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Avantara North
Nursing Home, Hospice Care & Memory Care · Rapid City, SD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Avantara North Avantara North, nursing home in Rapid City, SD — Avantara North sign outside a senior living facility

Avantara North

Nursing Home, Hospice Care & Memory Care · Rapid City, SD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1620 N 7Th St, Rapid City, SD 57701 View map Calculator: See prices in your area
Avantara North accepts Medicare, Medicaid, and private pay.
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Avantara North accepts Medicare, Medicaid, and private pay.

Overview of Avantara North

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Avantara North is a nursing home in Rapid City, South Dakota, that offers skilled rehabilitation and specialized medical support. This privately owned community focuses on post-acute recovery services, including short-term rehabilitation, orthopedic care, cardiac recovery, wound care management, and memory care programming. With a 68-bed capacity, it is currently operating at an 87% occupancy rate, which exceeds the South Dakota average. This reflects a strong local demand and supports Medicare patients on shorter recovery-focused stays averaging 151 days.

Over the past seven years, the community underwent five inspections and received 20 citations. Two citations were classified as serious, while the remainder were moderate in scope, and no immediate jeopardy or critical-level findings were reported. During the most recent inspection in August 2025, four moderate deficiencies were identified related to infection control, nursing services, and quality of care, all of which were later corrected. In October 2024, the community received a federal fine, with an amount significantly lower than the South Dakota average and indicative of a comparatively lower compliance burden.

Staffing levels operate below the state average, with nursing hours totaling approximately 3 hours and 7 minutes per resident daily, which is slightly below South Dakota’s average of 3 hours and 46 minutes. This staffing structure aligns with the community’s emphasis on short-term post-acute rehabilitation, where many residents recover and return home within a relatively limited timeframe. Quality metrics also point to strengths in preventive and supportive care, including low rates of depressive symptoms and new antipsychotic medication use, alongside positive outcomes in fall prevention efforts. Medicare, Medicaid, and private-pay are also accepted.

Avantara North is designed primarily for those recovering from hospitalization who require skilled nursing oversight, rehabilitation therapies, and short-term medical support before transitioning back home or to a lower level of care. It has also earned the 2023 AHCA Bronze Award, reflecting its commitment to quality care.

(605) 343-4958
(605) 343-4958
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 10.5% Above SD avg. ▲ 10.5% Above SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 10.9% Above SD avg. ▲ 10.9% Above SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 9.5% Below SD avg. ▼ 9.5% Below SD avg.SD average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 10.0% Above SD avg. ▲ 10.0% Above SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to South Dakota state averages

Total nursing care / resident Info This home is ranked 56th out of 65 homes in South Dakota for nurse hours. 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.
3h 7m per day
Rank #56 / 65Nurse hours — State benchmarkedThis home is ranked 56th out of 65 homes in South Dakota. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 65 South Dakota facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility South Dakota avg (4h 20m per day)
vs South Dakota avg
-28%

4 of 6 metrics below state avg

Standout metric Weekend RN is +22% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 1h 0m per day ▲ 21% State avg: 49m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 11m per day ▼ 63% State avg: 29m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 1h 47m per day ▼ 31% State avg: 2h 34m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 28m per day ▼ 27% State avg: 3h 23m per day · National avg: 3h 27m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 3m per day ▼ 9% State avg: 3m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 38m per day ▲ 22% State avg: 31m per day · National avg: 29m per day

Capacity and availability

Avg. Length of Stay
151 days
Bed community size
68-bed community Rank #45 / 117Bed count — State benchmarkedThis home is ranked 45th out of 117 homes in South Dakota. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 0 / 100 Rank #149 / 159Walk Score — State benchmarkedThis home is ranked 149th out of 159 homes in South Dakota. Shows how walkable this facility's neighborhood is compared to the average Walk Score across South Dakota facilities. Higher scores benefit residents, families, and staff.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
87%
Rank #24 / 62Occupancy rate — State benchmarkedThis home is ranked 24th out of 62 homes in South Dakota. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 62. Higher occupancy signals strong local demand and financial stability.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the South Dakota average: 79.9%
Occupied beds
59 / 68
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
ExpirationJune 30, 2026
CountyPennington
License Number10665
CMS Certification Number435064
Accreditations2023 AHCA Bronze award

