(888) 927-9409
Pricing Call
(888) 927-9409
Avantara Arrowhead
Nursing Home, Hospice Care & Skilled Nursing · Rapid City, SD
CMS overall rating Info 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.
Exterior view of Avantara Arrowhead's sign and building Exterior view of the facility with parking area Exterior view of Avantara Arrowhead facility with signage Outdoor seating area with wicker chairs and plants A well-furnished resident room with twin beds and natural light

Avantara Arrowhead

Nursing Home, Hospice Care & Skilled Nursing · Rapid City, SD
CMS overall rating Info 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.
2500 Arrowhead Dr, Rapid City, SD 57702 View map Calculator: See prices in your area
Avantara Arrowhead accepts Medicare, Medicaid, and private pay.
Contact Us Explore Open Rooms
Calculator: See prices in your area
Avantara Arrowhead accepts Medicare, Medicaid, and private pay.

Overview of Avantara Arrowhead

Facebook LinkedIn

Seventy-five percent occupancy, or 51 of 68 beds, at a nursing home positioned in Rapid City’s Broadmoor Subdivision, about 2.3 miles from the city center and less than a mile from the nearest hospital. The address is 2500 Arrowhead Dr, and the surrounding area is car-dependent (Walk Score 12). Sharon Martin administers the facility, which operates within the Avantara network.

The average length of stay is 174 days. That number places Avantara Arrowhead in a middle zone: not a pure short-stay rehab operation, but not configured primarily around indefinite long-term residence either. Rehabilitation services and short-term rehab are the confirmed service lines, with orthopedic care listed as a clinical program.

Staffing reported to CMS totals 2 hours and 48 minutes of nursing care per resident per day. Registered nurses account for 47 minutes; nurse aides account for 2 hours and 2 minutes. Medicare, Medicaid, and private pay are all accepted.

Avantara Arrowhead is a mid-sized nursing home serving residents in post-acute and transitional care, with orthopedic rehabilitation among its confirmed clinical offerings and full coverage across Medicare, Medicaid, and private pay.

Facility Direct Line (605) 348-0285
Facility Direct Line (605) 348-0285
Facebook LinkedIn

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 63.2% Below SD avg. ▼ 63.2% Below SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 63.0% Below SD avg. ▼ 63.0% Below SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 39.7% Below SD avg. ▼ 39.7% Below SD avg.SD average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 26.6% Below SD avg. ▼ 26.6% Below SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs South Dakota averages

Rank #54 / 65Nurse hours — State benchmarkedThis home is ranked 54th out of 65 homes we track in South Dakota for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 65 South Dakota facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 54th out of 65 homes we track 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.

3h 13m

26% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
54m
−4% State avg: 56m per day · National avg: 42m per day
LPN / LVN Info 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.
17m
−49% State avg: 32m per day · National avg: 52m per day
Nurse Aide Info 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 3m
−31% State avg: 2h 56m per day · National avg: 2h 24m per day
Weekend Total Nursing Info 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
−20% State avg: 3h 43m per day · National avg: 3h 30m per day
Physical Therapist Info 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.
1m
−55% State avg: 3m per day · National avg: 4m per day
Weekend RN Info 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.
41m
+26% State avg: 32m per day · National avg: 29m per day

5 of 6 metrics below state avg

Standout metric: Weekend RN is +26% above South Dakota average

Capacity and availability

Residents per day (avg)
59
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
174 days
Bed community size
68-bed community Rank #45 / 116Bed count — State benchmarkedThis home is ranked 45th out of 116 homes we track in South Dakota for bed count. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
1 year in operation Rank #14 / 107Years in operation — State benchmarkedThis home is ranked 14th out of 107 homes we track in South Dakota for years in operation. Shows how long this facility has been in operation compared to other South Dakota facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 12 / 100 Rank #127 / 148Walk Score — State benchmarkedThis home is ranked 127th out of 148 homes we track in South Dakota for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across South Dakota facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
87%
Rank #21 / 33Occupancy rate — State benchmarkedThis home is ranked 21st out of 33 homes we track in South Dakota for occupancy. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 33. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the South Dakota average: 79.9%
Occupied beds
59 / 68
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
IssuanceJuly 14, 2025
CountyPennington
License Number10668
Accreditations2023 AHCA Bronze award

