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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 Arrowhead boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. The community boasts its merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Arrowhead has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life.
The areas of excellence are found in the range of an array of specialized services such as community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care.
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 54th 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 |
|---|---|---|
|
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 44m per day |
Lower than the South Dakota average: 79.9%Avantara Arrowhead is administrated by Sharon Martin.
South Dakota average 4.5
Last Health inspection on Nov 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.
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).
100% better than South Dakota averageSouth Dakota average: 0.3
400% 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.
29% better than South Dakota average
10% better than 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 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
7,034 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 28 | 37 | 65 | 10,215 | 92 | 100% | 8.9 |
| Registered Nurse | 13 | 13 | 26 | 2,966 | 92 | 100% | 9 |
| Licensed Practical Nurse | 8 | 3 | 11 | 1,839 | 89 | 97% | 8.9 |
| Medication Aide/Technician | 6 | 0 | 6 | 1,107 | 73 | 79% | 11.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 912 | 64 | 70% | 7.9 |
| Speech Language Pathologist | 0 | 3 | 3 | 551 | 69 | 75% | 7.3 |
| Other Dietary Services Staff | 3 | 0 | 3 | 522 | 67 | 73% | 6.3 |
| Dietitian | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 499 | 62 | 67% | 7.9 |
| Administrator | 1 | 0 | 1 | 490 | 62 | 67% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 484 | 60 | 65% | 8.1 |
| Physical Therapy Assistant | 0 | 3 | 3 | 453 | 59 | 64% | 7.7 |
| Physical Therapy Aide | 0 | 4 | 4 | 399 | 57 | 62% | 6.4 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 234 | 63 | 68% | 3 |
| Qualified Social Worker | 0 | 3 | 3 | 90 | 33 | 36% | 2.7 |
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)
20% higher than South Dakota averageSouth Dakota average: $40K
97% more 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.
4 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 5, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 10, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 10, 2024
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.
12.0
In line with South Dakota averageSouth Dakota average: 12.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.9
8% worse than South Dakota averageSouth Dakota average: 23.9
Percent of long-stay residents whose need for help with daily activities has increased
19.1%
14% better than South Dakota averageSouth Dakota average: 22.3%
Percent of long-stay residents whose ability to move independently worsened
30.5%
33% worse than South Dakota averageSouth Dakota average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.1%
6% worse than South Dakota averageSouth Dakota average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than South Dakota averageSouth Dakota average: 5.0%
Percent of long-stay high risk residents with pressure ulcers
5.5%
22% worse than South Dakota averageSouth Dakota average: 4.5%
Percent of long-stay residents with a urinary tract infection
3.9%
14% worse than South Dakota averageSouth Dakota average: 3.5%
Percent of long-stay residents who lose too much weight
4.7%
13% better than South Dakota averageSouth Dakota average: 5.5%
Percent of long-stay residents who have depressive symptoms
4.7%
14% worse than South Dakota averageSouth Dakota average: 4.1%
Percent of long-stay residents who received an antipsychotic medication
26.1%
7% worse than South Dakota averageSouth Dakota average: 24.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.6%
In line with South Dakota averageSouth Dakota average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.3%
7% worse than South Dakota averageSouth Dakota average: 96.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
36.5%
57% worse than 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
48.5%
38% worse 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.
36% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
31% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
56Residents 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 Arrowhead 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 #18 / 55Payroll — State benchmarkedThis home is ranked 18th 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.
2.3 miles from city center
Estimated distance in miles from Rapid City's city center to Avantara Arrowhead's address, calculated via Google Maps.
— 0.95 miles to nearest hospital (Rapid City Service Unit)
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Avantara Arrowhead 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 Arrowhead is in the Broadmoor Subdivision neighborhood of 2500 Arrowhead Dr. Rapid City.
Avantara Arrowhead has a walk score of 12. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to SD state health department records, Avantara Arrowhead's license number is 10668.
According to SD state health department records, Avantara Arrowhead's license expires on June 30, 2026.
Avantara Arrowhead's occupancy is 75%.
Sharon Martin is the administrator of Avantara Arrowhead.
Avantara Arrowhead has 68 beds.
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