Ownership & Operating Entity

Avantara North is administrated by Celina Block.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Additional Services

8 services
Post-Surgical Care
Short-Term Rehabilitation
Stroke & Other Neurological Conditions
Cardiac Care
Oncology Recovery Care
Wound Care
Orthopedic Rehabilitation
Pulmonary Care

Contact Avantara North

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Privately-owned community
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.1M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$424.2K
Privately-owned community Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.1M Rank #20 / 63Revenue — State benchmarkedThis home is ranked 20th out of 63 homes in South Dakota. Shows this facility's annual revenue compared to the South Dakota average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$424.2K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$3.5K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #25 / 63Payroll — State benchmarkedThis home is ranked 25th out of 63 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.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.8M 53.3% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #48 / 63Payroll % — State benchmarkedThis home is ranked 48th out of 63 homes in South Dakota. Shows payroll as a percentage of revenue versus the South Dakota average. Well-run South Dakota facilities typically land around 64–73% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.7M
How we calculate these figures

This home is administrated by Celina Block.

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 435064

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

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

Most new residents arrive under Medicare (59% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
147 total

Coverage residents most often arrive under.

Medicare 59%
Private pay 29%
Medicaid 12%
Discharges
146 total

Coverage residents most often leave under.

Medicare 34%
Private pay 38%
Medicaid 29%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Avantara North

Address 1089.8 miles from city center Info Estimated distance in miles from Rapid City's city center to Avantara North's address, calculated via Google Maps.

Calculate Travel Distance to Avantara North

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Address

Compare Nursing Home around Rapid City

The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.

4 facilities compared · CMS & SD Dept. of Health data

Westhills Village
NH
AL
HC
IL
NC
PC
Rapid City (Texas Street)
44
Facility 44
SD AVG 69
Rank #90 / 117
100.0%
Facility 100.0%
SD AVG 79.9%
Rank #1 / 62
+25%
4.59
Facility 4.59
SD AVG 4.34
Rank #14 / 65
 +31%+6%
$13.5k
Facility $13.5k
SD AVG $38.5k
Rank #28 / 67
9
Facility 9
SD AVG 14.8
Rank #17 / 67
3.0
Facility 3.0
SD AVG 3.3
Rank #28 / 67
141-
21
Facility 21
SD AVG 39
Rank #111 / 159
Bradley Archer
$6.7M
Facility $6.7M
SD AVG $6.7M
Rank #2 / 63
$8.6M
Facility $8.6M
SD AVG $2.6M
Rank #6 / 63
128.7%
Facility 128.7%
SD AVG 40.8%
Rank #62 / 63
435033
Fountain Springs Healthcare Center
NH
AL
IL
Rapid City
10
Facility 10
SD AVG 69
Rank #116 / 117
87.3%
Facility 87.3%
SD AVG 79.9%
Rank #24 / 62
+9%
3.82
Facility 3.82
SD AVG 4.34
Rank #33 / 65
 -2%-12%
$22.5k
Facility $22.5k
SD AVG $38.5k
Rank #40 / 67
11
Facility 11
SD AVG 14.8
Rank #21 / 67
1.6
Facility 1.6
SD AVG 3.3
Rank #12 / 67
282-
16
Facility 16
SD AVG 39
Rank #120 / 159
-
$6.8M
Facility $6.8M
SD AVG $6.7M
Rank #26 / 63
$3.1M
Facility $3.1M
SD AVG $2.6M
Rank #27 / 63
45.6%
Facility 45.6%
SD AVG 40.8%
Rank #31 / 63
435110
Avantara North
NH
HC
MC
Rapid City (North 7Th Street)
68
Facility 68
SD AVG 69
Rank #45 / 117
87.3%
Facility 87.3%
SD AVG 79.9%
Rank #24 / 62
+9%
3.12
Facility 3.12
SD AVG 4.34
Rank #56 / 65
 +43%-28%
$33.8k
Facility $33.8k
SD AVG $38.5k
Rank #45 / 67
20
Facility 20
SD AVG 14.8
Rank #41 / 67
4.0
Facility 4.0
SD AVG 3.3
Rank #45 / 67
267-
39
Facility 39
SD AVG 39
Rank #77 / 159
-
$7.1M
Facility $7.1M
SD AVG $6.7M
Rank #20 / 63
$3.8M
Facility $3.8M
SD AVG $2.6M
Rank #25 / 63
53.3%
Facility 53.3%
SD AVG 40.8%
Rank #48 / 63
435064
Avantara Arrowhead
NH
HC
Rapid City (Broadmoor Subdivision)
68
Facility 68
SD AVG 69
Rank #45 / 117
75.2%
Facility 75.2%
SD AVG 79.9%
Rank #42 / 62
-6%
2.80
Facility 2.80
SD AVG 4.34
Rank #61 / 65
 +68%-36%
$105.9k
Facility $105.9k
SD AVG $38.5k
Rank #62 / 67
34
Facility 34
SD AVG 14.8
Rank #61 / 67
3.8
Facility 3.8
SD AVG 3.3
Rank #43 / 67
961-
12
Facility 12
SD AVG 39
Rank #127 / 159
Philip Preston
$6.6M
Facility $6.6M
SD AVG $6.7M
Rank #25 / 63
$3.4M
Facility $3.4M
SD AVG $2.6M
Rank #24 / 63
52.6%
Facility 52.6%
SD AVG 40.8%
Rank #41 / 63
435051
Nursing Home Explorer

