Avantara Saint Cloud
Nursing Home · Rapid City, SD
CMS overall rating Info 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.

Avantara Saint Cloud

Nursing Home · Rapid City, SD
CMS overall rating Info 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.
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Avantara Saint Cloud accepts Medicare, Medicaid, and private pay.

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 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.
▼ 60.2% Below SD avg. ▼ 60.2% Below SD avg.Click 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.
▼ 21.6% Below SD avg. ▼ 21.6% Below SD avg.Click 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.
▼ 65.2% Below SD avg. ▼ 65.2% Below SD avg.Click 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.
▼ 26.7% Below SD avg. ▼ 26.7% Below SD avg.Click 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 51st out of 57 homes in South Dakota. 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.
2h 57m per day
Rank #51 / 57Nurse hours — State benchmarkedThis home is ranked 51st out of 57 homes in South Dakota. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 57 South Dakota SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility South Dakota avg (3h 46m per day)
vs South Dakota avg
-21%

5 of 6 metrics below state avg

Staff type Hours / Day / Resident vs 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. 28m per day ▼ 42% State avg: 48m 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. 26m per day ▼ 10% 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. 2h 10m per day ▼ 17% State avg: 2h 37m per day · National avg: 2h 21m 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 49m per day ▼ 15% State avg: 3h 19m per day · National avg: 3h 26m 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 ■ Avg 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. 15m per day ▼ 52% State avg: 31m per day · National avg: 29m per day

Capacity and availability

Avg. Length of Stay
333 days
Bed community size
78-bed community Rank #38 / 117Bed count — State benchmarkedThis home is ranked 38th out of 117 homes in South Dakota. Shows this facility's certified or reported bed count compared to other South Dakota SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 0 / 100 Rank #148 / 158Walk Score — State benchmarkedThis home is ranked 148th out of 158 homes in South Dakota. Shows how walkable this facility's neighborhood is compared to the average Walk Score across South Dakota SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
96%
Rank #2 / 54Occupancy rate — State benchmarkedThis home is ranked 2nd out of 54 homes in South Dakota. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 54. Higher occupancy signals strong local demand and financial stability.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
75 / 78
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
CountyPennington
License Number10667
CMS Certification Number435060
Accreditations2023 AHCA Bronze award

Ownership & Operating Entity

Avantara Saint Cloud is administrated by Ashley Altena.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

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, Privacy Policy

Dining & Nutrition

Food DescriptionMeals are nutritionally balanced and prepared using fresh ingredients.

Contact Avantara Saint Cloud

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.

Since 2022 · 4 years of data 26 deficiencies

Inspection Scorecard Info 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.

Since 2022 vs. South Dakota state average
Overall vs. SD average 2 Worse Metrics worse than South Dakota average:
• Total deficiencies (37% above)
• Deficiencies per year (35% above)
0 Better No metrics in this bucket.
Latest Inspection August 13, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This Facility SD Average vs. SD Avg
Total deficiencies Info 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 Info 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

Inspection Reports Summary Info 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 Reports

Health Inspection History

Inspections since 2022
Total health inspections 6

South Dakota average 4.5


Last Health inspection on Aug 2025

Total health citations
18 Rank #31 / 59Health citations — State benchmarkedThis home is ranked 31st out of 59 homes in South Dakota. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 59 SD SNFs. Lower citation counts earn a better rank.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
3 Rank #26 / 59Citations per inspection — State benchmarkedThis home is ranked 26th out of 59 homes in South Dakota. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 59 SNFs with citation data. Lower is better.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.

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 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

16 moderate citations South Dakota average: 12.6

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

Staffing Data

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

Total staff 164
Employees 76
Contractors 88
Staff to resident ratio 2.22:1
15% better 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 35
Average shift 7.7 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) 24,705

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 26
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff 14
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff 86
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

This role is partially covered by contractors.

