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.
Nursing Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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
License details
Facility type
Nursing Home
Status
Active
Issuance
July 14, 2025
Expiration
June 30, 2026
County:
Pennington
Additional licensing details
License number:
10668
Accreditations:
2023 AHCA Bronze award
Ownership & operating entity
Avantara Arrowhead is administrated by Martin, Sharon.
Care Services
Nursing Services
Rehabilitation Services
Licensed Nurses/CNAs
Short-Term Rehab
Programs & Activities
Specific Programs
Healthcare 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
Citations per inspection
3.78
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
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.
Compare Nursing Homes around South Dakota
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Alcester Care and Rehab Center
+30%
-14%
+19%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57001
39
-
STROSCHEIN PROPERTIES III LLC
94.9%
$2,913,737.00
$1,508,672.00
51.8%
37.10
3.7156
2
11
1
+30%-14%+19%
Avantara Clark City
-22%
-27%
-1%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Clark
38
31
SCHLOMER, TIFFANY
79.4%
$5,951,228.00
$1,518,009.00
25.5%
31
3.1510
1
5
1
-22%-27%-1%
Aurora Brule Nursing Home Inc.
+29%
-20%
-23%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57383
44
-
AURORA-BRULE NURSING HOME
61.7%
$2,847,378.00
$1,491,258.00
52.4%
39.60
3.4495
2
16
1
+29%-20%-23%
Avantara Groton
+8%
-27%
-18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57445
49
32
PETE, JOSHUA
65.4%
$6,213,854.00
$1,712,751.00
27.6%
36
3.1645
5
23
2
+8%-27%-18%
Avantara Arrowhead
+52%
-36%
-6%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57702
74
12
PRESTON, PHILIP
75.2%
$10,728,053.00
$2,930,677.00
27.3%
61
2.7955
5
34
9
+52%-36%-6%
Alcester Care and Rehab Center
Type of care:
SNF
AL
Community:
SD 57001
Bed Count:
39
Operator:
STROSCHEIN PROPERTIES III LLC
CCN:
435062
Occupancy:
94.9%
Home Revenue:
$2,913,737.00
Payroll Costs:
$1,508,672.00
Payroll %:
51.8%
Avg Residents/Day:
37.10
Overall Rating:
Adj Nurse Hours:
3.7156
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
11
Severe Citations:
1
RN share vs State Avg:
+30%
+30%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
+19%
+19%
Avantara Clark City
Type of care:
SNF
AL
Community:
Clark
Bed Count:
38
Operator:
SCHLOMER, TIFFANY
CCN:
435058
Occupancy:
79.4%
Home Revenue:
$5,951,228.00
Payroll Costs:
$1,518,009.00
Payroll %:
25.5%
Avg Residents/Day:
31
Overall Rating:
Adj Nurse Hours:
3.1510
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
5
Severe Citations:
1
RN share vs State Avg:
-22%
-22%
Staffing vs State Avg:
-27%
-27%
Occupancy vs State Avg:
-1%
-1%
Aurora Brule Nursing Home Inc.
Type of care:
SNF
AL
Community:
SD 57383
Bed Count:
44
Operator:
AURORA-BRULE NURSING HOME
CCN:
435132
Occupancy:
61.7%
Home Revenue:
$2,847,378.00
Payroll Costs:
$1,491,258.00
Payroll %:
52.4%
Avg Residents/Day:
39.60
Overall Rating:
Adj Nurse Hours:
3.4495
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
16
Severe Citations:
1
RN share vs State Avg:
+29%
+29%
Staffing vs State Avg:
-20%
-20%
Occupancy vs State Avg:
-23%
-23%
Avantara Groton
Type of care:
SNF
AL
Community:
SD 57445
Bed Count:
49
Operator:
PETE, JOSHUA
CCN:
435048
Occupancy:
65.4%
Home Revenue:
$6,213,854.00
Payroll Costs:
$1,712,751.00
Payroll %:
27.6%
Avg Residents/Day:
36
Overall Rating:
Adj Nurse Hours:
3.1645
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
5
Citations:
23
Severe Citations:
2
RN share vs State Avg:
+8%
+8%
Staffing vs State Avg:
-27%
-27%
Occupancy vs State Avg:
-18%
-18%
Avantara Arrowhead
Type of care:
SNF
AL
Community:
SD 57702
Bed Count:
74
Operator:
PRESTON, PHILIP
CCN:
435051
Occupancy:
75.2%
Home Revenue:
$10,728,053.00
Payroll Costs:
$2,930,677.00
Payroll %:
27.3%
Avg Residents/Day:
61
Overall Rating:
Adj Nurse Hours:
2.7955
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
5
Citations:
34
Severe Citations:
9
RN share vs State Avg:
+52%
+52%
Staffing vs State Avg:
-36%
-36%
Occupancy vs State Avg:
-6%
-6%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
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
139
Total Staff
61
Employees
78
Contractors
21,339
Total Hours (Quarter)
28
Avg Staff/Day
8.4
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 23 | 8 | Yes |
| Licensed Practical Nurse | 12 | 10.3 | Yes |
| Certified Nursing Assistant | 70 | 9 | Yes |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
112 staff
9.1hs shift avg
Physicians & Practitioners ⓘ
4 staff
8.2hs shift avg
Therapy Services ⓘ
14 staff
5.4hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
1.4hs shift avg
Dietary Services ⓘ
5 staff
7.1hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
29.2%
of total hours from contractors
6,226 contractor hours this quarter
Licensed Practical Nurse: 4
Certified Nursing Assistant: 44
Speech Language Pathologist: 3
Physical Therapy Assistant: 4
Registered Nurse: 13
Respiratory Therapy Technician: 5
Qualified Social Worker: 2
Medication Aide/Technician: 1
Physical Therapy Aide: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
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...
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