Nursing Home

Avantara Saint Cloud

Overview of Avantara Saint Cloud
Avantara Saint Cloud offers a range of services to support residents living with dementia and Alzheimer’s disease. The facility provides specialized secured memory care and cutting-edge robotics to enhance the quality of life for residents. It is dedicated to fostering a serene environment with extensive amenities for comfort and support.
(605) 343-4738

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
South Dakota average: 2.5/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
South Dakota average: 2.5/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
South Dakota average: 2.9/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
2/5
South Dakota average: 2.7/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
2h 57m per day

This home provides 23% less nursing time per resident than the South Dakota average.

South Dakota average: 3h 50m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 15m per day 31m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 78

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the South Dakota average
Occupancy rate 89%
Residents per day (avg) 73
Occupancy rate
89%
Residents per day (avg)
73

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.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

36% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

31% of new residents, often for short stays.

Typical stay 9 - 10 months

Medicaid

32% 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
$11.1M
Profit
$333.7K
Privately-owned community Operated by a business corporation.
Home revenue
$11,131,828.00
Profit
$333,733.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.1M
27.9% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.7M
Total costs $10.8M
Bed community size
78-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
89%
In line with South Dakota average
Occupied beds
69 / 78
Average residents 51 per day

License details

Facility type
Nursing Home
Status Active
Issuance July 1, 2025
County: Pennington

Additional licensing details

License number: 10667
CMS Certification Number: 435060
Accreditations: 2023 AHCA Bronze award

Ownership & operating entity

Avantara Saint Cloud is administrated by Altena, Ashley.

Care Services

Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
24-Hour Staffing

Amenities & Lifestyle

Community spaces for family gatherings
High-speed Wi-Fi
On-site salon services

Programs & Activities

Specific Programs
Memory Care Services, Cutting-edge robotics, Suites & Accommodations, Gallery & Virtual Tour, Testimonials, Schedule a Tour, Locations, FAQs, Contact Us, Careers, Privacy Policy

Dining & Nutrition

Food Description
Meals are nutritionally balanced and prepared using fresh ingredients.
Meals Included
Yes

Health Inspection History

Inspections
Total health inspections 6

South Dakota average 4.5


Last Health inspection on Aug 2025

Total health citations 18
Citations per inspection
3

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

14 of 18 citations resulted from standard inspections; 3 of 18 resulted from complaint investigations; and 1 of 18 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 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

16 moderate citations More info South Dakota average: 12.6

0 minor citations More info South Dakota average: 0
Citations history (last 3 years)
Abuse/Neglect serious citation Aug 13, 2025
Corrected

Nursing Services moderate citation Jul 02, 2025
Corrected

Abuse/Neglect moderate citation Mar 27, 2025
Corrected

Infection Control moderate citation Nov 07, 2024
Corrected

Compare Nursing Homes around Rapid City

The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Fountain Springs Healthcare Center
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

SNF

Nursing Homes 24/7 care needed

Rapid City
90
16
-
87.3%
$8,775,689.00
$2,724,201.00
31%
86
4/5
3.8153
4/5
4/5
4/5
3
11
2
-1%
-12%
+9%
Avantara Mountain View
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

SD 57702
101
-
-
80.9%
$15,216,258.00
$4,404,160.00
28.9%
87
3/5
3.4135
3/5
3/5
3/5
1
16
2
+34%
-21%
+1%
Avantara North
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
-
-
87.3%
$11,409,575.00
$3,232,546.00
28.3%
65
2/5
3.1184
2/5
3/5
3/5
1
20
2
+1%
-28%
+9%
Avantara Saint Cloud
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

SD 57701
78
-
HENNEY, LAURA
89.0%
$11,129,142.00
$3,100,797.00
27.9%
73
1/5
2.9518
2/5
1/5
2/5
1
18
2
+30%
-32%
+11%
Good Samaritan Society – St Martin Village
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

