 3h 23m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 9% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 38m per day | ▲ 22% State avg: 31m per day · National avg: 29m per day |
Higher than the South Dakota average: 79.9%Avantara North is administrated by Celina Block.
South Dakota average 4.5
Last Health inspection on Aug 2025
South Dakota average 14.8
South Dakota average 3.34
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 20 citations resulted from standard inspections; and 8 of 20 resulted from complaint investigations.
100% better than South Dakota averageSouth Dakota average: 0.3
11% worse than South Dakota averageSouth Dakota average: 1.8
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
31% fewer staff per resident than South Dakota average
0% compared with South Dakota average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 13 RN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
All 4 LPN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursHelps with daily care and mobility.
All 27 CNA Staff are full-time employees. No contractors work on this role.
27
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,170 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 27 | 0 | 27 | 9,437 | 92 | 100% | 8.7 |
| Registered Nurse | 13 | 0 | 13 | 4,369 | 92 | 100% | 8.9 |
| Medication Aide/Technician | 13 | 0 | 13 | 1,491 | 92 | 100% | 7.6 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,232 | 85 | 92% | 6.3 |
| Physical Therapy Aide | 0 | 2 | 2 | 796 | 85 | 92% | 7 |
| Licensed Practical Nurse | 4 | 0 | 4 | 640 | 58 | 63% | 8.2 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Dietitian | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 436 | 55 | 60% | 7.9 |
| Qualified Social Worker | 0 | 3 | 3 | 435 | 68 | 74% | 4.8 |
| Speech Language Pathologist | 0 | 1 | 1 | 400 | 58 | 63% | 6.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 354 | 52 | 57% | 6.8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 285 | 51 | 55% | 5.6 |
| Physical Therapy Assistant | 0 | 5 | 5 | 254 | 48 | 52% | 5.3 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
69% lower than South Dakota averageSouth Dakota average: $40K
51% fewer fines than South Dakota averageSouth Dakota average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
In line with South Dakota averageSouth Dakota average: 0.0
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Oct 7, 2024 · $12K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 7, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.7
31% worse than South Dakota averageSouth Dakota average: 12.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
31.0
30% worse than South Dakota averageSouth Dakota average: 23.9
Percent of long-stay residents whose need for help with daily activities has increased
29.4%
32% worse than South Dakota averageSouth Dakota average: 22.3%
Percent of long-stay residents whose ability to move independently worsened
37.2%
63% worse than South Dakota averageSouth Dakota average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.4%
In line with South Dakota averageSouth Dakota average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
48% better than South Dakota averageSouth Dakota average: 5.0%
Percent of long-stay high risk residents with pressure ulcers
6.8%
51% worse than South Dakota averageSouth Dakota average: 4.5%
Percent of long-stay residents with a urinary tract infection
3.7%
5% worse than South Dakota averageSouth Dakota average: 3.5%
Percent of long-stay residents who lose too much weight
2.5%
54% better than South Dakota averageSouth Dakota average: 5.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than South Dakota averageSouth Dakota average: 4.1%
Percent of long-stay residents who received an antipsychotic medication
10.0%
59% better than South Dakota averageSouth Dakota average: 24.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.5%
In line with South Dakota averageSouth Dakota average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
In line with South Dakota averageSouth Dakota average: 96.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.7%
In line with South Dakota averageSouth Dakota average: 84.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than South Dakota averageSouth Dakota average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
86.1%
10% better than South Dakota averageSouth Dakota average: 78.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
59% of new residents, usually for short-term rehab.
29% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
62Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Avantara North based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #19 / 55Payroll — State benchmarkedThis home is ranked 19th out of 55 homes in South Dakota for payroll. Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
1.4 miles from city center
Estimated distance in miles from Rapid City's city center to Avantara North's address, calculated via Google Maps.
— 0.37 miles to nearest hospital (Black Hills Urgent Care)
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Avantara North is located in Rapid City, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
| Westhills Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Rapid City (Texas Street) | 44
Facility
44
SD AVG
69
Rank
#90 / 117 | 100.0% | +25% | 4.59 | +31% | +6% | $13.5k | 9 | 3.0 | 1 | 41 |
21
Facility
21
SD AVG
39
Rank
#111 / 159 | Bradley Archer | $28.5M | $8.6M | 30% | 435033 | ||||
| Avantara Mountain View |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Rapid City | 95
Facility
95
SD AVG
69
Rank
#25 / 117 | 80.9% | +1% | 3.41 | -15% | -21% | $9.3k | 16 | 4.0 | 2 | 87 |
83
Facility
83
SD AVG
39
Rank
#8 / 159 | - | $15.2M | $6.2M | 40.6% | 435040 | ||||
| Fountain Springs Healthcare Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Rapid City | 10
Facility
10
SD AVG
69
Rank
#116 / 117 | - | - | 3.82 | -2% | -12% | $22.5k | 11 | 1.6 | 2 | 82 |
16
Facility
16
SD AVG
39
Rank
#120 / 159 | - | $8.8M | $4.4M | 50.3% | 435110 | ||||
| Avantara North |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Rapid City (North 7Th Street) | 68
Facility
68
SD AVG
69
Rank
#45 / 117 | 87.3% | +9% | 3.12 | +43% | -28% | $33.8k | 20 | 4.0 | 2 | 67 |
39
Facility
39
SD AVG
39
Rank
#77 / 159 | - | $11.4M | $4.7M | 40.8% | 435064 | ||||
| Avantara Arrowhead |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Rapid City (Broadmoor Subdivision) | 68
Facility
68
SD AVG
69
Rank
#45 / 117 | 75.2% | -6% | 2.80 | +68% | -36% | $105.9k | 34 | 3.8 | 9 | 61 |
12
Facility
12
SD AVG
39
Rank
#127 / 159 | Philip Preston | $10.7M | $4.7M | 44.1% | 435051 |
Avantara North is in the North 7th Street neighborhood of 1620 North 7th St. Rapid City.
Avantara North has a walk score of 39. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to SD state health department records, Avantara North's license number is 10665.
According to SD state health department records, Avantara North's license expires on June 30, 2026.
Avantara North's occupancy is 87%.
Celina Block is the administrator of Avantara North.
Avantara North has 68 beds.
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