Avantara North
Nursing Home · Rapid City, SD
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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 North

Nursing Home · Rapid City, SD
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.
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Avantara North accepts Medicare, Medicaid, and private pay.

Overview of Avantara North

Avantara North is a rehabilitation facility in Rapid City, South Dakota. It offers a range of healthcare services including memory care, post-surgical care, short-term rehabilitation, and specialized programs for various medical conditions. The facility prides itself on providing quality medical care with a personal touch.
(605) 343-4958

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.
▼ 20.3% Below SD avg.
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.
▼ 21.6% Below SD avg.
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.
▲ 4.5% Above SD avg.
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.
▲ 9.9% Above SD avg.

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 53rd out of 62 homes in South Dakota.

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 #53 / 62Nurse hours — state benchmarkedThis home is ranked 53rd out of 62 homes in South Dakota.Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 62 South Dakota SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility South Dakota avg (3h 46m per day)
vs South Dakota avg
-17%
Staff typeHours / dayvs state avg
Total Nursing (Weekend) 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 32m per day

Capacity and availability

Avg. Length of Stay
151 days

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.

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

Privately-owned community
Operated by a business corporation.
Home revenue
$11.4M
Profit
$427.8K
Privately-owned community Operated by a business corporation.
Home revenue
$11.4M Rank #14 / 59Revenue — state benchmarkedThis home is ranked 14th out of 59 homes in South Dakota.Shows this facility's annual revenue compared to the South Dakota SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Profit
$427.8K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #23 / 59Payroll — state benchmarkedThis home is ranked 23rd out of 59 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.
$4.7M
40.8% of revenue Rank #43 / 59Payroll % — state benchmarkedThis home is ranked 43rd out of 59 homes in South Dakota.Shows payroll as a percentage of revenue versus the South Dakota average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.3M
Total costs $11.0M
Bed community size
68-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 0 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
87%
Rank #22 / 59Occupancy rate — state benchmarkedThis home is ranked 22nd out of 59 homes in South Dakota.Shows this facility's occupancy rate versus the South Dakota average, with its statewide rank out of 59. Higher occupancy signals strong local demand and financial stability.
Higher than the South Dakota average: 79.9%
Occupied beds
59 / 68
Average residents per home in South Dakota 51 per day

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

Health Inspection History

Inspections
Total health inspections 5

South Dakota average 4.5


Last Health inspection on Aug 2025

Total health citations
20 Rank #35 / 64Health citations — state benchmarkedThis home is ranked 35th out of 64 homes in South Dakota.Shows this facility's total health deficiency citations benchmarked to the South Dakota state average, with a ranking across all 64 SD SNFs. Lower citation counts earn a better rank.

South Dakota average 14.8

Citations per inspection
4 Rank #40 / 64Citations per inspection — state benchmarkedThis home is ranked 40th out of 64 homes in South Dakota.Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 64 SNFs with citation data. Lower is better.

South Dakota average 3.34


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

12 of 20 citations resulted from standard inspections; and 8 of 20 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)
Critical Health citations More info
0
100% better than South Dakota average

South Dakota average: 0.3


Serious Health citations More info 2
11% worse than South Dakota average

South Dakota average: 1.8

0 critical citations More info South Dakota average: 0.3

2 serious citations More info South Dakota average: 1.8

18 moderate citations More info South Dakota average: 12.6

0 minor citations More info South Dakota average: 0
Citations history (last 4 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Aug 07, 2025
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. Aug 07, 2025
Corrected

Quality of Care serious citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Aug 07, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Aug 07, 2025
Corrected

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

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

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 82
Employees 72
Contractors 10
Staff to resident ratio 1.32:1
31% worse than South Dakota average

South Dakota average ratio: 1.91:1

Avg staff/day 31
Average shift 8 hours
0% compared with South Dakota average

South Dakota average: 7.7 hours

Total staff hours (quarter) 22,598

Nursing staff breakdown

Registered Nurse

Manages medical care and health needs.

