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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Avantara Mountain View is a nursing home in Rapid City, South Dakota, offering skilled nursing and post-acute rehabilitation. Privately operated by Mountain View SD Skilled Nursing Facility, LLC, this 95-bed community is currently operating at 81% occupancy rate, which is similar to the state average and reflects local demand.
Operating under federal CMS guidelines and South Dakota state licensure, the community features a robust multi-disciplinary care framework. The clinical support specializes in high-acuity post-surgical care, stroke and neurological recovery, cardiac rehabilitation, and orthopedic stabilization. A defining structural strength of the community is its physical therapy staffing ratio, which tracks 33% above the South Dakota state average. While average nursing hours sit slightly below state benchmarks at 3 hours and 25 minutes per resident daily, the overall care matrix successfully minimizes long-stay risks, achieving a major injury fall rate that is 66% lower than the state average and maintaining exceptionally low indicators for resident depressive symptoms.
The community consistently maintains an above-average performance track, with a 3-star overall CMS rating, where quality measures and health inspection scores outperform the state average. In its past inspection cycles, a localized cluster of moderate citations tied to routine pharmacy services and infection control protocols has been identified, which resulted in a single minor federal fine in mid-2024 that is 77% below regional averages. However, all findings were systematically resolved under approved plans of correction.
Positioned in a well-established neighborhood pocket, the community achieves a walk score of 83, ranking eighth highest among similar communities statewide, giving visiting families and ambulatory residents excellent pedestrian access to local pharmacies, retail centers, and restaurants.
Avantara Mountain View’s unique combination of high physical therapy concentration, strong short-term rehabilitation metrics, and an exceptionally walkable urban location makes it a practical option for post-hospitalization care in Rapid City and the broader Black Hills.
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 38th out of 57 homes in South Dakota. 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.
| 46m per day | ▼ 4% State avg: 48m 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.
| 30m per day | ▲ 3% 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.
| 2h 32m per day | ▼ 3% State avg: 2h 37m 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 59m per day | ▼ 10% State avg: 3h 19m per day · National avg: 3h 26m 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.
| 4m per day | ▲ 33% 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.
| 31m per day | ■ Avg State avg: 31m per day · National avg: 28m per day |
Similar to the South Dakota average: 79.9%Avantara Mountain View is administrated by Laura Karlson.
In South Dakota, the Department of Health, Office of Health Care Facilities Licensure is the state agency responsible for conducting unannounced surveys and monitoring facility quality.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsSouth Dakota average 4.5
Last Health inspection on Dec 2024
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.
14 of 16 citations resulted from standard inspections; and 2 of 16 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.
13% worse 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,957 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 72 | 0 | 72 | 17,198 | 92 | 100% | 7.3 |
| Registered Nurse | 13 | 0 | 13 | 4,668 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 10 | 0 | 10 | 3,647 | 92 | 100% | 9.6 |
| Medication Aide/Technician | 11 | 0 | 11 | 3,066 | 92 | 100% | 7.8 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 1,255 | 64 | 70% | 7.7 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,032 | 80 | 87% | 7.7 |
| RN Director of Nursing | 2 | 0 | 2 | 548 | 60 | 65% | 7.9 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 497 | 63 | 68% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 493 | 62 | 67% | 8 |
| Speech Language Pathologist | 0 | 1 | 1 | 475 | 66 | 72% | 7.2 |
| Dental Services Staff | 1 | 0 | 1 | 472 | 60 | 65% | 7.9 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 469 | 59 | 64% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 465 | 61 | 66% | 7.6 |
| Physical Therapy Assistant | 0 | 3 | 3 | 415 | 56 | 61% | 7.4 |
| Physical Therapy Aide | 0 | 5 | 5 | 323 | 56 | 61% | 5 |
| Qualified Social Worker | 0 | 3 | 3 | 275 | 63 | 68% | 4.1 |
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)
77% 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
May 15, 2024 · $9K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 15, 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.
8.3
31% better than South Dakota averageSouth Dakota average: 12.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.1
16% better than South Dakota averageSouth Dakota average: 23.9
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
16.6%
26% better than South Dakota averageSouth Dakota average: 22.3%
Percent of long-stay residents whose ability to move independently worsened
17.6%
23% better than South Dakota averageSouth Dakota average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.0%
In line with South Dakota averageSouth Dakota average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
66% better than South Dakota averageSouth Dakota average: 5.0%
Percent of long-stay high risk residents with pressure ulcers
3.4%
25% better than South Dakota averageSouth Dakota average: 4.5%
Percent of long-stay residents with a urinary tract infection
8.8%
154% worse than South Dakota averageSouth Dakota average: 3.5%
Percent of long-stay residents who lose too much weight
2.4%
56% better than South Dakota averageSouth Dakota average: 5.5%
Percent of long-stay residents who have depressive symptoms
1.1%
73% better than South Dakota averageSouth Dakota average: 4.1%
Percent of long-stay residents who received an antipsychotic medication
24.1%
In line with South Dakota averageSouth Dakota average: 24.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
71.9%
25% worse than South Dakota averageSouth Dakota average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.5%
In line with South Dakota averageSouth Dakota average: 96.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.76
17% worse than South Dakota averageSouth Dakota average: 1.51
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.08
42% better than South Dakota averageSouth Dakota average: 1.85
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
40.5%
52% worse than South Dakota averageSouth Dakota average: 84.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
17% worse than South Dakota averageSouth Dakota average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
14.9%
81% worse than South Dakota averageSouth Dakota average: 78.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.5%
5% better than South Dakota averageSouth Dakota average: 21.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.1%
5% better than South Dakota averageSouth Dakota average: 11.7%
Percentage of SNF residents who experience falls with major injury during their stay.
1.0%
25% worse than South Dakota averageSouth Dakota average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
50.7%
6% worse than South Dakota averageSouth Dakota average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
54.0%
7% better than South Dakota averageSouth Dakota average: 50.6%
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.
25% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
82Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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 Mountain View 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 #11 / 55Payroll — State benchmarkedThis home is ranked 11th out of 55 homes in South Dakota. 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.
1085.9 miles from city center
Estimated distance in miles from Rapid City's city center to Avantara Mountain View's address, calculated via Google Maps.
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Avantara Mountain View 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.
| 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 | 87.3% | +9% | 3.82 | -2% | -12% | $32.3k | 11 | 1.6 | 2 | 86 | 16 | - | $8.8M | $4.4M | 50.3% | 435110 | ||||
| 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 | 152.5% | +91% | 4.59 | +31% | +6% | $0 | 9 | 3.0 | 1 | 38 | 21 | 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 | 80.9% | +1% | 3.41 | -15% | -21% | $9.3k | 16 | 4.0 | 2 | 87 | 83 | - | $15.2M | $6.2M | 40.6% | 435040 | ||||
| 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 | 87.3% | +9% | 3.12 | +43% | -28% | $12.3k | 20 | 4.0 | 2 | 65 | 39 | - | $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 | 75.2% | -6% | 2.80 | +68% | -36% | $61.0k | 34 | 3.8 | 9 | 61 | 12 | Philip Preston | $10.7M | $4.7M | 44.1% | 435051 |
Avantara Mountain View has a walk score of 83. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to SD state health department records, Avantara Mountain View's license number is 10669.
According to SD state health department records, Avantara Mountain View's license expires on June 30, 2026.
Avantara Mountain View's occupancy is 81%.
Laura Karlson is the administrator of Avantara Mountain View.
Avantara Mountain View has 95 beds.
Yes — there are 5 photos of Avantara Mountain View in the photo gallery on this page.
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