What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities Finding and ranking the best nursing homes Finding and ranking the best memory care facilities Our concierge service helps seniors move into the perfect home for them Helping seniors use medicare, medicaid, and other government programs to pay for their homes Helping seniors avoid senior homes that have bad service or fraud Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

Virtual Tours & Videos

Check out our photo album Check out our virtual tours Check out our home videos

Resident interviews at our senior living facilities

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Avantara Saint Cloud

Rapid City, SD 57701 View Map

Avantara Saint Cloud is a Nursing Home in South Dakota

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Avantara Saint Cloud
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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)

Nurse hours per resident 2.95/day

Overall rating

1/5

Health Inspection

2/5

Staffing

1/5

Quality Measures

2/5

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.

89%

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

How we assess these insights Show admissions and discharges

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

Home revenue

$11.1M

Profit

$333.7K

Proprietary home Corporation

Home revenue

$11,131,828.00

Profit

$333,733.00

Payroll costs

$3.1M

27.9% of revenue

Other operating costs

$7.7M

Total costs $10.8M

78-bed community

A larger shared setting that may offer more common spaces and organized community services.

About this community

License Status

Active

Facility Type

Nursing Home

License Date

July 1, 2025

Additional licensing details

License number: 10667

CMS Certification Number: 435060

County: Pennington

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

Compare Nursing Homes around Rapid City

Fountain Springs Healthcare Center

SNF

Rapid City

87.3%

$8,775,689.00

$2,724,201.00

31%

85.90

4/5

3.8153

4/5

Avantara Saint Cloud

SNF

SD 57701

HENNEY, LAURA

89.0%

$11,129,142.00

$3,100,797.00

27.9%

72.70

1/5

2.9518

2/5

1/5

2/5

Fountain Springs Healthcare Center

Type of care: AL IL SNF

Community: Rapid City

Bed Count: 90

Pets Allowed: No

CCN: 435110

Occupancy: 87.3%

Home Revenue: $8,775,689.00

Payroll Costs: $2,724,201.00

Payroll %: 31%

Avg Residents/Day: 85.90

Overall Rating: 4/5

Adj Nurse Hours: 3.8153

Health Insp Rating: 4/5

Staffing Rating: 4/5

QM Rating: 4/5

Number of Fines: 3

Avantara Saint Cloud

Type of care: SNF AL

Community: SD 57701

Bed Count: 78

Pets Allowed: No

Operator: HENNEY, LAURA

CCN: 435060

Occupancy: 89.0%

Home Revenue: $11,129,142.00

Payroll Costs: $3,100,797.00

Payroll %: 27.9%

Avg Residents/Day: 72.70

Overall Rating: 1/5

Adj Nurse Hours: 2.9518

Health Insp Rating: 2/5

Staffing Rating: 1/5

QM Rating: 2/5

Number of Fines: 1

Rapid City, SD 57701

Calculate Travel Distance to Avantara Saint Cloud

Add your location

162

Total Staff

Employees

Contractors

24,095

Total Hours (Quarter)

Avg Staff/Day

7.6

Avg Shift (hrs)

Nursing Staff Breakdown

Role ⓘ	Count ⓘ	Avg Shift (hrs) ⓘ	Uses Contractors? ⓘ
Registered Nurse	23	8.7	Yes
Licensed Practical Nurse	10	9.4	Yes
Certified Nursing Assistant	91	7.5	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 Assistant	41	50	91	13,458	91	100%	7.5
Licensed Practical Nurse	8	2	10	2,510	91	100%	9.4
Registered Nurse	14	9	23	1,892	87	96%	8.7
Clinical Nurse Specialist	4	0	4	1,113	68	75%	7.3
Medication Aide/Technician	9	0	9	1,058	91	100%	6.8
Other Dietary Services Staff	3	0	3	767	72	79%	8.1
Respiratory Therapy Technician	0	6	6	596	67	74%	5.6
Nurse Practitioner	3	0	3	552	61	67%	7.9
Mental Health Service Worker	1	0	1	512	64	70%	8
Administrator	1	0	1	509	64	70%	7.9
Dietitian	1	0	1	472	59	65%	8
Physical Therapy Aide	0	3	3	385	63	69%	6.1
Speech Language Pathologist	0	1	1	158	58	64%	2.7
Physical Therapy Assistant	0	4	4	93	38	42%	1.9
Qualified Social Worker	0	2	2	21	13	14%	1.6