Ownership & Operating Entity

Avantara Arrowhead is administered by Sharon Martin.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsHealthcare Services, Orthopedic Care, Suites & Accommodations

Contact Avantara Arrowhead

CMS Health Inspection History

Inspections Since 2023 · 3 years of data
Total health inspections 9

South Dakota average 4.5

Last Health inspection on Nov 2025

Total health citations
34 Rank #59 / 65Health citations — State benchmarkedThis home is ranked 59th out of 65 homes we track in South Dakota for health citations. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 65 SD facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

South Dakota average 14.8

Citations per inspection
3.78 Rank #42 / 65Citations per inspection — State benchmarkedThis home is ranked 42nd out of 65 homes we track in South Dakota for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 65 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

South Dakota average 3.34

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

21 of 34 citations resulted from standard inspections; 12 of 34 resulted from complaint investigations; and 1 of 34 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than South Dakota average

South Dakota average: 0.3

Serious health citations
9
400% worse than South Dakota average

South Dakota average: 1.8

0 critical citations South Dakota average: 0.3
9 serious citations South Dakota average: 1.8
25 moderate citations South Dakota average: 12.6
0 minor citations South Dakota average: 0
Citations history (last 3 years)
Quality of Care serious citation Nov 06, 2025
Corrected
Infection Control moderate citation Sep 11, 2025
Corrected
Nutrition moderate citation Sep 11, 2025
Corrected
Pharmacy moderate citation Sep 11, 2025
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 139
Employees 66
Contractors 73
Staff to resident ratio 2.48 : 1
29% more staff per resident than South Dakota average
South Dakota average ratio: 1.93 : 1 South Dakota average ratio: 1.93 : 1See full South Dakota ranking
Avg staff/day 28
Average shift 8.5 hours
10% better than South Dakota average
South Dakota average: 7.7 hours South Dakota average shift: 7.7 hoursSee full South Dakota ranking
Total staff hours (quarter) 21,784

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 26 total: 13 full-time employees and 13 contractors. 26
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 11 total: 8 full-time employees and 3 contractors. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 65 total: 28 full-time employees and 37 contractors. 65
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

32.3%

7,034 contractor hours this quarter

Certified Nursing Assistant: 37 Registered Nurse: 13 Respiratory Therapy Technician: 7 Physical Therapy Aide: 4 Speech Language Pathologist: 3 Licensed Practical Nurse: 3 Physical Therapy Assistant: 3 Qualified Social Worker: 3

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant28376510,21592100%8.9
Registered Nurse1313262,96692100%9
Licensed Practical Nurse83111,8398997%8.9
Medication Aide/Technician6061,1077379%11.1
Clinical Nurse Specialist2029126470%7.9
Speech Language Pathologist0335516975%7.3
Other Dietary Services Staff3035226773%6.3
Dietitian1015126470%8
Dental Services Staff1015126470%8
RN Director of Nursing2024996267%7.9
Administrator1014906267%7.9
Nurse Practitioner1014846065%8.1
Physical Therapy Assistant0334535964%7.7
Physical Therapy Aide0443995762%6.4
Respiratory Therapy Technician0772346368%3
Qualified Social Worker033903336%2.7
65 Certified Nursing Assistant
% of Days 100%
26 Registered Nurse
% of Days 100%
11 Licensed Practical Nurse
% of Days 97%
6 Medication Aide/Technician
% of Days 79%
View All Staffing Data in Rapid City

Penalties and fines

Includes penalties issued in 2024-2025

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)

Total fines amount $48K Rank #62 / 67Federal fines — State benchmarkedThis home is ranked 62nd out of 67 homes we track in South Dakota for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the South Dakota average among facilities with fines, and where it ranks among 67 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
20% higher than South Dakota average

