Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
We arrange tours, appointments, and even moving support so you don’t have to
Avantara Saint Cloud is administrated by Ashley Altena.
In South Dakota, the Department of Health, Office of Health Care Facilities Licensure is the state agency responsible for conducting unannounced surveys and monitoring facility quality.
Deficiencies
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This Facility | SD Average | vs. SD Avg |
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Total deficiencies
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26 | 19 | This facility has 37% more total deficiencies than a typical South Dakota nursing home (26 vs. SD avg 19).↑ 37% worse |
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Deficiencies per year
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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 |
The most recent inspection on August 13, 2025, identified deficiencies related to neglect during a resident transfer that resulted in femur fractures. Earlier inspections showed a pattern of issues including staffing shortages, physical abuse by a staff member, environmental cleanliness problems, and failures in resident care such as medication administration and pressure ulcer management. Complaint investigations substantiated neglect and abuse, with one case resulting in staff termination, but fines or license actions were not listed in the available reports. The main themes across inspections involved resident safety during transfers, staffing accuracy, abuse prevention, and maintaining a clean environment. The facility’s record shows ongoing challenges with care and environment, with no clear trend of overall improvement or worsening.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsSouth Dakota average 4.5
Last Health inspection on Aug 2025
South Dakota average 14.8
South Dakota average 3.34
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 18 citations resulted from standard inspections; 3 of 18 resulted from complaint investigations; and 1 of 18 came from combined inspections (standard and complaint).
South Dakota average: 0.3
South Dakota average: 1.8
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
This role is partially covered by contractors.
Assists with medical care and medications.
This role is partially covered by contractors.
Helps with daily care and mobility.
This role is partially covered by contractors.
Total hours from contractors
6,507 contractor hours this quarter
| 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 |
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Oct 26, 2023 · $11K
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
36% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
32% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Historical financial and operational data for Avantara Saint Cloud based on CMS SNF Cost Reports.
Most residents typically stay for a few weeks or months before returning home or moving on.
1089.8 miles from city center
Estimated distance in miles from Rapid City's city center to Avantara Saint Cloud's address, calculated via Google Maps.
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Avantara Saint Cloud is located in Rapid City, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
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| 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 |
According to SD state health department records, Avantara Saint Cloud's license number is 10667.
Avantara Saint Cloud's occupancy is 96%.
Ashley Altena is the administrator of Avantara Saint Cloud.
Avantara Saint Cloud has 78 beds.
Yes — there are 9 photos of Avantara Saint Cloud in the photo gallery on this page.
Avantara Saint Cloud is located at 302 St Cloud St.
(605) 343-4738 will put you in contact with the team at Avantara Saint Cloud.
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