Total count 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 31
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

10.6%

2,390 contractor hours this quarter

Qualified Social Worker: 3 Physical Therapy Assistant: 2 Physical Therapy Aide: 2 Respiratory Therapy Technician: 2 Speech Language Pathologist: 1

Staff by category

Certified Nursing Assistant310319,73291100%8.3
Registered Nurse9092,85591100%9.4
Licensed Practical Nurse8082,1898998%8.8
Medication Aide/Technician130131,46891100%7.8
Clinical Nurse Specialist3031,3558998%6.8
Physical Therapy Aide0227998796%6.6
Dietitian1015046369%8
Nurse Practitioner1014966268%8
Administrator1014886167%8
RN Director of Nursing2024865965%8.1
Physical Therapy Assistant0224346673%6.6
Speech Language Pathologist0114326470%6.7
Other Dietary Services Staff1014125459%7.6
Respiratory Therapy Technician0223805763%6.7
Qualified Social Worker0333456369%3.8
Dental Services Staff2022232831%7.9
31 Certified Nursing Assistant
% of Days 100%
9 Registered Nurse
% of Days 100%
8 Licensed Practical Nurse
% of Days 98%
13 Medication Aide/Technician
% of Days 100%
3 Clinical Nurse Specialist
% of Days 98%
2 Physical Therapy Aide
% of Days 96%
1 Dietitian
% of Days 69%
1 Nurse Practitioner
% of Days 68%
1 Administrator
% of Days 67%
2 RN Director of Nursing
% of Days 65%
2 Physical Therapy Assistant
% of Days 73%
1 Speech Language Pathologist
% of Days 70%
1 Other Dietary Services Staff
% of Days 59%
2 Respiratory Therapy Technician
% of Days 63%
3 Qualified Social Worker
% of Days 69%
2 Dental Services Staff
% of Days 31%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 62
Medicare
4
6.5% of residents
Medicaid
42
67.7% of residents
Private pay or other
16
25.8% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 15.7
31% worse than South Dakota average

South Dakota average: 12.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 31.0
30% worse than South Dakota average

South Dakota average: 23.9

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 29.4%
32% worse than South Dakota average

South Dakota average: 22.3%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 37.2%
63% worse than South Dakota average

South Dakota average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 26.4%
In line with South Dakota average

South Dakota average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.6%
48% better than South Dakota average

South Dakota average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.8%
51% worse than South Dakota average

South Dakota average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.7%
5% worse than South Dakota average

South Dakota average: 3.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.5%
54% better than South Dakota average

South Dakota average: 5.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than South Dakota average

South Dakota average: 4.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 10.0%
59% better than South Dakota average

South Dakota average: 24.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.5%
In line with South Dakota average

South Dakota average: 95.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.2%
In line with South Dakota average

South Dakota average: 96.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 85.7%
In line with South Dakota average

South Dakota average: 84.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than South Dakota average

South Dakota average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 86.1%
10% better than South Dakota average

South Dakota average: 78.2%

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
69% lower than South Dakota average

South Dakota average: $40K

Number of fines 1
51% fewer fines than South Dakota average

South Dakota average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
In line with South Dakota average

South Dakota average: 0.0

Fines amount comparison
Fines amount comparison
This facility $12K
South Dakota average $40K
Penalty History

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

1 penalty in the past 3 years

Oct 7, 2024 · $12K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 7, 2024
$12K

Last updated: Jan 2026

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 · Updated May 2026

Filter by care type
Fountain Springs Healthcare Center
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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

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).

Rapid City10 87.3% +9%3.82 -1%-12%3111.6286 16 -$8.8M$2.7M31%435110
Avantara Mountain View
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 City95 80.9% +1%3.41 +34%-21%1164.0287 83 -$15.2M$4.4M28.9%435040
Avantara North
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 City68 87.3% +9%3.12 +1%-28%1204.0265 0 -$11.4M$3.2M28.3%435064
Avantara Saint Cloud
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 City78 89.0% +11%2.95 +30%-32%1183.0273 0 Laura Henney$11.1M$3.1M27.9%435060

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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 6 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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