Avantara North
Nursing Home, Hospice Care, Memory Care & Skilled Nursing · 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

Nursing Home, Hospice Care, Memory Care & Skilled Nursing · 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.
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Avantara North accepts Medicare, Medicaid, and private pay.

Overview of Avantara North

Operating a 68-bed nursing home at 1620 North 7th Street in Rapid City’s North 7th Street neighborhood, Avantara North serves residents under administrator Celina Block’s leadership.

The privately owned facility, operational since early 2025, accepts Medicare, Medicaid, and private-pay residents and maintains 87% occupancy; exceeding South Dakota’s average of 79.9%. Average resident stay extends to 151 days.

CMS assigns a 2-star overall rating, 20.3% below state average, driven by health inspection performance rated 2 stars (21.6% below state) and below-average quality measures.

Conversely, staffing earns a 3-star rating, 4.5% above state benchmarks, as does quality measures at 3 stars with 9.9% above-state performance. Total nursing care averages 3 hours 7 minutes per resident daily, falling 17% below the state average. Weekend nursing drops to 2 hours 32 minutes daily, 23% below state norms. Staff-to-resident ratio of 1.32:1 underperforms the state standard of 1.93:1 by 31%, indicating concentrated staffing constraints.

Rehabilitation programming encompasses post-surgical recovery, short-term skilled rehabilitation, stroke and neurological care, cardiac services, oncology recovery, orthopedic rehabilitation, and pulmonary support. Respite care and on-site salon services complement clinical offerings. Wi-Fi access and community spaces support resident engagement.

Five inspections since 2022 identified 20 health citations with no critical findings. One $12,000 federal penalty was imposed in October 2024.

Clinical strengths include zero reported depressive symptoms and minimal antipsychotic use (10.0%, well below state average of 24.4%). Walking ability decline at 37.2% significantly exceeds state benchmarks.

The location sits 1.4 miles from downtown and adjacent to Black Hills Urgent Care (0.37 miles). Walk score of 39 indicates somewhat walkable surroundings dependent on transportation for most errands.

Avantara North operates as a newly established short-stay rehabilitation facility managing competing staffing constraints against selected clinical outcome advantages.

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.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from 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 Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
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.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from 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.
Years in operation
1 year in operation Rank #14 / 51Years in operation — State benchmarkedThis home is ranked 14th out of 51 homes in South Dakota. Shows how long this facility has been in operation compared to other South Dakota facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 39 / 100 Rank #77 / 159Walk Score — State benchmarkedThis home is ranked 77th 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.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

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.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from 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
IssuanceJanuary 7, 2025
ExpirationJune 30, 2026 Expired
CountyPennington
License Number10665
Accreditations2023 AHCA Bronze award

Ownership & Operating Entity

Avantara North is administered by Celina Block.

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Amenities & Lifestyle

Specific ProgramsPost-Surgical Care, Stroke & Other Neurological Conditions, Cardiac Care, Oncology Recovery Care, Orthopedic Rehabilitation, Pulmonary Care

Contact Avantara North

Health Inspection History

Inspections since 2022
Total health inspections 5

South Dakota average 4.5


Last Health inspection on Aug 2025

Total health citations
20 Rank #41 / 67Health citations — State benchmarkedThis home is ranked 41st out of 67 homes in South Dakota. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 67 SD facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

South Dakota average 14.8

Citations per inspection
4 Rank #45 / 67Citations per inspection — State benchmarkedThis home is ranked 45th out of 67 homes in South Dakota. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 67 facilities with citation data. Lower is better.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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
0
100% better than South Dakota average

South Dakota average: 0.3


Serious health citations
2
11% worse than South Dakota average

South Dakota average: 1.8

0 critical citations South Dakota average: 0.3

2 serious citations South Dakota average: 1.8

18 moderate citations South Dakota average: 12.6

0 minor citations South Dakota average: 0
Citations history (last 4 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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 82
Employees 67
Contractors 15
Staff to resident ratio 1.32 : 1
31% fewer staff per resident than South Dakota average
South Dakota average ratio: 1.93 : 1 South Dakota average ratio: 1.93 : 1See full South Dakota ranking
Avg staff/day 30
Average shift 8 hours
0% compared with South Dakota average
South Dakota average: 7.7 hours South Dakota average shift: 7.7 hoursSee full South Dakota ranking
Total staff hours (quarter) 22,040