South Dakota average: $40K

Number of fines 4
97% more fines than South Dakota average

South Dakota average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
In line with South Dakota average

South Dakota average: 0.0

Fines amount comparison
Fines amount comparison
This facility $48K
South Dakota average $40K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

4 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Mar 5, 2025
$16K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 10, 2024
$8K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 10, 2024
$11K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 15, 2024
$13K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 12.0
In line with South Dakota average

South Dakota average: 12.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 25.9
8% worse than South Dakota average

South Dakota average: 23.9

Long-stay resident measures
Significantly below average South Dakota avg: 2.6 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 19.1%
14% better than South Dakota average

South Dakota average: 22.3%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 30.5%
33% worse than South Dakota average

South Dakota average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 28.1%
6% worse than South Dakota average

South Dakota average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.0%
100% better than South Dakota average

South Dakota average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.5%
22% worse than South Dakota average

South Dakota average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.9%
14% worse than South Dakota average

South Dakota average: 3.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.7%
13% better than South Dakota average

South Dakota average: 5.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.7%
14% worse than South Dakota average

South Dakota average: 4.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 26.1%
7% worse than South Dakota average

South Dakota average: 24.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 92.6%
In line with South Dakota average

South Dakota average: 95.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 90.3%
7% worse than South Dakota average

South Dakota average: 96.9%

Short-stay resident measures
Below average South Dakota avg: 2.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 36.5%
57% worse than South Dakota average

South Dakota average: 84.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than South Dakota average

South Dakota average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 48.5%
38% worse than South Dakota average

South Dakota average: 78.2%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

36% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

33% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

31% of new residents, often for long-term daily care.

Typical stay 1 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 56
Medicare
7
12.5% of residents
Medicaid
38
67.9% of residents
Private pay or other
11
19.6% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.6M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$346.9K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.6M Rank #29 / 58Net patient revenue — State benchmarkedThis home is ranked 29th out of 58 homes we track in South Dakota. Shows this facility's net patient revenue compared to the South Dakota average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$346.9K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$409
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #31 / 58Payroll costs — State benchmarkedThis home is ranked 31st out of 58 homes we track in South Dakota. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the South Dakota average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$3.4M 52.6% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #42 / 58Payroll % of net patient revenue — State benchmarkedThis home is ranked 42nd out of 58 homes we track in South Dakota. Shows payroll as a percentage of net patient revenue versus the South Dakota average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.9M
How we calculate these figures

This home is administered by Sharon Martin.

This home is owned by Philip Preston

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 435051

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (36% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
116 total

Coverage residents most often arrive under.

Medicare 36%
Private pay 33%
Medicaid 31%
Discharges
117 total

Coverage residents most often leave under.

Medicare 21%
Private pay 24%
Medicaid 55%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Avantara Arrowhead

Address 2.3 miles from city center Info Estimated distance in miles from Rapid City's city center to Avantara Arrowhead's address, calculated via Google Maps.

