Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
160
74 employees · 86 contractors · 35 on an average day Avantara Saint Cloud
Nursing Home, Memory Care & Skilled Nursing · Rapid City, SD
ALM Inspection Grade
B
ALM's inspection grade is 83 / 100, a B — in line with the South Dakota average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 83 / 100, a B — in line with the South Dakota average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Avantara Saint Cloud
Nursing Home, Memory Care & Skilled Nursing · Rapid City, SD
ALM Inspection Grade
B
ALM's inspection grade is 83 / 100, a B — in line with the South Dakota average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 83 / 100, a B — in line with the South Dakota average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Avantara Saint Cloud accepts Medicare, Medicaid, and private pay.
Overview of Avantara Saint Cloud
Some residents at Avantara Saint Cloud have a dementia diagnosis, and memory care covers them on the license. There comes a time when explaining something to a person with dementia stops working, and memory care starts there. Nursing home care and skilled nursing round out the license in Rapid City, South Dakota.
At home, one family member is usually already working the night shift, unpaid and untrained. The night shift here is staffed the same as every other shift. Rehabilitation services are there for residents whose care includes therapy.
The end date is the point of a respite stay. What comes up most is not a caregiver who’s left, but one still there and in need of rest.
This home has 78 beds, and each resident is given, on average, 3 hours and 14 minutes of nursing care a day.
A salon operates on site, with community spaces set aside for family gatherings. Three routes cover the bill here: Medicaid, Medicare, and private funds. Whichever one applies shifts at different points.
Ashley Altena is the administrator. The resident this suits has dementia or Alzheimer’s disease and needs supervision throughout the day and night.
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 42nd out of 48 nursing homes we track in South Dakota for nurse hours. 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.
3h 14m
This nursing home is ranked 42nd out of 48 nursing homes we track in South Dakota for nurse hours. 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.
3h 14m5 of 6 metrics below South Dakota average
Daily care time per resident, by role
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. 17 total: 8 of the facility's own employees and 9 agency contractors.
17 staff · 9.5-hour shifts
27m
↓ 43% · SD 48mThis facility: 27m per resident per day, 43% below the South Dakota average of 48m (among South Dakota facilities reporting a recent figure).
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. 17 total: 8 of the facility's own employees and 9 agency contractors.
17 staff · 9.5-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. 21 total: 8 of the facility's own employees and 13 agency contractors.
21 staff · 8.2-hour shifts
29m
≈ 0% · SD 29mThis facility: 29m per resident per day, level with the South Dakota average of 29m (among South Dakota facilities reporting a recent figure).
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. 21 total: 8 of the facility's own employees and 13 agency contractors.
21 staff · 8.2-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 88 total: 39 of the facility's own employees and 49 agency contractors.
88 staff · 7.8-hour shifts
2h 17m
↓ 12% · SD 2h 37mThis facility: 2h 17m per resident per day, 12% below the South Dakota average of 2h 37m (among South Dakota facilities reporting a recent figure).
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. 88 total: 39 of the facility's own employees and 49 agency contractors.
88 staff · 7.8-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
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.
2m
↓ 49% · SD 3mThis facility: 2m per resident per day, 49% below the South Dakota average of 3m (among South Dakota facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
3h 2m
↓ 8% · SD 3h 19mThis facility: 3h 2m per resident per day, 8% below the South Dakota average of 3h 19m (among South Dakota facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
19m
↓ 40% · SD 31mThis facility: 19m per resident per day, 40% below the South Dakota average of 31m (among South Dakota facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
160
74 employees · 86 contractors · 35 on an average day
160 total staff / 74 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.16 : 1
↑ 12% · SD 1.93This facility: 2.16 staff per resident, 12% above the South Dakota average of 1.93 (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
160 staff ÷ 74 residents
See full South Dakota ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.6 h
↓ 1% · SD 7.7 hThis facility: 7.6 h, 1% below the South Dakota average of 7.7 h (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
24,269 staff hours this quarter
See full South Dakota ranking →75.6% of staff hours were worked by the facility's own employees
South Dakota average: 87.9% · Contractors this quarter: Certified Nursing Assistant (49), Licensed Practical Nurse (13), Registered Nurse (9), Physical Therapy Aide (4), Speech Language Pathologist (4), Physical Therapy Assistant (3), Respiratory Therapy Technician (3), Qualified Social Worker (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
78
Rank #19 / 55Bed count — State benchmarked This nursing home is ranked 19th out of 55 nursing homes we track in South Dakota for bed count. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
78
Rank #19 / 55Bed count — State benchmarked This nursing home is ranked 19th out of 55 nursing homes we track in South Dakota for bed count. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Years of operating
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #3 / 51Years in operation — State benchmarked This nursing home is ranked 3rd out of 51 nursing homes we track in South Dakota for years in operation. Shows how long this facility has been in operation compared to other South Dakota facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #3 / 51Years in operation — State benchmarked This nursing home is ranked 3rd out of 51 nursing homes we track in South Dakota for years in operation. Shows how long this facility has been in operation compared to other South Dakota facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
1
year
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #21 / 29Occupancy rate — State benchmarked This nursing home is ranked 21st out of 29 nursing homes we track in South Dakota for occupancy. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 29. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #21 / 29Occupancy rate — State benchmarked This nursing home is ranked 21st out of 29 nursing homes we track in South Dakota for occupancy. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 29. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
88.1%
This home usually has limited availability
Based on 68.7 residents and 78 beds. Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Similar to the South Dakota average: 86.2%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
340
days
About This Community
Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
CountyPennington
License Number10667
CMS Certification Number435060
Accreditations2023 AHCA Bronze award
Avantara Saint Cloud is administered by Ashley Altena.
