Occupancy rate
96%
In line with South Dakota averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Rapid City
CMS overall rating
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.
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.
Avantara Saint Cloud
Nursing Home in Rapid City
CMS overall rating
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.
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.
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.
Quality ratings
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.
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.
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.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
78
This home is often near full
That suggests steady demand, but availability may be limited.
Occupancy rate
96.2%
Residents per day (avg)
73
Occupancy rate
96.2%
Residents per day (avg)
73
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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
$11.1M
Profit
$333.7K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$10.8M
78-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy
In line with South Dakota averageOccupied beds
75 / 78
Average residents
51 per day
Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
CountyPennington
License Number10667
CMS Certification Number435060
Accreditations2023 AHCA Bronze award
Avantara Saint Cloud is administrated by Altena, Ashley.
Rehabilitation Services
Respite Care
24-Hour Staffing
Community Spaces For Family Gatherings
High-Speed Wi-Fi
On-Site Salon Services
Specific ProgramsMemory Care Services, Cutting-edge robotics, Suites & Accommodations, Gallery & Virtual Tour, Testimonials, Schedule a Tour, Locations, FAQs, Contact Us, Careers, Privacy Policy
Food DescriptionMeals are nutritionally balanced and prepared using fresh ingredients.
Meals IncludedYes
Inspection History
In South Dakota, the Department of Health, Office of Health Care Facilities Licensure is the state agency responsible for conducting unannounced surveys and monitoring facility quality.
6 visits/inspections
3 visits/inspections triggered by complaints
4 routine inspections
Results
6 with issues
0 without issues
Show Inspection Reports
Latest inspection
Date
August 13, 2025
Complaint Investigation26 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
South Dakota average: 19 deficiencies
Health Inspection History
Inspections
Total health inspections
6
South Dakota average 4.5
Last Health inspection on Aug 2025
Total health citations
18
South Dakota average 14.8
Citations per inspection
3
South Dakota average 3.34
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
0
0
100% better than South Dakota averageSouth Dakota average: 0.3
Serious Health citations
2
2
11% worse than South Dakota averageSouth Dakota average: 1.8
0 critical citations
2 serious citations
16 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect serious citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 13, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 13, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Jul 02, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Jul 02, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 27, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 27, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Nov 07, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Nov 07, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Rapid City The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
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 City
90
87.3%
+9%
3.82
-12%
3
11
1.6
2
86
-
16
-
$8.8M
$2.7M
31%
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 City
101
80.9%
+1%
3.41
-21%
1
16
4.0
2
87
-
-
-
$15.2M
$4.4M
28.9%
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 City
69
87.3%
+9%
3.12
-28%
1
20
4.0
2
65
-
-
-
$11.4M
$3.2M
28.3%
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 City
78
89.0%
+11%
2.95
-32%
1
18
3.0
2
73
-
-
Henney, Laura
$11.1M
$3.1M
27.9%
435060
Good Samaritan Society – St Martin Village
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 City
60
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
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1089.8 miles from city center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
162
Employees
85
Contractors
77
Staff to resident ratio
2.19:1
14% better than South Dakota averageSouth Dakota average ratio: 1.91:1
Avg staff/day
35
Average shift
7.6 hours
0% compared with South Dakota averageSouth Dakota average: 7.7 hours
Total staff hours (quarter)
24,095
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
23
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
91
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
18.8%
4,524 contractor hours this quarter
Certified Nursing Assistant: 50
Registered Nurse: 9
Respiratory Therapy Technician: 6
Physical Therapy Assistant: 4
Physical Therapy Aide: 3
Licensed Practical Nurse: 2
Qualified Social Worker: 2
Speech Language Pathologist: 1
Staff by category
| 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 |
91 Certified Nursing Assistant
% of Days
100%
10 Licensed Practical Nurse
% of Days
100%
23 Registered Nurse
% of Days
96%
4 Clinical Nurse Specialist
% of Days
75%
9 Medication Aide/Technician
% of Days
100%
3 Other Dietary Services Staff
% of Days
79%
6 Respiratory Therapy Technician
% of Days
74%
3 Nurse Practitioner
% of Days
67%
1 Mental Health Service Worker
% of Days
70%
1 Administrator
% of Days
70%
1 Dietitian
% of Days
65%
3 Physical Therapy Aide
% of Days
69%
1 Speech Language Pathologist
% of Days
64%
4 Physical Therapy Assistant
% of Days
42%
2 Qualified Social Worker
% of Days
14%
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
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.7
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 averageSouth Dakota average: 12.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.2
26% worse than South Dakota averageSouth Dakota average: 23.9
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
29.1%
Percent of long-stay residents whose need for help with daily activities has increased
29.1%
30% worse than South Dakota averageSouth Dakota average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
27.4%
Percent of long-stay residents whose ability to move independently worsened
27.4%
20% worse than South Dakota averageSouth Dakota average: 22.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.9%
27% worse than South Dakota averageSouth Dakota average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.0%
Percent of long-stay residents experiencing one or more falls with major injury
6.0%
18% worse than South Dakota averageSouth Dakota average: 5.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.6%
Percent of long-stay high risk residents with pressure ulcers
1.6%
64% better than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
9.9%
Percent of long-stay residents with a urinary tract infection
9.9%
184% worse than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.1%
Percent of long-stay residents who lose too much weight
4.1%
25% better than South Dakota averageSouth Dakota average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
9.5%
Percent of long-stay residents who have depressive symptoms
9.5%
133% worse than South Dakota averageSouth Dakota average: 4.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
49.8%
Percent of long-stay residents who received an antipsychotic medication
49.8%
105% worse than South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
80.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
80.7%
16% worse than South Dakota averageSouth Dakota average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
82.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
82.7%
15% worse than South Dakota averageSouth Dakota average: 96.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.71
Number of hospitalizations per 1,000 long-stay resident days.
1.71
13% worse than South Dakota averageSouth Dakota average: 1.51
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.55
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.55
16% better than South Dakota averageSouth Dakota average: 1.85
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
33.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
33.3%
61% worse than South Dakota averageSouth Dakota average: 84.4%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
4.4%
Percentage of SNF residents who experience falls with major injury during their stay.
4.4%
465% worse than South Dakota averageSouth Dakota average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
10.0%
Percentage of residents at or above expected ability to care for themselves at discharge.
10.0%
81% worse than South Dakota averageSouth Dakota average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 averageSouth Dakota average: $40K
Number of fines
1
51% fewer fines than South Dakota averageSouth Dakota average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
In line with South Dakota averageSouth 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
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 26, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
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
$333.7K
↓ ~$43.0K vs 2022
Total Payroll
$4.4M
↑ ~$571.4K vs 2022
Profit Margin
3.0%
↓ 0.8pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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