Occupancy rate
75%
In line with South Dakota averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in South Dakota
CMS overall rating
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.
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.
Avantara Arrowhead
Nursing Home in South Dakota
CMS overall rating
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.
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.
Avantara Arrowhead
Overview of Avantara Arrowhead
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.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
68
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
75.2%
Residents per day (avg)
61
Occupancy rate
75.2%
Residents per day (avg)
61
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
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
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$10.7M
Operating loss
-$346.5K
Privately-owned community
Operated by a business corporation.
Home revenue
$10,728,462.00
Operating loss
$-346,527.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.1M
68-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 12 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Occupancy
In line with South Dakota averageOccupied beds
51 / 68
Average residents
51 per day
Facility TypeNursing Home
StatusActive
IssuanceJuly 14, 2025
ExpirationJune 30, 2026
CountyPennington
License Number10668
Accreditations2023 AHCA Bronze award
Avantara Arrowhead is administrated by Martin, Sharon.
Rehabilitation Services
Short-Term Rehab
Specific ProgramsHealthcare Services, Short-Term Rehabilitation, Orthopedic Care, Wound Care, Suites & Accommodations, Gallery & Virtual Tour, Testimonials, Schedule a Tour
Health Inspection History
Inspections
Total health inspections
9
South Dakota average 4.5
Last Health inspection on Nov 2025
Total health citations
34
South Dakota average 14.8
Citations per inspection
3.78
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
0
100% better than South Dakota averageSouth Dakota average: 0.3
Serious Health citations
9
9
400% worse than South Dakota averageSouth Dakota average: 1.8
0 critical citations
9 serious citations
25 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 06, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 06, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 11, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 11, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Sep 11, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Sep 11, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 11, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
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.
Compare Nursing Homes around South Dakota The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Filter by care type
Alcester Care and Rehab 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.
Alcester
39
94.9%
+19%
3.72
-14%
2
11
2.2
1
37
-
Stroschein Properties Iii Llc
$2.9M
$1.5M
51.8%
435062
Avantara Clark City
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.
Clark
38
79.4%
-1%
3.15
-27%
1
5
1.3
1
31
31
Schlomer, Tiffany
$6.0M
$1.5M
25.5%
435058
Avantara Clark City
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.
Clark
38
79.4%
-1%
3.15
-27%
1
5
1.3
1
31
-
Schlomer, Tiffany
$6.0M
$1.5M
25.5%
435058
Aurora Brule Nursing Home Inc.
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.
White Lake
44
61.7%
-23%
3.45
-20%
2
16
3.2
1
40
-
Aurora-Brule Nursing Home
$2.8M
$1.5M
52.4%
435132
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
74
75.2%
-6%
2.80
-36%
5
34
3.8
9
61
12
Preston, Philip
$10.7M
$2.9M
27.3%
435051
Places of interest near Avantara Arrowhead
2.3 miles from city center — 0.95 miles to nearest hospital (Rapid City Service Unit)
2500 Arrowhead Dr., Rapid City, SD 57702
Calculate Travel Distance to Avantara Arrowhead
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
139
Employees
61
Contractors
78
Staff to resident ratio
2.48:1
30% better than South Dakota averageSouth Dakota average ratio: 1.91:1
Avg staff/day
28
Average shift
8.4 hours
9% better than South Dakota averageSouth Dakota average: 7.7 hours
Total staff hours (quarter)
21,339
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
23
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
70
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
29.2%
6,226 contractor hours this quarter
Certified Nursing Assistant: 44
Registered Nurse: 13
Respiratory Therapy Technician: 5
Licensed Practical Nurse: 4
Physical Therapy Assistant: 4
Speech Language Pathologist: 3
Qualified Social Worker: 2
Physical Therapy Aide: 2
Medication Aide/Technician: 1
Staff by category
| Certified Nursing Assistant | 26 | 44 | 70 | 9,948 | 91 | 100% | 9 |
| Registered Nurse | 10 | 13 | 23 | 2,598 | 91 | 100% | 8 |
