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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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.
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.
This home is ranked 55th out of 62 homes in South Dakota.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 28m per day | ▼ 42% State avg: 48m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 26m per day | ▼ 10% State avg: 29m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 2h 10m per day | ▼ 17% State avg: 2h 37m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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 49m per day | ▼ 15% State avg: 3h 19m per day · National avg: 3h 26m per day |
|
Physical Therapist
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 | ■ Avg State avg: 3m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 15m per day | ▼ 52% State avg: 31m per day · National avg: 29m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
36% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
32% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #25 / 59Payroll — state benchmarkedThis home is ranked 25th out of 59 homes in South Dakota.Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the South Dakota average: 79.9%Avantara Saint Cloud is administrated by Ashley Altena.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the South Dakota state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | SD Average | vs. SD Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 26 | 19 | This facility has 37% more total deficiencies than a typical South Dakota nursing home (26 vs. SD avg 19).↑ 37% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 6.5 | 4.8 | This facility has 35% more deficiencies per year than a typical South Dakota nursing home (6.5 vs. SD avg 4.8).↑ 35% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on August 13, 2025, identified deficiencies related to neglect during a resident transfer that resulted in femur fractures. Earlier inspections showed a pattern of issues including staffing shortages, physical abuse by a staff member, environmental cleanliness problems, and failures in resident care such as medication administration and pressure ulcer management. Complaint investigations substantiated neglect and abuse, with one case resulting in staff termination, but fines or license actions were not listed in the available reports. The main themes across inspections involved resident safety during transfers, staffing accuracy, abuse prevention, and maintaining a clean environment. The facility’s record shows ongoing challenges with care and environment, with no clear trend of overall improvement or worsening.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsSouth Dakota average 4.5
Last Health inspection on Aug 2025
South Dakota average 14.8
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).
100% better than South Dakota averageSouth Dakota average: 0.3
2
11% worse than South Dakota averageSouth Dakota average: 1.8
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Aug 13, 2025
Corrected
Issues related to the availability and quality of nursing staff and the care they provide.
Jul 02, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Mar 27, 2025
Corrected
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.
Avantara Saint Cloud is located in Rapid City, South Dakota.
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1089.8 miles from city center
Estimated distance in miles from Rapid City's city center to Avantara Saint Cloud's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
14% better than South Dakota averageSouth Dakota average ratio: 1.91:1
0% compared with South Dakota averageSouth Dakota average: 7.7 hours
Manages medical care and health needs.
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.
Assists with medical care and medications.
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.
Helps with daily care and mobility.
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.
Total hours from contractors
4,524 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
74State-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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Percent of long-stay residents whose ability to move independently worsened
27.4%
20% worse than South Dakota averageSouth Dakota average: 22.8%
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%
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%
Percent of long-stay high risk residents with pressure ulcers
1.6%
64% better than South Dakota averageSouth Dakota average: 4.5%
Percent of long-stay residents with a urinary tract infection
9.9%
184% worse than South Dakota averageSouth Dakota average: 3.5%
Percent of long-stay residents who lose too much weight
4.1%
25% better than South Dakota averageSouth Dakota average: 5.5%
Percent of long-stay residents who have depressive symptoms
9.5%
133% worse than South Dakota averageSouth Dakota average: 4.1%
Percent of long-stay residents who received an antipsychotic medication
49.8%
105% worse than South Dakota averageSouth Dakota average: 24.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
80.7%
16% worse than South Dakota averageSouth Dakota average: 95.7%
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%
Number of hospitalizations per 1,000 long-stay resident days.
1.71
13% worse than South Dakota averageSouth Dakota average: 1.51
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
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
33.3%
61% worse than South Dakota averageSouth Dakota average: 84.4%
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%
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.
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)
71% lower than South Dakota averageSouth Dakota average: $40K
51% fewer fines than South Dakota averageSouth Dakota average: 2.0
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Oct 26, 2023 · $11K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 26, 2023Last updated: Jan 2026
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
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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 | 10 | 87.3% | +9% | 3.82 | -1% | -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 | 95 | 80.9% | +1% | 3.41 | +34% | -21% | 1 | 16 | 4.0 | 2 | 87 | 83 | - | $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 | 68 | 87.3% | +9% | 3.12 | +1% | -28% | 1 | 20 | 4.0 | 2 | 65 | 0 | - | $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 | +30% | -32% | 1 | 18 | 3.0 | 2 | 73 | 0 | Laura Henney | $11.1M | $3.1M | 27.9% | 435060 |
Historical financial and operational data for Avantara Saint Cloud based on CMS SNF Cost Reports.
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According to SD state health department records, Avantara Saint Cloud's license number is 10667.
Avantara Saint Cloud's occupancy is 96%.
Ashley Altena is the administrator of Avantara Saint Cloud.
Avantara Saint Cloud has 78 beds.
Yes — there are 12 photos of Avantara Saint Cloud in the photo gallery on this page.
Avantara Saint Cloud is located at 302 St Cloud St.
(605) 343-4738 will put you in contact with the team at Avantara Saint Cloud.
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