Calculate Travel Distance to Avantara Arrowhead

Add your location

Address

Compare Nursing Homes around Rapid City

Info below is compiled from CMS reports & the SD Dept. of Health (DOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The South Dakota average is: 58.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Westhills Village ★ ★ ★ ★ ★
NH
AL
HC
IL
PC
SNF
Rapid City
44
Facility 44
SD AVG 69
Rank #89 / 116
93.4%
Facility 93.4%
SD AVG 84%
Rank #9 / 33
+11%
4.26
Facility 4.26
SD AVG 4.34
Rank #17 / 65
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +31%-2%
$13.5k
Facility $13.5k
SD AVG $38.5k
Rank #28 / 67
9
Facility 9
SD AVG 14.8
Rank #17 / 65
3.0
Facility 3.0
SD AVG 3.3
Rank #27 / 65
141-
21
Facility 21
SD AVG 42
Rank #111 / 148
Bradley Archer
$6.7MFiscal year ending 09/2023
Facility $6.7MFiscal year ending 09/2023
SD AVG $7.1M
Rank #27 / 58
$8.6MFiscal year ending 09/2023
Facility $8.6MFiscal year ending 09/2023
SD AVG $4.2M
Rank #5 / 58
128.7%Fiscal year ending 09/2023
Facility 128.7%Fiscal year ending 09/2023
SD AVG 58.6%
Rank #1 / 58
435033
Avantara North ★ ★ ★ ☆ ☆
NH
HOS
MC
SNF
Rapid City
68
Facility 68
SD AVG 69
Rank #45 / 116
96.6%
Facility 96.6%
SD AVG 84%
Rank #1 / 33
+15%
2.99
Facility 2.99
SD AVG 4.34
Rank #58 / 65
 ★ ★ ★ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ +43%-31%
$33.8k
Facility $33.8k
SD AVG $38.5k
Rank #45 / 67
20
Facility 20
SD AVG 14.8
Rank #40 / 65
4.0
Facility 4.0
SD AVG 3.3
Rank #44 / 65
266-
39
Facility 39
SD AVG 42
Rank #77 / 148
-
$7.1MFiscal year ending 12/2023
Facility $7.1MFiscal year ending 12/2023
SD AVG $7.1M
Rank #21 / 58
$3.8MFiscal year ending 12/2023
Facility $3.8MFiscal year ending 12/2023
SD AVG $4.2M
Rank #24 / 58
53.3%Fiscal year ending 12/2023
Facility 53.3%Fiscal year ending 12/2023
SD AVG 58.6%
Rank #40 / 58
435064
Fountain Springs Healthcare Center ★ ★ ★ ☆ ☆
NH
MC
RC
SNF
Rapid City
10
Facility 10
SD AVG 69
Rank #115 / 116
--
3.46
Facility 3.46
SD AVG 4.34
Rank #41 / 65
 ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -2%-20%
$22.5k
Facility $22.5k
SD AVG $38.5k
Rank #40 / 67
11
Facility 11
SD AVG 14.8
Rank #20 / 65
1.6
Facility 1.6
SD AVG 3.3
Rank #11 / 65
282-
16
Facility 16
SD AVG 42
Rank #120 / 148
-$10.4M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$4.2M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.40.8%*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.435110
Avantara Mountain View ★ ★ ☆ ☆ ☆
NH
SNF
Rapid City
95
Facility 95
SD AVG 69
Rank #25 / 116
--
3.53
Facility 3.53
SD AVG 4.34
Rank #41 / 65
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ☆ ☆ -15%-19%
$9.3k
Facility $9.3k
SD AVG $38.5k
Rank #20 / 67
16
Facility 16
SD AVG 14.8
Rank #31 / 65
4.0
Facility 4.0
SD AVG 3.3
Rank #44 / 65
289-
83
Facility 83
SD AVG 42
Rank #8 / 148
-
$9.5MFiscal year ending 12/2023
Facility $9.5MFiscal year ending 12/2023
SD AVG $7.1M
Rank #10 / 58
$5.2MFiscal year ending 12/2023
Facility $5.2MFiscal year ending 12/2023
SD AVG $4.2M
Rank #14 / 58
54.7%Fiscal year ending 12/2023
Facility 54.7%Fiscal year ending 12/2023
SD AVG 58.6%
Rank #35 / 58
435040
Avantara Arrowhead ★ ☆ ☆ ☆ ☆
NH
HOS
SNF
Rapid City (Broadmoor Subdivision)
68
Facility 68
SD AVG 69
Rank #45 / 116
87.2%
Facility 87.2%
SD AVG 84%
Rank #21 / 33
+4%
3.22
Facility 3.22
SD AVG 4.34
Rank #54 / 65
 ★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ +68%-26%
$105.9k
Facility $105.9k
SD AVG $38.5k
Rank #62 / 67
34
Facility 34
SD AVG 14.8
Rank #59 / 65
3.8
Facility 3.8
SD AVG 3.3
Rank #42 / 65
959-
12
Facility 12
SD AVG 42
Rank #127 / 148
Philip Preston
$6.6MFiscal year ending 12/2023
Facility $6.6MFiscal year ending 12/2023
SD AVG $7.1M
Rank #29 / 58
$3.4MFiscal year ending 12/2023
Facility $3.4MFiscal year ending 12/2023
SD AVG $4.2M
Rank #31 / 58
52.6%Fiscal year ending 12/2023
Facility 52.6%Fiscal year ending 12/2023
SD AVG 58.6%
Rank #42 / 58
435051
Nursing Home Explorer

Financial Assistance for
Nursing Home in South Dakota

Avantara Arrowhead is located in Rapid City, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.