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Pets not allowed
Wi-Fi
Beauty Salon
Room Types
Semi-Private / Shared Room
Suite
CMS Health Inspection History
ALM Inspection Grade
83 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
In line with the South Dakota average for CMS-certified facilities (83/100)
Category breakdown
Citations
Typical
73 severity-weighted points (17 deficiencies) · about the same as the typical CMS-certified SD facility
Enforcement
Typical
$24,751 in fines · 2 enforcement actions
Persistence
Typical
39 days to fix issues · slower than the typical CMS-certified SD facility (median: 37)
Total health inspections
7
↑ 40% · SD 5This facility: 7, 40% above the South Dakota average of 5 (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
17
Rank #21 / 50Health citations — State benchmarked This nursing home is ranked 21st out of 50 nursing homes we track in South Dakota for health citations. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 50 SD facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 4% · SD 17.8This facility: 17, 4% below the South Dakota average of 17.8 (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
2.43
Rank #12 / 50Citations per inspection — State benchmarked This nursing home is ranked 12th out of 50 nursing homes we track in South Dakota for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 50 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 33% · SD 3.64This facility: 2.43, 33% below the South Dakota average of 3.64 (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
17 of 17 citations corrected
Critical
J–L
0
↓ 100% · SD 0.3This facility: 0, 100% below the South Dakota average of 0.3 (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
3
↑ 36% · SD 2.2This facility: 3, 36% above the South Dakota average of 2.2 (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
14
↓ 8% · SD 15.3This facility: 14, 8% below the South Dakota average of 15.3 (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
South Dakota avg 0 (In line with South Dakota average)
No harm, minimal riskSouth Dakota avg 0 (In line with South Dakota average)Latest inspection: Mar 18, 2026 · 2 citations, all corrected
Most cited category: Resident Rights, 4 of 17 citations · 8 categories in total
Citations history
Most recent first
Mar 18, 2026
2 citations
Resident Rights serious citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Jan 27, 2026
3 citations
Pharmacy moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Aug 13, 2025
1 citation
Abuse/Neglect serious citation
Corrected
Corrected
Jul 02, 2025
1 citation
Nursing Services moderate citation
Corrected
Corrected
Mar 27, 2025
1 citation
Abuse/Neglect moderate citation
Corrected
Corrected
Nov 07, 2024
6 citations
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Oct 26, 2023
3 citations
Quality of Care serious citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Top deficiency categories
Share of 17 citations
Resident Rights
4 deficiencies (24%)
Quality of Life & Care
4 deficiencies (24%)
Infection Control
2 deficiencies (12%)
Abuse, Neglect & Exploitation
2 deficiencies (12%)
Nursing & Physician Services
2 deficiencies (12%)
Resident Assessment & Care Planning
1 deficiency (6%)
Nutrition & Dietary
1 deficiency (6%)
Pharmacy Services
1 deficiency (6%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 17 citations resulted from standard inspections; 5 of 17 resulted from complaint investigations; and 1 of 17 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Show Inspection Reports
Enforcement
Penalties and fines
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 Oct 2026
3 penalties in the past 3 years
Latest: Mar 18, 2026 · $14,380 civil money penalty
Mar 18, 2026 · $14,380 civil money penalty
Aug 13, 2025 · $13,343 civil money penalty
Oct 26, 2023 · $11,408 civil money penalty
Total fines
$39,131
↓ 28% · SD $54KThis facility: $39,131, 28% below the South Dakota average of $54,430. Average among the 72 South Dakota facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #32 / 51Federal fines — State benchmarked This nursing home is ranked 32nd out of 51 nursing homes we track in South Dakota for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the South Dakota average among facilities with fines, and where it ranks among 51 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
3
↑ 20% · SD 2.5This facility: 3, 20% above the South Dakota average of 2.5. Average among the 72 South Dakota facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Mar 18, 2026
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$14,380
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$14,380
Aug 13, 2025
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$13,343
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$13,343
Oct 26, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$11,408
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$11,408Fine amount comparison
This facility
$39,131
South Dakota average
$54,430
