What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities Finding and ranking the best nursing homes Finding and ranking the best memory care facilities Our concierge service helps seniors move into the perfect home for them Helping seniors use medicare, medicaid, and other government programs to pay for their homes Helping seniors avoid senior homes that have bad service or fraud Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

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Resident interviews at our senior living facilities

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Avantara Arrowhead | South Dakota | Photos & Videos

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.

+1 605-348-0285

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 2.80/day

Overall rating

1/5

Health Inspection

1/5

Staffing

1/5

Quality Measures

3/5

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.

75.2%

TYPE OF STAY

Mostly short-term rehab stays

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

Might be optimal for

Short stays Recovery Medicare-covered care

How we assess these insights Show admissions and discharges

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

Home revenue

$10.7M

Operating loss

-$346.5K

Proprietary home Corporation

Home revenue

$10,728,462.00

Operating loss

$-346,527.00

Payroll costs

$2.9M

27.3% of revenue

Other operating costs

$8.1M

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

License Status

Active

Facility Type

Nursing Home

License Date

July 14, 2025

License Expiration

June 30, 2026

Additional licensing details

License number: 10668

County: Pennington

Ownership & operating entity

Avantara Arrowhead is administrated by Martin, Sharon.

Compare Nursing Homes around South Dakota

Alcester Care and Rehab Center

SNF

SD 57001

STROSCHEIN PROPERTIES III LLC

94.9%

$2,913,737.00

$1,508,672.00

51.8%

37.10

4/5

3.7156

5/5

3/5

1/5

Avantara Clark City

SNF

Clark

SCHLOMER, TIFFANY

79.4%

$5,951,228.00

$1,518,009.00

25.5%

30.60

3/5

3.1510

4/5

3/5

1/5

Aurora Brule Nursing Home Inc.

SNF

SD 57383

AURORA-BRULE NURSING HOME

61.7%

$2,847,378.00

$1,491,258.00

52.4%

39.60

3/5

3.4495

3/5

2/5

3/5

Avantara Groton

SNF

SD 57445

PETE, JOSHUA

65.4%

$6,213,854.00

$1,712,751.00

27.6%

35.50

3/5

3.1645

3/5

2/5

Avantara Arrowhead

SNF

SD 57702

PRESTON, PHILIP

75.2%

$10,728,053.00

$2,930,677.00

27.3%

60.50

1/5

2.7955

1/5

3/5

Alcester Care and Rehab Center

Type of care: SNF AL

Community: SD 57001

Bed Count: 39

Pets Allowed: No

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: 4/5

Adj Nurse Hours: 3.7156

Health Insp Rating: 5/5

Staffing Rating: 3/5

QM Rating: 1/5

Number of Fines: 2

Avantara Clark City

Type of care: SNF AL

Community: Clark

Bed Count: 38

Pets Allowed: No

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: 30.60

Overall Rating: 3/5

Adj Nurse Hours: 3.1510

Health Insp Rating: 4/5

Staffing Rating: 3/5

QM Rating: 1/5

Number of Fines: 1

Aurora Brule Nursing Home Inc.

Type of care: SNF AL

Community: SD 57383

Bed Count: 44

Pets Allowed: No

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: 3/5

Adj Nurse Hours: 3.4495

Health Insp Rating: 3/5

Staffing Rating: 2/5

QM Rating: 3/5

Number of Fines: 2

Avantara Groton

Type of care: SNF AL

Community: SD 57445

Bed Count: 49

Pets Allowed: No

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: 35.50

Overall Rating: 3/5

Adj Nurse Hours: 3.1645

Health Insp Rating: 3/5

Staffing Rating: 2/5

QM Rating: 2/5

Number of Fines: 5

Avantara Arrowhead

Type of care: SNF AL

Community: SD 57702

Bed Count: 74

Pets Allowed: No

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: 60.50

Overall Rating: 1/5

Adj Nurse Hours: 2.7955

Health Insp Rating: 1/5

Staffing Rating: 1/5

QM Rating: 3/5

Number of Fines: 5

2500 Arrowhead Dr. Rapid City, SD 57702

Calculate Travel Distance to Avantara Arrowhead

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139

Total Staff

Employees

Contractors

21,339

Total Hours (Quarter)