Get Financial aid guidance

Home and Community Based Services Waiver

SD Medicaid HCBS Waiver

Age 65+ or disabled
General South Dakota resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
SD

Sparse population aids rural access; limited providers.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

South Dakota Elderly Services Program

SD ESP

Age 60+
General South Dakota resident, at risk of decline.
Income Limits ~$1,732/month individual, varies
Asset Limits $5,000 individual
SD

Limited funding; rural focus.

Benefits
In-home care (2-4 hours/week) Respite (up to 5 days/year) Transportation (~5 trips/month)

Medicare Savings Program (MSP)

South Dakota Medicare Savings Program

Age 65+ or disabled
General SD resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
SD

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Home Energy Assistance Program (LIEAP)

South Dakota LIEAP

Age 60+ prioritized
General SD resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
SD

Covers gas, electric, propane; weatherization add-on available.

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency aid ($500 max)

Family Caregiver Support Program (FCSP)

South Dakota Family Caregiver Support Program

Age —
General Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
SD

Rural emphasis; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

South Dakota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General SD resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
SD

Supports rural veterans; high demand near Sioux Falls VA.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Property Tax Reduction Program

South Dakota Property Tax Reduction from Municipal Taxes

Age 65+ (or disabled) by Jan 1
General SD resident entire prior year, homeowner/renter.
Income Limits (2025) ~$20,192/year (single), ~$24,679/year (multiple-member household).
Asset Limits Not assessed; income-focused.
SD

Refunds up to $575; ~10,000 seniors benefit annually.

Benefits
Tax refund (~$250-$575/year based on income)

Senior Farmers’ Market Nutrition Program (SFMNP)

South Dakota SFMNP

Age 60+
General SD resident, low-income.
Income Limits (2025) ~$2,322/month individual, 185% FPL
Asset Limits Not assessed.
SD

Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.

Benefits
Vouchers (~$50/season) for fresh produce at approved markets

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

South Dakota Property Tax Freeze

Age 65+ (or disabled)
General SD resident 200+ days prior year, homeowner.
Income Limits (2025) ~$35,000/year (single), ~$45,000/year (multiple-member household).
Asset Limits Property value < $250,000 (single), $300,000 (multiple).
SD

Saves ~$300-$600/year avg.; applies to primary residence.

Benefits
Assessment freeze (~$300-$600/year savings)

Older Americans Act (OAA) Services

South Dakota OAA Services

Age 60+
General SD resident (or spouse of any age); no income/asset limits.
Income Limits (2025) None; donations encouraged for some services.
Asset Limits Not assessed.
SD

6 AAAs; rural focus due to sparse population.

Benefits
Meals (home-delivered or congregate, ~$5-$7/meal value) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Frequently Asked Questions about Avantara Arrowhead

What neighborhood is Avantara Arrowhead in?

Avantara Arrowhead is in the Broadmoor Subdivision neighborhood of Rapid City.

Is Avantara Arrowhead in a walkable area?

Avantara Arrowhead has a walk score of 12. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Avantara Arrowhead?

According to SD state health department records, Avantara Arrowhead's license number is 10668.

What is the occupancy rate at Avantara Arrowhead?

Avantara Arrowhead's occupancy is 87%.

How long has Avantara Arrowhead been in business?

Avantara Arrowhead has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Avantara Arrowhead?

No, Avantara Arrowhead has a no-pet policy.

Does Avantara Arrowhead operate as a for-profit or non-profit?

Avantara Arrowhead is registered as a for-profit in SD.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Updated on
Pricing
More
More Actions
Contact Contact Map Book a Tour Let's Chat