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. South Dakota and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the South Dakota average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
1
/ 5
Significantly below average
↓ 62% · SD 2.6This facility: 1.0, 62% below the SD average of 2.6 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
16.0
Score · lower is better
↑ 45% · SD 11.0This facility: 16.0, 45% above the SD average of 11.0 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
32.9
Score · lower is better
↑ 53% · SD 21.4This facility: 32.9, 53% above the SD average of 21.4 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 3 better, 9 worse, 1 without a benchmark
4 short-stay measures: 2 worse, 1 compared with US only, 1 without a benchmark
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
35.5%
↑ 65% · SD 21.5This facility: 35.5, 65% above the SD average of 21.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
35.5%
↑ 65% · SD 21.5This facility: 35.5, 65% above the SD average of 21.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
29.9%
↑ 63% · SD 18.3This facility: 29.9, 63% above the SD average of 18.3 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
29.9%
↑ 63% · SD 18.3This facility: 29.9, 63% above the SD average of 18.3 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.3%
↑ 36% · SD 24.5This facility: 33.3, 36% above the SD average of 24.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.3%
↑ 36% · SD 24.5This facility: 33.3, 36% above the SD average of 24.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
3.8%
↑ 31% · SD 2.9This facility: 3.8, 31% above the SD average of 2.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
3.8%
↑ 31% · SD 2.9This facility: 3.8, 31% above the SD average of 2.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
9.0%
↑ 64% · SD 5.5This facility: 9.0, 64% above the SD average of 5.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
9.0%
↑ 64% · SD 5.5This facility: 9.0, 64% above the SD average of 5.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
0.8%
↓ 82% · SD 4.5This facility: 0.8, 82% below the SD average of 4.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
0.8%
↓ 82% · SD 4.5This facility: 0.8, 82% below the SD average of 4.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
4.6%
↓ 20% · SD 5.7This facility: 4.6, 20% below the SD average of 5.7 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
4.6%
↓ 20% · SD 5.7This facility: 4.6, 20% below the SD average of 5.7 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
40.9%
Percent of long-stay residents who have depressive symptoms
40.9%
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
59.6%
↑ 140% · SD 24.8This facility: 59.6, 140% above the SD average of 24.8 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
59.6%
↑ 140% · SD 24.8This facility: 59.6, 140% above the SD average of 24.8 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
75.8%
↓ 20% · SD 94.9This facility: 75.8, 20% below the SD average of 94.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
75.8%
↓ 20% · SD 94.9This facility: 75.8, 20% below the SD average of 94.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.5%
↓ 11% · SD 97.2This facility: 86.5, 11% below the SD average of 97.2 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.5%
↓ 11% · SD 97.2This facility: 86.5, 11% below the SD average of 97.2 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.71
↑ 13% · SD 1.51This facility: 1.71, 13% above the SD average of 1.51 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.71
↑ 13% · SD 1.51This facility: 1.71, 13% above the SD average of 1.51 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.55
↓ 16% · SD 1.85This facility: 1.55, 16% below the SD average of 1.85 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.55
↓ 16% · SD 1.85This facility: 1.55, 16% below the SD average of 1.85 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 4 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
10.0%
↓ 81% · US 53.7This facility: 10.0, 81% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
10.0%
↓ 81% · US 53.7This facility: 10.0, 81% below the US average of 53.7 (among US facilities reporting a recent figure).Safety & clinical stability
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%
Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
55.6%
↓ 34% · SD 83.9This facility: 55.6, 34% below the SD average of 83.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
55.6%
↓ 34% · SD 83.9This facility: 55.6, 34% below the SD average of 83.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
65.2%
↓ 14% · SD 75.5This facility: 65.2, 14% below the SD average of 75.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
65.2%
↓ 14% · SD 75.5This facility: 65.2, 14% below the SD average of 75.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Avantara Saint Cloud’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 45 South Dakota nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Profitable on care
8.2% operating margin
+3.5 pts vs prior year
Positive margin in 7 of the last 8 reported years. Net income $0.6M after other income.