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

View All Staffing Data

Total Health inspections 9

100% above South Dakota average

South Dakota average: 4.5

Last Health inspection on Nov 2025

Total Health citations 34

130% above South Dakota average

South Dakota average: 14.8

3.78 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 22 citations

Complaint investigations 13 citations

Breakdown of citations

Critical Health citations 0

100% below South Dakota average

South Dakota average: 0.3

Serious Health citations 9

400% above South Dakota average

South Dakota average: 1.8

Moderate Health citations 25

Minor Health citations 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

Ownership: For-Profit LLC

Part of: Legacy Healthcare

Resident Census by Payment Source

56 Total Residents

Medicare 7 (12.5%)

Medicaid 38 (67.9%)

Private Pay/Other 11 (19.6%)

Programs & Services

Residents' Group

Family Member Group

Nurse Aide Training

Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Active Family Council

Active Resident Council

High-risk clinical events score 12.0

Near South Dakota average

South Dakota average: 12.0

Functional decline score 25.9

8% worse than South Dakota average

South Dakota average: 23.9

Long-Stay Resident Measures

Need for Help with Daily Activities Increased 19.1%

14% below South Dakota average.

Walking Ability Worsened 30.5%

33% above South Dakota average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 28.1%

6% above South Dakota average.

Falls with Major Injury 0.0%

100% below South Dakota average.

High Risk Residents with Pressure Ulcers 5.5%

22% above South Dakota average.

Urinary Tract Infection 3.9%

14% above South Dakota average.

Depressive Symptoms 4.7%

14% above South Dakota average.

Antipsychotic Use 26.1%

7% above South Dakota average.

Pneumococcal Vaccine 92.6%

3% below South Dakota average.

Influenza Vaccine 90.3%

7% below South Dakota average.

Lost Too Much Weight 4.7%

13% below South Dakota average.

Short-stay resident measures

Pneumococcal Vaccine 36.5%

57% worse than South Dakota average

Antipsychotic medication increase 0.0%

100% better than South Dakota average

Influenza Vaccine 48.5%

38% worse than South Dakota average

Total fines amount $48K

This home paid 20% more in fines than the state average.

South Dakota average: $40K

Number of Fines 4

This home received 97% more fines than the state average.

South Dakota average: 2.0

Payment Denials 0

This home is near the state average.

South Dakota average: 0.0

Penalty History

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

Civil Money Penalty Mar 5, 2025

$16K

Civil Money Penalty Jul 10, 2024

$8K

Civil Money Penalty Jul 10, 2024

$11K

Civil Money Penalty 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...

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	85.8%	95.9%	94.8%	97.4%	92.9%	90.2%	79.1%	76.8%	82.3%	67.4%	68.2%	74.2%	75.2%
Beds	68	68	68	68	74	74	74	74	74	74	74	74	74
Net Income	$1,140,237	$1,078,704	$729,299	$688,657	-$536,224	-$1,971,795	-$1,124,154	-$36,828	-$322,750	$531,572	$941,950	$471,953	-$346,527
Gross Revenue	$7,856,314	$8,282,451	$8,143,168	$8,237,203	$7,869,350	$6,932,974	$5,968,052	$5,840,347	$4,629,977	$9,327,382	$11,463,369	$11,497,189	$10,728,053
Operating Expenses	$4,597,710	$4,923,123	$5,075,908	$5,165,406	$6,135,043	$7,165,492	$5,798,514	$4,881,666	$2,903,520	$5,844,112	$5,539,288	$6,524,732	$6,897,165
Net Patient Revenue	$5,636,674	$5,882,435	$5,631,456	$5,751,033	$5,470,780	$5,146,273	$4,665,281	$4,233,715	$2,580,770	$5,454,230	$5,596,561	$6,993,170	$6,550,250
Total Payroll	$2,725,630	$2,853,432	$2,891,717	$2,867,591	$2,778,918	$2,664,940	$4,430,951	$2,903,358	$1,995,439	$3,992,048	$3,486,065	$4,379,324	$4,736,263
Profit Margin %	14.5%	13.0%	9.0%	8.4%	-6.8%	-28.4%	-18.8%	-0.6%	-7.0%	5.7%	8.2%	4.1%	-3.2%
Medicare %	21.5%	27.4%	25.6%	25.6%	19.3%	12.7%	13.3%	18.1%	12.8%	25.9%	20.9%	16.9%	10.3%
Medicaid %	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	63.0%	0.0%	70.2%	57.2%	69.8%	71.8%	73.5%
Private %	78.5%	72.6%	74.4%	74.4%	80.7%	87.3%	23.8%	81.9%	17.0%	16.8%	9.3%	11.3%	16.1%
Revenue/Day	$238	$247	$239	$238	$218	$211	$218	$204	$230	$299	$304	$349	$322
Cost/Day	$194	$206	$216	$214	$245	$293	$272	$235	$259	$320	$301	$325	$339
Avg Length of Stay	163.5 days	123.0 days	102.3 days	120.2 days	117.8 days	230.3 days	189.0 days	152.5 days	115.5 days	117.8 days	161.6 days	160.4 days	173.7 days