View All Staffing Data in Rapid City

Total Health inspections 6

33% above South Dakota average

South Dakota average: 4.5

Last Health inspection on Aug 2025

Total Health citations 18

22% above South Dakota average

South Dakota average: 14.8

3 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 15 citations

Complaint investigations 4 citations

Breakdown of citations

Critical Health citations 0

100% below South Dakota average

South Dakota average: 0.3

Serious Health citations 2

11% above South Dakota average

South Dakota average: 1.8

Moderate Health citations 16

Minor Health citations 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

Ownership: For-Profit LLC

Part of: Legacy Healthcare

Resident Census by Payment Source

74 Total Residents

Medicare 4 (5.4%)

Medicaid 50 (67.6%)

Private Pay/Other 20 (27%)

Programs & Services

Nurse Aide Training

High-risk clinical events score 13.7

13% worse than South Dakota average

South Dakota average: 12.0

Functional decline score 30.2

26% worse than South Dakota average

South Dakota average: 23.9

Long-Stay Resident Measures

Need for Help with Daily Activities Increased 29.1%

30% above South Dakota average.

Walking Ability Worsened 27.4%

20% above South Dakota average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 33.9%

27% above South Dakota average.

Falls with Major Injury 6.0%

18% above South Dakota average.

High Risk Residents with Pressure Ulcers 1.6%

64% below South Dakota average.

Urinary Tract Infection 9.9%

184% above South Dakota average.

Depressive Symptoms 9.5%

133% above South Dakota average.

Antipsychotic Use 49.8%

105% above South Dakota average.

Pneumococcal Vaccine 80.7%

16% below South Dakota average.

Influenza Vaccine 82.7%

15% below South Dakota average.

Lost Too Much Weight 4.1%

25% below South Dakota average.

Short-stay resident measures

Pneumococcal Vaccine 33.3%

61% worse than South Dakota average

Total fines amount $11K

This home paid 71% less in fines than the state average.

South Dakota average: $40K

Number of Fines 1

This home received 51% fewer fines than the state average.

South Dakota average: 2.0

Payment Denials 0

This home is near the state average.

South Dakota average: 0.0

Penalty History

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

Civil Money Penalty Oct 26, 2023

$11K

Last updated: Jan 2026

Financial Trends

Historical financial and operational data for Avantara Saint Cloud based on CMS SNF Cost Reports.

Occupancy Rate 89.0% ↑ 7.6pp vs 2022

Net Income $333,733 ↓ ~$43K vs 2022

Total Payroll $4,390,924 ↑ ~$571K vs 2022

Profit Margin 3.0% ↓ 0.8pp vs 2022

Loading trend charts...

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	96.6%	98.2%	98.3%	96.8%	96.1%	92.3%	92.4%	87.2%	96.1%	89.6%	84.8%	81.4%	89.0%
Beds	70	70	70	78	78	78	78	78	78	78	78	78	78
Net Income	$834,475	$711,834	$673,385	$845,425	$936,710	$28,573	-$304,086	$846,882	$183,497	$1,544,298	$1,229,070	$376,747	$333,733
Gross Revenue	$7,256,012	$6,858,024	$6,837,733	$7,330,307	$7,328,418	$6,935,237	$7,271,480	$6,239,537	$5,410,905	$10,735,956	$10,989,832	$9,928,478	$11,129,142
Operating Expenses	$4,627,280	$4,477,520	$4,487,180	$4,810,392	$4,908,836	$5,382,021	$6,007,648	$4,664,165	$2,852,754	$5,890,494	$5,783,213	$5,844,931	$6,588,767
Net Patient Revenue	$5,424,942	$5,135,457	$5,115,606	$5,616,835	$5,831,322	$5,385,221	$5,699,501	$4,987,046	$3,036,236	$6,165,349	$6,051,966	$6,221,062	$6,919,814
Total Payroll	$2,715,524	$2,538,869	$2,541,428	$2,736,455	$2,812,541	$2,852,051	$4,508,087	$2,928,682	$1,966,213	$4,088,376	$3,589,297	$3,819,491	$4,390,924
Profit Margin %	11.5%	10.4%	9.9%	11.5%	12.8%	0.4%	-4.2%	13.6%	3.4%	14.4%	11.2%	3.8%	3.0%
Medicare %	11.5%	8.5%	8.1%	9.7%	7.5%	5.6%	6.2%	6.8%	4.2%	10.6%	6.4%	6.2%	8.2%
Medicaid %	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	52.8%	0.0%	67.5%	63.6%	64.1%	63.9%	65.0%
Private %	88.5%	91.5%	91.9%	90.3%	92.5%	94.4%	41.0%	93.2%	28.3%	25.8%	29.4%	29.9%	26.8%
Revenue/Day	$220	$204	$204	$215	$213	$204	$217	$201	$220	$241	$251	$269	$273
Cost/Day	$187	$178	$179	$184	$179	$204	$228	$188	$207	$230	$240	$252	$260
Avg Length of Stay	561.1 days	718.5 days	1,321.3 days	512.7 days	636.1 days	823.8 days	398.7 days	335.7 days	599.4 days	521.8 days	383.3 days	351.0 days	333.3 days