Does it invest in staff?
Spends less on payroll than most South Dakota homes
53.2% payroll share of revenue
SD average 58.8%Rank #28 / 45Payroll % of net patient revenue — State benchmarked This nursing home is ranked 28th out of 45 nursing homes we track in South Dakota for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the South Dakota average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.5M while revenue rose $0.7M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with South Dakota homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | SD median | Compared with SD homesRank in SD | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $7.6M | +$0.7M | Trend 20162024 | SD median $6.6M | Rank in SD Rank #16 / 45Net patient revenue — State benchmarked This nursing home is ranked 16th out of 45 nursing homes we track in South Dakota for net patient revenue. Shows this facility's net patient revenue compared to the South Dakota average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 66% of homes | Above SD median Higher net patient revenue than 66% of SD homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $7.0M | +$0.4M | Trend 20162024 | SD median $6.6M | Rank in SD Rank #20 / 45Operating expenses — State benchmarked This nursing home is ranked 20th out of 45 nursing homes we track in South Dakota for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other South Dakota homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 57% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.6M | +$0.3M | Trend 20162024 | SD median $0.0M | Rank in SD Rank #5 / 45Net patient income — State benchmarked This nursing home is ranked 5th out of 45 nursing homes we track in South Dakota for net patient income. Shows net patient revenue minus operating expenses, compared with other South Dakota homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 91% of homes | Profit, growing Resident care made money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 8.2% | +3.5 pts | Trend 20162024 | SD median 0.7% | Rank in SD Rank #7 / 45Operating margin — State benchmarked This nursing home is ranked 7th out of 45 nursing homes we track in South Dakota for operating margin. Shows net patient income as a share of net patient revenue, compared with other South Dakota homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 86% of homes | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | SD median $0.1M | Rank in SD Rank #39 / 45Other income — State benchmarked This nursing home is ranked 39th out of 45 nursing homes we track in South Dakota for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other South Dakota homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 14% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $0.6M | +$0.3M | Trend — | SD median $0.2M | Rank in SD Rank #12 / 45Net income — State benchmarked This nursing home is ranked 12th out of 45 nursing homes we track in South Dakota for net income. Shows the bottom line after other income, compared with other South Dakota homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 75% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most South Dakota homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | SD median | Compared with SD homesRank in SD | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $4.1M | +$0.5M | Trend 20162024 | SD median $3.8M | Rank in SD Rank #21 / 45Payroll costs — State benchmarked This nursing home is ranked 21st out of 45 nursing homes we track in South Dakota for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the South Dakota average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 55% of homes | Above SD median Higher payroll than 55% of SD homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 53.2% | +1.5 pts | Trend 20162024 | SD median 55.7% | Rank in SD Rank #28 / 45Payroll % of net patient revenue — State benchmarked This nursing home is ranked 28th out of 45 nursing homes we track in South Dakota for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the South Dakota average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 39% of homes | 5.6 pts under SD average The SD average is 58.8% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · SD benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the South Dakota payroll average.