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

26.3%

6,507 contractor hours this quarter

Certified Nursing Assistant: 52 Registered Nurse: 12 Respiratory Therapy Technician: 6 Physical Therapy Assistant: 5 Licensed Practical Nurse: 5 Qualified Social Worker: 4 Speech Language Pathologist: 2 Physical Therapy Aide: 1 Nurse Practitioner: 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 Assistant 34 52 86 13,891 92 100% 8
Licensed Practical Nurse 9 5 14 2,828 92 100% 8.9
Registered Nurse 14 12 26 2,129 90 98% 8.3
Medication Aide/Technician 8 0 8 1,089 92 100% 6
Other Dietary Services Staff 2 0 2 780 74 80% 8.1
Clinical Nurse Specialist 3 0 3 738 64 70% 7.6
Nurse Practitioner 2 1 3 504 61 66% 8.3
Administrator 1 0 1 470 59 64% 8
RN Director of Nursing 1 0 1 469 61 66% 7.7
Dental Services Staff 1 0 1 469 59 64% 7.9
Physical Therapy Aide 0 1 1 445 62 67% 7.2
Dietitian 1 0 1 291 38 41% 7.7
Speech Language Pathologist 0 2 2 235 30 33% 7.8
Respiratory Therapy Technician 0 6 6 202 47 51% 3.7
Physical Therapy Assistant 0 5 5 90 38 41% 2
Qualified Social Worker 0 4 4 75 36 39% 1.9
86 Certified Nursing Assistant
% of Days 100%
14 Licensed Practical Nurse
% of Days 100%
26 Registered Nurse
% of Days 98%
8 Medication Aide/Technician
% of Days 100%
2 Other Dietary Services Staff
% of Days 80%
3 Clinical Nurse Specialist
% of Days 70%
3 Nurse Practitioner
% of Days 66%
1 Administrator
% of Days 64%
1 RN Director of Nursing
% of Days 66%
1 Dental Services Staff
% of Days 64%
1 Physical Therapy Aide
% of Days 67%
1 Dietitian
% of Days 41%
2 Speech Language Pathologist
% of Days 33%
6 Respiratory Therapy Technician
% of Days 51%
5 Physical Therapy Assistant
% of Days 41%
4 Qualified Social Worker
% of Days 39%

Penalties and fines

Includes penalties issued in 2023

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 Rank #18 / 59Federal fines — State benchmarkedThis home is ranked 18th out of 59 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 59 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.

1 penalty in the past 3 years

Oct 26, 2023 · $11K

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

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: 2.6 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%

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

Facility Characteristics

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

Total residents 74
Medicare
4
5.4% of residents
Medicaid
50
67.6% of residents
Private pay or other
20
27% of residents
Programs & Services
Nurse Aide Training

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

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 Rank #19 / 55Revenue — State benchmarkedThis home is ranked 19th out of 55 homes in South Dakota. Shows this facility's annual revenue compared to the South Dakota SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$333.7K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #22 / 55Payroll — State benchmarkedThis home is ranked 22nd out of 55 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.4M
39.4% of revenue Rank #48 / 55Payroll % — State benchmarkedThis home is ranked 48th out of 55 homes in South Dakota. Shows payroll as a percentage of revenue versus the South Dakota average. Well-run South Dakota SNFs typically land around 64–73% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.4M
Total costs $10.8M

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.

Places of interest near Avantara Saint Cloud

Address 1089.8 miles from city center Info Estimated distance in miles from Rapid City's city center to Avantara Saint Cloud's address, calculated via Google Maps.

Calculate Travel Distance to Avantara Saint Cloud

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Address

Financial Assistance for
Nursing Home in South Dakota

Avantara Saint Cloud 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

Compare Nursing Home around Rapid City

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

5 facilities compared · CMS & SD Dept. of Health data

Filter by care type
Fountain Springs Healthcare Center
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.

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.

Rapid City 10 87.3% +9% 3.82 -2% -12% $32.3k 11 1.6 2 86 16 - $8.8M $4.4M 50.3% 435110
Westhills 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 (Texas Street) 44 152.5% +91% 4.59 +31% +6% $0 9 3.0 1 38 21 Bradley Archer $28.5M $8.6M 30% 435033
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 (North 7Th Street) 68 87.3% +9% 3.12 +43% -28% $12.3k 20 4.0 2 65 39 - $11.4M $4.7M 40.8% 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 96.2% +20% 2.95 +43% -32% $11.4k 18 3.0 2 73 0 Laura Henney $11.1M $4.4M 39.4% 435060
Avantara Arrowhead
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 (Broadmoor Subdivision) 68 75.2% -6% 2.80 +68% -36% $61.0k 34 3.8 9 61 12 Philip Preston $10.7M $4.7M 44.1% 435051

Frequently Asked Questions about Avantara Saint Cloud

What is the license number of Avantara Saint Cloud?

According to SD state health department records, Avantara Saint Cloud's license number is 10667.

What is the occupancy rate at Avantara Saint Cloud?

Avantara Saint Cloud's occupancy is 96%.

Who is the administrator of Avantara Saint Cloud?

Ashley Altena is the administrator of Avantara Saint Cloud.

How many beds does Avantara Saint Cloud have?

Avantara Saint Cloud has 78 beds.

Are there photos of Avantara Saint Cloud?

Yes — there are 9 photos of Avantara Saint Cloud in the photo gallery on this page.

What is the address of Avantara Saint Cloud?

Avantara Saint Cloud is located at 302 St Cloud St.

What is the phone number of Avantara Saint Cloud?

(605) 343-4738 will put you in contact with the team at Avantara Saint Cloud.

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