Total Health inspections
5
11% above South Dakota average
South Dakota average:
4.5
Last Health inspection on Aug 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Avantara North
Avantara North is a Nursing Home in South Dakota
Avantara North is a Nursing Home in South Dakota
Avantara North
Avantara North is a Nursing Home in South Dakota
Avantara North is a Nursing Home in South Dakota
Overview of Avantara North
Avantara North 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. As one of South Dakota’s most trusted nursing homes, there is a 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 North 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.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
68
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
87.3%
Residents per day (avg)
65
Occupancy rate
87.3%
Residents per day (avg)
65
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
59% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
29% of new residents, often for short stays.
Typical stay
5 - 6 months
Medicaid
12% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Proprietary home
Corporation
Home revenue
$11.4M
Profit
$427.8K
Proprietary home
Corporation
Home revenue
$11,413,115.00
Profit
$427,777.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.2M
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.
$7.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.0M
68-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score: 39 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
License Status
ActiveFacility Type
Nursing Home
License Date
January 7, 2025
License Expiration
June 30, 2026
Additional licensing details
License number:
10665
County:
Pennington
Ownership & operating entity
Avantara North is administrated by Block, Celina.
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
No
-
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
No
31
SCHLOMER, TIFFANY
79.4%
$5,951,228.00
$1,518,009.00
25.5%
30.60
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
No
-
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 North
+1%
-28%
+9%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57701
69
No
39
-
87.3%
$11,409,575.00
$3,232,546.00
28.3%
65.20
3.1184
1
20
2
+1%-28%+9%
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
No
12
PRESTON, PHILIP
75.2%
$10,728,053.00
$2,930,677.00
27.3%
60.50
2.7955
5
34
9
+52%-36%-6%
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:
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
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:
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
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:
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 North
Type of care:
SNF
AL
Community:
SD 57701
Bed Count:
69
Pets Allowed:
No
CCN:
435064
Occupancy:
87.3%
Home Revenue:
$11,409,575.00
Payroll Costs:
$3,232,546.00
Payroll %:
28.3%
Avg Residents/Day:
65.20
Overall Rating:
Adj Nurse Hours:
3.1184
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
20
Severe Citations:
2
RN share vs State Avg:
+1%
+1%
Staffing vs State Avg:
-28%
-28%
Occupancy vs State Avg:
+9%
+9%
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:
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 North
1.4 miles from city center — 0.37 miles to nearest hospital (Black Hills Urgent Care)
1620 North 7th St. Rapid City, SD 57701
Calculate Travel Distance to Avantara North
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
82
Total Staff
72
Employees
10
Contractors
22,598
Total Hours (Quarter)
31
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 9 | 9.4 | No |
| Licensed Practical Nurse | 8 | 8.8 | No |
| Certified Nursing Assistant | 31 | 8.3 | No |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
63 staff
8.5hs shift avg
Physicians & Practitioners ⓘ
4 staff
7.1hs shift avg
Therapy Services ⓘ
7 staff
6.6hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
3.8hs shift avg
Dietary Services ⓘ
2 staff
7.8hs shift avg
Other Services ⓘ
2 staff
7.9hs shift avg
Contractor Analysis
10.6%
of total hours from contractors
2,390 contractor hours this quarter
Physical Therapy Assistant: 2
Physical Therapy Aide: 2
Speech Language Pathologist: 1
Qualified Social Worker: 3
Respiratory Therapy Technician: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 31 | 0 | 31 | 9,732 | 91 | 100% | 8.3 |
| Registered Nurse | 9 | 0 | 9 | 2,855 | 91 | 100% | 9.4 |
| Licensed Practical Nurse | 8 | 0 | 8 | 2,189 | 89 | 98% | 8.8 |
| Medication Aide/Technician | 13 | 0 | 13 | 1,468 | 91 | 100% | 7.8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,355 | 89 | 98% | 6.8 |
| Physical Therapy Aide | 0 | 2 | 2 | 799 | 87 | 96% | 6.6 |
| Dietitian | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 486 | 59 | 65% | 8.1 |
| Physical Therapy Assistant | 0 | 2 | 2 | 434 | 66 | 73% | 6.6 |
| Speech Language Pathologist | 0 | 1 | 1 | 432 | 64 | 70% | 6.7 |
| Other Dietary Services Staff | 1 | 0 | 1 | 412 | 54 | 59% | 7.6 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 380 | 57 | 63% | 6.7 |
| Qualified Social Worker | 0 | 3 | 3 | 345 | 63 | 69% | 3.8 |
| Dental Services Staff | 2 | 0 | 2 | 223 | 28 | 31% | 7.9 |
Health Inspection History
Total Health citations
20
35% above South Dakota average
South Dakota average:
14.8
4 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
12 citations
Complaint investigations
8 citations
Breakdown of citations
Critical Health citations
0
100% below South Dakota average
South Dakota average:
0.3
Serious Health citations
2
11% above South Dakota average
South Dakota average:
1.8
Moderate Health citations
18
Minor Health citations
0
Citations history (last 3 years)
Infection Control moderate citation
Aug 07, 2025
Corrected
Nursing Services moderate citation
Aug 07, 2025
Corrected
Quality of Care serious citation
Aug 07, 2025
Corrected
Quality of Care moderate citation
Aug 07, 2025
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Part of: Legacy Healthcare
Resident Census by Payment Source
62
Total Residents
Medicare
4
(6.5%)
ⓘ
Medicaid
42
(67.7%)
ⓘ
Private Pay/Other
16
(25.8%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
15.7
31% worse than South Dakota average
South Dakota average:
12.0
Functional decline score
31.0
30% worse than South Dakota average
South Dakota average:
23.9
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
29.4%
32% above South Dakota average.
Walking Ability Worsened
37.2%
63% above South Dakota average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
26.4%
1% below South Dakota average.
Safety & clinical stability
Falls with Major Injury
2.6%
48% below South Dakota average.
High Risk Residents with Pressure Ulcers
6.8%
51% above South Dakota average.
Urinary Tract Infection
3.7%
5% above South Dakota average.
Emotional & behavioral wellbeing
Depressive Symptoms
0.0%
100% below South Dakota average.
Antipsychotic Use
10.0%
59% below South Dakota average.
Preventive care
Pneumococcal Vaccine
96.5%
1% above South Dakota average.
Influenza Vaccine
95.2%
2% below South Dakota average.
Nutrition & physical health
Lost Too Much Weight
2.5%
54% below South Dakota average.Short-stay resident measures
Pneumococcal Vaccine
85.7%
Near South Dakota average
Antipsychotic medication increase
0.0%
100% better than South Dakota average
Influenza Vaccine
86.1%
10% better than South Dakota average 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
$12K
This home paid 69% less in fines than the state average.
South Dakota average:
$40K
Number of Fines
1
This home received 51% fewer 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
Oct 7, 2024
$12K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Avantara North based on CMS SNF Cost Reports.
Occupancy Rate
87.3%
↑ 5.1pp vs 2022
Net Income
$427,777
↑ ~$65K vs 2022
Total Payroll
$4,654,986
↑ ~$394K vs 2022
Profit Margin
3.8%
↑ 0.4pp vs 2022
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