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 13 RN Staff are full-time employees. No contractors work on this role. 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 4 LPN Staff are full-time employees. No contractors work on this role. 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 27 CNA Staff are full-time employees. No contractors work on this role. 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

9.8%

2,170 contractor hours this quarter

Physical Therapy Assistant: 5 Respiratory Therapy Technician: 4 Qualified Social Worker: 3 Physical Therapy Aide: 2 Speech Language Pathologist: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant270279,43792100%8.7
Registered Nurse130134,36992100%8.9
Medication Aide/Technician130131,49192100%7.6
Clinical Nurse Specialist3031,2328592%6.3
Physical Therapy Aide0227968592%7
Licensed Practical Nurse4046405863%8.2
Nurse Practitioner1014886166%8
Dental Services Staff1014886166%8
Dietitian1014725964%8
Administrator1014645863%8
RN Director of Nursing1014365560%7.9
Qualified Social Worker0334356874%4.8
Speech Language Pathologist0114005863%6.9
Other Dietary Services Staff2023545257%6.8
Respiratory Therapy Technician0442855155%5.6
Physical Therapy Assistant0552544852%5.3
27 Certified Nursing Assistant
% of Days 100%
13 Registered Nurse
% of Days 100%
13 Medication Aide/Technician
% of Days 100%
3 Clinical Nurse Specialist
% of Days 92%
2 Physical Therapy Aide
% of Days 92%
4 Licensed Practical Nurse
% of Days 63%
1 Nurse Practitioner
% of Days 66%
1 Dental Services Staff
% of Days 66%
1 Dietitian
% of Days 64%
1 Administrator
% of Days 63%
1 RN Director of Nursing
% of Days 60%
3 Qualified Social Worker
% of Days 74%
1 Speech Language Pathologist
% of Days 63%
2 Other Dietary Services Staff
% of Days 57%
4 Respiratory Therapy Technician
% of Days 55%
5 Physical Therapy Assistant
% of Days 52%

Penalties and fines

Includes penalties issued in 2024

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 Rank #45 / 67Federal fines — State benchmarkedThis home is ranked 45th out of 67 homes in South Dakota. Shows this facility's cumulative CMS federal fine dollars versus the South Dakota average among facilities with fines, and where it ranks among 67 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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

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%

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

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.

Finances and operations

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

For-profit
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
For-profit 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 %.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from 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.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from 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.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from 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

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%

Places of interest near Avantara North

Address 1.4 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

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

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SD AVG $2.6M
Rank #14 / 63
54.7%Fiscal year ending 12/2023
Facility 54.7%Fiscal year ending 12/2023
SD AVG 40.8%
Rank #50 / 63
435040
Avantara Arrowhead
NH
HOS
SNF
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
$6.6MFiscal year ending 12/2023
Facility $6.6MFiscal year ending 12/2023
SD AVG $6.7M
Rank #25 / 63
$3.4MFiscal year ending 12/2023
Facility $3.4MFiscal year ending 12/2023
SD AVG $2.6M
Rank #24 / 63
52.6%Fiscal year ending 12/2023
Facility 52.6%Fiscal year ending 12/2023
SD AVG 40.8%
Rank #41 / 63
435051

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 neighborhood is Avantara North in?

Avantara North is in the North 7th Street neighborhood of 1620 North 7th St. Rapid City.

Is Avantara North in a walkable area?

Avantara North has a walk score of 39. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

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%.

Does Avantara North operate as a for-profit or non-profit?

Avantara North is registered as a for-profit in SD.

Who is the administrator of Avantara North?

Celina Block is the administrator of Avantara North.

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