SD 57702
60
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

Places of interest near Avantara Saint Cloud

Address 1089.8 miles from city center

Address Rapid City, SD 57701

Calculate Travel Distance to Avantara Saint Cloud

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

162
Total Staff
85
Employees
77
Contractors
24,095
Total Hours (Quarter)
35
Avg Staff/Day
7.6
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse238.7 Yes
Licensed Practical Nurse109.4 Yes
Certified Nursing Assistant917.5 Yes
Staff by Category
Administration
1 staff
7.9hs shift avg
Nursing Staff
133 staff
7.8hs shift avg
Physicians & Practitioners
7 staff
7.5hs shift avg
Therapy Services
14 staff
4.5hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
2 staff
1.6hs shift avg
Dietary Services
4 staff
8.1hs shift avg
Other Services
1 staff
8hs shift avg
Contractor Analysis
18.8%
of total hours from contractors
4,524 contractor hours this quarter
Registered Nurse: 9 Respiratory Therapy Technician: 6 Physical Therapy Assistant: 4 Certified Nursing Assistant: 50 Physical Therapy Aide: 3 Licensed Practical Nurse: 2 Speech Language Pathologist: 1 Qualified Social Worker: 2
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant41509113,45891100%7.5
Licensed Practical Nurse82102,51091100%9.4
Registered Nurse149231,8928796%8.7
Clinical Nurse Specialist4041,1136875%7.3
Medication Aide/Technician9091,05891100%6.8
Other Dietary Services Staff3037677279%8.1
Respiratory Therapy Technician0665966774%5.6
Nurse Practitioner3035526167%7.9
Mental Health Service Worker1015126470%8
Administrator1015096470%7.9
Dietitian1014725965%8
Physical Therapy Aide0333856369%6.1
Speech Language Pathologist0111585864%2.7
Physical Therapy Assistant044933842%1.9
Qualified Social Worker022211314%1.6

Facility Characteristics

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

Total census
74 residents
Residents by payment source
Medicare
4 residents (5.4%)
Medicaid
50 residents (67.6%)
Private pay or other
20 residents (27%)
Programs & Services
Nurse Aide Training

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

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. 13.7
13% 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. 30.2
26% worse than South Dakota average

South Dakota average: 23.9

Long-stay resident measures
Significantly below average South Dakota avg: 2.5 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 29.1%
30% 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 27.4%
20% 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 33.9%
27% worse than 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 6.0%
18% worse 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 1.6%
64% better than South Dakota average

South Dakota average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 9.9%
184% 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 4.1%
25% better than South Dakota average

South Dakota average: 5.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 9.5%
133% worse than South Dakota average

South Dakota average: 4.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 49.8%
105% worse than South Dakota average

South Dakota average: 24.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 80.7%
16% worse than South Dakota average

South Dakota average: 95.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 82.7%
15% worse than South Dakota average

South Dakota average: 96.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.71
13% worse than South Dakota average

South Dakota average: 1.51

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.55
16% better than South Dakota average

South Dakota average: 1.85

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 33.3%
61% worse than South Dakota average

South Dakota average: 84.4%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 4.4%
465% worse than South Dakota average

South Dakota average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 10.0%
81% worse than South Dakota average

South Dakota average: 53.7%

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 $11K
71% 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 $11K
South Dakota average $40K
Penalty History

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

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 26, 2023
$11K

Last updated: Jan 2026

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Financial Aid for South Dakota Seniors

Get financial aid guidance

Home and Community Based Services Waiver

SD Medicaid HCBS Waiver

Age 65+ or disabled, South Dakota resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Sparse population aids rural access; limited providers.

South Dakota Elderly Services Program

SD ESP

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

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

$5,000 (individual).

Limited funding; rural focus.

Medicare Savings Program (MSP)

South Dakota Medicare Savings Program

Age 65+ or disabled, SD resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

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

Low-Income Home Energy Assistance Program (LIEAP)

South Dakota LIEAP

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

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

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

Family Caregiver Support Program (FCSP)

South Dakota Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed; need-based.

Rural emphasis; includes grandparent caregivers.

Senior Community Service Employment Program (SCSEP)

South Dakota SCSEP

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

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

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

South Dakota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, SD resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

Supports rural veterans; high demand near Sioux Falls VA.

Property Tax Reduction Program

South Dakota Property Tax Reduction from Municipal Taxes

Age 65+ (or disabled) by Jan 1, SD resident entire prior year, homeowner/renter.

~$20,192/year (single), ~$24,679/year (multiple-member household).

Not assessed; income-focused.

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

Senior Farmers’ Market Nutrition Program (SFMNP)

South Dakota SFMNP

Age 60+, SD resident, low-income.

~$2,322/month (individual, 185% FPL).

Not assessed.

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

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

South Dakota Property Tax Freeze

Age 65+ (or disabled), SD resident 200+ days prior year, homeowner.

~$35,000/year (single), ~$45,000/year (multiple-member household).

Property value < $250,000 (single), $300,000 (multiple).

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

Older Americans Act (OAA) Services

South Dakota OAA Services

Age 60+, SD resident (or spouse of any age); no income/asset limits.

None; donations encouraged for some services.

Not assessed.

6 AAAs; rural focus due to sparse population.

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