% of net patient revenue
Payroll share Operating margin SD payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017 | 2018 | 2019no report | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $5.4M | $5.7M | $5.0M | $6.2M | $6.1M | $6.2M | $6.9M | $7.6M | |
| Operating expenses | $5.4M | $6.0M | $4.7M | $5.9M | $5.8M | $5.8M | $6.6M | $7.0M | |
| Net patient income | $0.0M | −$0.3M | $0.3M | $0.3M | $0.3M | $0.4M | $0.3M | $0.6M | |
| Operating margin | 0.1% | −5.4% | 6.5% | 4.5% | 4.4% | 6.1% | 4.8% | 8.2% | |
| Net income | $0.0M | −$0.3M | $0.8M | $1.5M | $1.2M | $0.4M | $0.3M | $0.6M | |
| Payroll costs | $2.5M | $3.1M | $2.9M | $3.5M | $3.1M | $3.1M | $3.6M | $4.1M | |
| Payroll share of revenue | 46.1% | 54.7% | 58.7% | 57.5% | 51.6% | 50.3% | 51.7% | 53.2% | |
| Beds | 78 | 78 | 78 | 78 | 78 | 78 | 78 | 78 | |
| Gross revenue | $6.9M | $7.3M | $6.2M | $10.7M | $11.0M | $9.9M | $11.1M | $11.4M | |
| Salaries | $2.1M | $2.6M | $2.5M | $3.1M | $2.8M | $2.7M | $3.1M | $3.5M | |
| Wage-related costs | $0.4M | $0.5M | $0.5M | $0.5M | $0.4M | $0.4M | $0.5M | $0.5M | |
| Contract labor | $0.4M | $1.4M | — | $0.5M | $0.5M | $0.7M | $0.8M | $0.6M | |
| Other operating costs | $2.9M | $2.9M | $1.7M | $2.3M | $2.7M | $2.7M | $3.0M | $2.9M | |
| Net patient revenue per day | $204 | $217 | $201 | $241 | $251 | $269 | $273 | $283 | |
| Cost per day | $204 | $228 | $188 | $230 | $240 | $252 | $260 | $260 | |
| Average length of stay | 823.8 days | 398.7 days | 335.7 days | 521.8 days | 383.3 days | 351.0 days | 333.3 days | 340.1 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
79 admissions · FY2024
Residents admitted during the year.
Medicare
27 · 34%
Medicaid
18 · 23%
Private pay & other
34 · 43%
Resident snapshot
74 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
6 · 8%
Medicaid
52 · 70%
Private pay & other
16 · 22%
Leaving
79 discharges · FY2024
Residents discharged during the year.
Medicare
7 · 9%
Medicaid
35 · 44%
Private pay & other
37 · 47%
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Places of interest near Avantara Saint Cloud
4.4 miles from city center
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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Info below is compiled from CMS reports & the SD Dept. of Health (DOH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The South Dakota average is: 58.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Westhills Village | NH AL HC IL PC SNF | Rapid City | 44
Facility
44
SD AVG
69
Rank
#41 / 55 | A- |
93.0%
Facility
93.0%
SD AVG
86.2%
Rank
#7 / 29 | +8% | 4.79
Facility
4.79
SD AVG
4.54
Rank
#9 / 48 | +42% | +5% | $8.8k
Facility
$8.8k
SD AVG
$52.4k
Rank
#15 / 51 | 11
Facility
11
SD AVG
17.8
Rank
#12 / 50 | 3.7
Facility
3.7
SD AVG
3.6
Rank
#27 / 50 | 1 | 41 | - |
21
Facility
21
SD AVG
38
Rank
#43 / 57 | Bradley Archer | $7.1MFiscal year ending 09/2024
Facility
$7.1MFiscal year ending 09/2024
SD AVG
$7.6M
Rank
#19 / 45 | $8.8MFiscal year ending 09/2024
Facility
$8.8MFiscal year ending 09/2024
SD AVG
$4.5M
Rank
#4 / 45 | 123.7%Fiscal year ending 09/2024
Facility
123.7%Fiscal year ending 09/2024
SD AVG
58.8%
Rank
#1 / 45 | 435033 | ||||
| Avantara North | NH HOS MC SNF | Rapid City | 68
Facility
68
SD AVG
69
Rank
#21 / 55 | B+ |
93.2%
Facility
93.2%
SD AVG
86.2%
Rank
#6 / 29 | +8% | 3.07
Facility
3.07
SD AVG
4.54
Rank
#45 / 48 | +100% | -32% | $24.1k
Facility
$24.1k
SD AVG
$52.4k
Rank
#30 / 51 | 17
Facility
17
SD AVG
17.8
Rank
#21 / 50 | 3.4
Facility
3.4
SD AVG
3.6
Rank
#24 / 50 | 2 | 63 | - |
39
Facility
39
SD AVG
38
Rank
#25 / 57 | - | $7.9MFiscal year ending 12/2024
Facility