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Home and Community Based Services Waiver

SD Medicaid HCBS Waiver

General: Age 65+ or disabled, 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 Specifics: Sparse population aids rural access; limited providers.

South Dakota Elderly Services Program

SD ESP

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

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

Asset Limits: $5,000 (individual).

SD Specifics: Limited funding; rural focus.

Medicare Savings Program (MSP)

South Dakota Medicare Savings Program

General: Age 65+ or disabled, 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 Specifics: Three tiers; includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIEAP)

South Dakota LIEAP

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

Income Limits (2025): ~$3,970/month (individual, 185% FPL).

Asset Limits: Not assessed; income-focused.

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

Family Caregiver Support Program (FCSP)

South Dakota Family Caregiver Support Program

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 Specifics: Rural emphasis; includes grandparent caregivers.

Senior Community Service Employment Program (SCSEP)

South Dakota SCSEP

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

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

SD Specifics: Priority for veterans, rural residents; AARP partnership.

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

South Dakota VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, 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 Specifics: Supports rural veterans; high demand near Sioux Falls VA.

Property Tax Reduction Program

South Dakota Property Tax Reduction from Municipal Taxes

General: Age 65+ (or disabled) by Jan 1, 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 Specifics: Refunds up to $575; ~10,000 seniors benefit annually.

Senior Farmers’ Market Nutrition Program (SFMNP)

South Dakota SFMNP

General: Age 60+, SD resident, low-income.

Income Limits (2025): ~$2,322/month (individual, 185% FPL).

Asset Limits: Not assessed.

SD Specifics: 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

General: Age 65+ (or disabled), 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 Specifics: Saves ~$300-$600/year avg.; applies to primary residence.

Older Americans Act (OAA) Services

South Dakota OAA Services

General: Age 60+, 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 Specifics: 6 AAAs; rural focus due to sparse population.

Avantara Saint Cloud

Avantara Saint Cloud is a Nursing Home in South Dakota

Avantara Saint Cloud is a Nursing Home in South Dakota

Avantara Saint Cloud

Avantara Saint Cloud is a Nursing Home in South Dakota

Avantara Saint Cloud is a Nursing Home in South Dakota

Quality ratings

Capacity and availability

Smaller home

This home usually has limited availability

Who this home usually serves

Mostly short-term rehab stays

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

About this community

Additional licensing details

Ownership & operating entity

Care Services

Amenities & Lifestyle

Programs & Activities

Dining & Nutrition

Compare Nursing Homes around Rapid City

Places of interest near Avantara Saint Cloud

Calculate Travel Distance to Avantara Saint Cloud

Staffing Data

Nursing Staff Breakdown

Staff by Category

Contractor Analysis

Health Inspection History

Breakdown of citations

Citations history (last 3 years)

Facility Characteristics

Resident Census by Payment Source

Programs & Services

Quality of care over time

Long-Stay Resident Measures

Daily care & independence

Safety & clinical stability

Emotional & behavioral wellbeing

Preventive care

Nutrition & physical health

Short-stay resident measures

Penalties and fines

Penalty History

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Guides for Better Senior Living

Eldertainment

Financial Aid for South Dakota Seniors

Home and Community Based Services Waiver

South Dakota Elderly Services Program

Medicare Savings Program (MSP)

Low-Income Home Energy Assistance Program (LIEAP)

Family Caregiver Support Program (FCSP)

Senior Community Service Employment Program (SCSEP)

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

Property Tax Reduction Program

Senior Farmers’ Market Nutrition Program (SFMNP)

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

Older Americans Act (OAA) Services

Touring Checklist for Senior Living

Location

Community Spaces and Overall Environment

Services

Staffing

Accommodations

Finances

Other Notes

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