| Licensed Practical Nurse | 8 | 4 | 12 | 2,500 | 91 | 100% | 10.3 |
| Medication Aide/Technician | 5 | 1 | 6 | 931 | 67 | 74% | 11.1 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 834 | 61 | 67% | 8.2 |
| Other Dietary Services Staff | 3 | 0 | 3 | 622 | 63 | 69% | 6.7 |
| Nurse Practitioner | 1 | 0 | 1 | 506 | 62 | 68% | 8.2 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Dietitian | 2 | 0 | 2 | 486 | 62 | 68% | 7.7 |
| Physical Therapy Assistant | 0 | 4 | 4 | 475 | 64 | 70% | 6.9 |
| RN Director of Nursing | 1 | 0 | 1 | 473 | 60 | 66% | 7.9 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 355 | 62 | 68% | 3.8 |
| Speech Language Pathologist | 0 | 3 | 3 | 323 | 65 | 71% | 4.7 |
| Physical Therapy Aide | 0 | 2 | 2 | 300 | 38 | 42% | 7.7 |
| Qualified Social Worker | 0 | 2 | 2 | 14 | 10 | 11% | 1.4 |
70 Certified Nursing Assistant
% of Days
100%
23 Registered Nurse
% of Days
100%
12 Licensed Practical Nurse
% of Days
100%
6 Medication Aide/Technician
% of Days
74%
3 Clinical Nurse Specialist
% of Days
67%
3 Other Dietary Services Staff
% of Days
69%
1 Nurse Practitioner
% of Days
68%
1 Administrator
% of Days
67%
1 Mental Health Service Worker
% of Days
67%
2 Dietitian
% of Days
68%
4 Physical Therapy Assistant
% of Days
70%
1 RN Director of Nursing
% of Days
66%
5 Respiratory Therapy Technician
% of Days
68%
3 Speech Language Pathologist
% of Days
71%
2 Physical Therapy Aide
% of Days
42%
2 Qualified Social Worker
% of Days
11%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
56 residents
Residents by payment source
Medicare
7 residents (12.5%)
Medicaid
38 residents (67.9%)
Private pay or other
11 residents (19.6%)
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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.0
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.9
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
19.1%
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%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
30.5%
Percent of long-stay residents whose ability to move independently worsened
30.5%
33% worse than South Dakota averageSouth Dakota average: 22.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.1%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
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%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.5%
Percent of long-stay high risk residents with pressure ulcers
5.5%
22% worse than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.9%
Percent of long-stay residents with a urinary tract infection
3.9%
14% worse than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.7%
Percent of long-stay residents who lose too much weight
4.7%
13% better than South Dakota averageSouth Dakota average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.7%
Percent of long-stay residents who have depressive symptoms
4.7%
14% worse than South Dakota averageSouth Dakota average: 4.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
26.1%
Percent of long-stay residents who received an antipsychotic medication
26.1%
7% worse than South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.6%
In line with South Dakota averageSouth Dakota average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.3%
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%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
36.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
36.5%
57% worse than South Dakota averageSouth Dakota average: 84.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than South Dakota averageSouth Dakota average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
48.5%
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.
Penalties and fines
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
20% higher than South Dakota averageSouth Dakota average: $40K
Number of fines
4
97% more fines than South Dakota averageSouth Dakota average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
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
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.
Civil Money Penalty
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.
Mar 5, 2025
$16K
Civil Money Penalty
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
$8K
Civil Money Penalty
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
$11K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 15, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 15, 2024
$13K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Avantara Arrowhead based on CMS SNF Cost Reports.
Occupancy Rate
75.2%
↑ 1.0pp vs 2022
Net Income
-$346,527
↓ ~$818K vs 2022
Total Payroll
$4,736,263
↑ ~$357K vs 2022
Profit Margin
-3.2%
↓ 7.3pp vs 2022
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for South Dakota Seniors
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