$7.9MFiscal year ending 12/2024
SD AVG
$7.6M
Rank
#15 / 45 | $4.2MFiscal year ending 12/2024
Facility
$4.2MFiscal year ending 12/2024
SD AVG
$4.5M
Rank
#20 / 45 | 53.1%Fiscal year ending 12/2024
Facility
53.1%Fiscal year ending 12/2024
SD AVG
58.8%
Rank
#29 / 45 | 435064 | ||||
| Avantara Mountain View | NH SNF | Rapid City | 95
Facility
95
SD AVG
69
Rank
#10 / 55 | B- | - | - | 3.72
Facility
3.72
SD AVG
4.54
Rank
#29 / 48 | +18% | -18% | $38.6k
Facility
$38.6k
SD AVG
$52.4k
Rank
#18 / 51 | 22
Facility
22
SD AVG
17.8
Rank
#32 / 50 | 3.7
Facility
3.7
SD AVG
3.6
Rank
#27 / 50 | 2 | 85 | - |
83
Facility
83
SD AVG
38
Rank
#2 / 57 | - | $10.6MFiscal year ending 12/2024
Facility
$10.6MFiscal year ending 12/2024
SD AVG
$7.6M
Rank
#8 / 45 | $5.6MFiscal year ending 12/2024
Facility
$5.6MFiscal year ending 12/2024
SD AVG
$4.5M
Rank
#12 / 45 | 52.8%Fiscal year ending 12/2024
Facility
52.8%Fiscal year ending 12/2024
SD AVG
58.8%
Rank
#30 / 45 | 435040 | ||||
| Fountain Springs Healthcare Center | NH MC RC SNF | Rapid City | 10
Facility
10
SD AVG
69
Rank
#55 / 55 | ? | - | - | 3.39
Facility
3.39
SD AVG
4.54
Rank
#37 / 48 | -26% | -25% | $22.5k
Facility
$22.5k
SD AVG
$52.4k
Rank
#28 / 51 | 18
Facility
18
SD AVG
17.8
Rank
#25 / 50 | 2.3
Facility
2.3
SD AVG
3.6
Rank
#10 / 50 | 2 | 84 | - |
16
Facility
16
SD AVG
38
Rank
#46 / 57 | - | $11.6MFiscal year ending 12/2024
Facility
$11.6MFiscal year ending 12/2024
SD AVG
$7.6M
Rank
#4 / 45 | $6.7MFiscal year ending 12/2024
Facility
$6.7MFiscal year ending 12/2024
SD AVG
$4.5M
Rank
#8 / 45 | 57.6%Fiscal year ending 12/2024
Facility
57.6%Fiscal year ending 12/2024
SD AVG
58.8%
Rank
#17 / 45 | 435110 | ||||
| Avantara Saint Cloud | NH MC SNF | Rapid City | 78
Facility
78
SD AVG
69
Rank
#19 / 55 | B |
88.1%
Facility
88.1%
SD AVG
86.2%
Rank
#21 / 29 | +2% | 3.23
Facility
3.23
SD AVG
4.54
Rank
#42 / 48 | -4% | -29% | $39.1k
Facility
$39.1k
SD AVG
$52.4k
Rank
#32 / 51 | 17
Facility
17
SD AVG
17.8
Rank
#21 / 50 | 2.4
Facility
2.4
SD AVG
3.6
Rank
#12 / 50 | 3 | 69 | - | - | Laura Henney | $7.6MFiscal year ending 12/2024
Facility
$7.6MFiscal year ending 12/2024
SD AVG
$7.6M
Rank
#16 / 45 | $4.1MFiscal year ending 12/2024
Facility
$4.1MFiscal year ending 12/2024
SD AVG
$4.5M
Rank
#21 / 45 | 53.2%Fiscal year ending 12/2024
Facility
53.2%Fiscal year ending 12/2024
SD AVG
58.8%
Rank
#28 / 45 | 435060 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other SD nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
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.
Know before you visit
Frequently Asked Questions about Avantara Saint Cloud
Quick answers from public records and the community's own listing.01 What is the license number of Avantara Saint Cloud?
According to SD state health department records, Avantara Saint Cloud's license number is 10667.
02 What is the occupancy rate at Avantara Saint Cloud?
Avantara Saint Cloud's occupancy is 88.1%.
03 How long has Avantara Saint Cloud been in business?
Avantara Saint Cloud has been operating for approximately 1 year, based on available licensing and registration records.
04 Are pets allowed at Avantara Saint Cloud?
No, Avantara Saint Cloud has a no-pet policy.
05 Does Avantara Saint Cloud operate as a for-profit or non-profit?
Avantara Saint Cloud is registered as a for-profit in SD.
06 Who is the administrator of Avantara Saint Cloud?
Ashley Altena is the administrator of Avantara Saint Cloud.
07 What is the overall rating for Avantara Saint Cloud?
Avantara Saint Cloud received a 1-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
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