Financial Assistance for
Nursing Home in South Dakota

Avantara North is located in Rapid City, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.

Get Financial aid guidance

Home and Community Based Services Waiver

SD Medicaid HCBS Waiver

Age 65+ or disabled
General 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

Sparse population aids rural access; limited providers.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

South Dakota Elderly Services Program

SD ESP

Age 60+
General South Dakota resident, at risk of decline.
Income Limits ~$1,732/month individual, varies
Asset Limits $5,000 individual
SD

Limited funding; rural focus.

Benefits
In-home care (2-4 hours/week) Respite (up to 5 days/year) Transportation (~5 trips/month)

Medicare Savings Program (MSP)

South Dakota Medicare Savings Program

Age 65+ or disabled
General 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

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Home Energy Assistance Program (LIEAP)

South Dakota LIEAP

Age 60+ prioritized
General SD resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
SD

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

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency aid ($500 max)

Family Caregiver Support Program (FCSP)

South Dakota Family Caregiver Support Program

Age —
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

Rural emphasis; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

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

South Dakota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General 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

Supports rural veterans; high demand near Sioux Falls VA.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Property Tax Reduction Program

South Dakota Property Tax Reduction from Municipal Taxes

Age 65+ (or disabled) by Jan 1
General 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

Refunds up to $575; ~10,000 seniors benefit annually.

Benefits
Tax refund (~$250-$575/year based on income)

Senior Farmers’ Market Nutrition Program (SFMNP)

South Dakota SFMNP

Age 60+
General SD resident, low-income.
Income Limits (2025) ~$2,322/month individual, 185% FPL
Asset Limits Not assessed.
SD

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

Benefits
Vouchers (~$50/season) for fresh produce at approved markets

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

South Dakota Property Tax Freeze

Age 65+ (or disabled)
General 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

Saves ~$300-$600/year avg.; applies to primary residence.

Benefits
Assessment freeze (~$300-$600/year savings)

Older Americans Act (OAA) Services

South Dakota OAA Services

Age 60+
General 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

6 AAAs; rural focus due to sparse population.

Benefits
Meals (home-delivered or congregate, ~$5-$7/meal value) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Frequently Asked Questions about Avantara North

What is the license number of Avantara North?

According to SD state health department records, Avantara North's license number is 10665.

When does Avantara North's license expire?

According to SD state health department records, Avantara North's license expires on June 30, 2026.

What is the occupancy rate at Avantara North?

Avantara North's occupancy is 87%.

Who is the administrator of Avantara North?

Celina Block is the administrator of Avantara North.

How many beds does Avantara North have?

Avantara North has 68 beds.

Are there photos of Avantara North?

Yes — there are 2 photos of Avantara North in the photo gallery on this page.

What is the address of Avantara North?

Avantara North is located at 1620 N 7th St.

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