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

Home and Community Based Services Waiver

SD Medicaid HCBS Waiver

General: Age 65+ or disabled, 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 Specifics: Sparse population aids rural access; limited providers.

South Dakota Elderly Services Program

SD ESP

General: Age 60+, South Dakota resident, at risk of decline.

Income Limits: ~$1,732/month (individual, varies).

Asset Limits: $5,000 (individual).

SD Specifics: Limited funding; rural focus.

Medicare Savings Program (MSP)

South Dakota Medicare Savings Program

General: Age 65+ or disabled, 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 Specifics: Three tiers; includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIEAP)

South Dakota LIEAP

General: Age 60+ prioritized, SD resident, low-income household.

Income Limits (2025): ~$3,970/month (individual, 185% FPL).

Asset Limits: Not assessed; income-focused.

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

Family Caregiver Support Program (FCSP)

South Dakota Family Caregiver Support Program

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 Specifics: Rural emphasis; includes grandparent caregivers.

Senior Community Service Employment Program (SCSEP)

South Dakota SCSEP

General: Age 55+, unemployed, low-income, SD resident.

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

SD Specifics: Priority for veterans, rural residents; AARP partnership.

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

South Dakota VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, 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 Specifics: Supports rural veterans; high demand near Sioux Falls VA.

Property Tax Reduction Program

South Dakota Property Tax Reduction from Municipal Taxes

General: Age 65+ (or disabled) by Jan 1, 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 Specifics: Refunds up to $575; ~10,000 seniors benefit annually.

Senior Farmers’ Market Nutrition Program (SFMNP)

South Dakota SFMNP

General: Age 60+, SD resident, low-income.

Income Limits (2025): ~$2,322/month (individual, 185% FPL).

Asset Limits: Not assessed.

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

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

South Dakota Property Tax Freeze

General: Age 65+ (or disabled), 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 Specifics: Saves ~$300-$600/year avg.; applies to primary residence.

Older Americans Act (OAA) Services

South Dakota OAA Services

General: Age 60+, 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 Specifics: 6 AAAs; rural focus due to sparse population.

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Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Avantara Arrowhead

Avantara Arrowhead is a Nursing Home in South Dakota

Avantara Arrowhead is a Nursing Home in South Dakota

Avantara Arrowhead

Avantara Arrowhead is a Nursing Home in South Dakota

Avantara Arrowhead is a Nursing Home in South Dakota

Quality ratings

Capacity and availability

Smaller home

This home usually has availability

Who this home usually serves

Mostly short-term rehab stays

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

About this community

Additional licensing details

Ownership & operating entity

Compare Nursing Homes around South Dakota

Places of interest near Avantara Arrowhead

Calculate Travel Distance to Avantara Arrowhead

Staffing Data

Nursing Staff Breakdown

Staff by Category

Contractor Analysis

Health Inspection History

Breakdown of citations

Citations history (last 3 years)

Facility Characteristics

Resident Census by Payment Source

Programs & Services

Family Engagement

Quality of care over time

Long-Stay Resident Measures

Daily care & independence

Safety & clinical stability

Emotional & behavioral wellbeing

Preventive care

Nutrition & physical health

Short-stay resident measures

Penalties and fines

Penalty History

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Guides for Better Senior Living

Eldertainment

Financial Aid for South Dakota Seniors

Home and Community Based Services Waiver

South Dakota Elderly Services Program

Medicare Savings Program (MSP)

Low-Income Home Energy Assistance Program (LIEAP)

Family Caregiver Support Program (FCSP)

Senior Community Service Employment Program (SCSEP)

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

Property Tax Reduction Program

Senior Farmers’ Market Nutrition Program (SFMNP)

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

Older Americans Act (OAA) Services

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