Avantara Saint Cloud

Q: What is the license number of Avantara Saint Cloud?

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

Q: What is the occupancy rate at Avantara Saint Cloud?

Avantara Saint Cloud's occupancy is 96%.

Q: Does Avantara Saint Cloud operate as a for-profit or non-profit?

Avantara Saint Cloud is registered as a for-profit in SD.

Q: Who is the administrator of Avantara Saint Cloud?

Ashley Altena is the administrator of Avantara Saint Cloud.

Q: How many beds does Avantara Saint Cloud have?

Avantara Saint Cloud has 78 beds.

Q: Are there photos of Avantara Saint Cloud?

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

Q: What is the address of Avantara Saint Cloud?

Avantara Saint Cloud is located at 302 St Cloud St, Rapid City, SD 57701.

Nursing Home, Memory Care & Skilled Nursing · Rapid City, SD

CMS overall rating

302 St Cloud St, Rapid City, SD 57701 View map

Calculator: See prices in your area

Avantara Saint Cloud accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Avantara Saint Cloud accepts Medicare, Medicaid, and private pay.

Overview of Avantara Saint Cloud

Operated under owner Laura Henney, Avantara Saint Cloud is a nursing home in Rapid City, South Dakota. The facility is located at 302 St Cloud Street. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover care costs. The 78-bed home has a current occupancy rate of 96%. Residents stay an average of 333 days, including people receiving short-term rehabilitation and those needing longer-term care.

The community provides 24-hour staffing. Nurse staffing averages 2 hours and 57 minutes of nursing care each day. Registered nurses, licensed practical nurses, and nurse aides are part of the care team. Rehabilitation services are available, and the home also offers respite care for families needing temporary placement for a loved one.

State inspections have reviewed areas such as staffing records, infection control, and care practices. These are important parts of daily operations in a nursing home. Families considering the facility should ask how regulatory engagement is overseen and how these areas are managed daily.

Meals are prepared with fresh ingredients to meet residents’ nutritional needs. Amenities on-site include salon services, high-speed Wi-Fi, and community spaces where residents and families can spend time together. The surrounding area has a Walk Score of 0, so it’s car-dependent. Most visits and errands require transportation.

Facility Direct Line (605) 343-4738

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to South Dakota state averages

Total nursing care / resident

2h 57m per day

This facility South Dakota avg (4h 20m per day)

vs South Dakota avg

-32%

5 of 6 metrics below state avg

Standout metric LPN / LVN is +6% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	31m per day	▼ 35% State avg: 48m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	31m per day	▲ 6% State avg: 29m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 19m per day	▼ 11% State avg: 2h 37m per day · National avg: 2h 21m per day
Weekend Total Nursing 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.	3h 5m per day	▼ 7% State avg: 3h 19m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	2m per day	▼ 38% State avg: 3m per day · National avg: 4m per day
Weekend RN 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.	26m per day	▼ 17% State avg: 31m per day · National avg: 29m per day

Capacity and availability

333 days

78-bed community

A larger shared setting that may offer more common spaces and organized community services.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 0 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

96%

Higher than the South Dakota average: 79.9%

Occupied beds

75 / 78

Average occupied beds in South Dakota homes 51 beds

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.

Rehabilitation Services

Respite Care

24-Hour Staffing

Community Spaces For Family Gatherings

High-Speed Wi-Fi

On-Site Salon Services

Since 2022 · 4 years of data 26 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, 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

Latest Inspection August 13, 2025 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	SD Average	vs. SD Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	26	19	This facility has 37% more total deficiencies than a typical South Dakota nursing home (26 vs. SD avg 19).↑ 37% worse
Deficiencies per year Average deficiencies per year since 2022.	6.5	4.8	This facility has 35% more deficiencies per year than a typical South Dakota nursing home (6.5 vs. SD avg 4.8).↑ 35% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

August 13, 2025 complaint investigation substantiated neglect causing femur fractures and resident death due to improper transfer and failure to assess by nursing staff.
July 2, 2025 complaint substantiated staffing shortages overnight and inaccurate posted nurse staffing information for multiple shifts.
November 7, 2024 routine inspection found seven deficiencies including poor infection control, unsanitary kitchen, lack of resident privacy, and failure to provide ordered treatments.

Show Inspection Reports

Inspections since 2022

Total health inspections 6

South Dakota average 4.5

Last Health inspection on Aug 2025

Total health citations

South Dakota average 14.8

Citations per inspection

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

100% better than South Dakota average

South Dakota average: 0.3

Serious health citations

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

Total staff 164

Employees 76

Contractors 88

Staff to resident ratio 2.22 : 1

15% more staff per resident than South Dakota average

Avg staff/day 35

Average shift 7.7 hours

0% compared with South Dakota average

Total staff hours (quarter) 24,705

Nursing staff breakdown

8.3 hours

8.9 hours

8 hours

Contractor staffing

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


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%

View All Staffing Data in Rapid City

Total fines amount $11K

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 0

In line with South Dakota average

South Dakota average: 0.0

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 Oct 26, 2023

$11K

Last updated: Jan 2026

High-risk clinical events score 13.7

13% worse than South Dakota average

South Dakota average: 12.0

Functional decline score 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

Need for Help with Daily Activities Increased 29.1%

30% worse than South Dakota average

South Dakota average: 22.3%

Walking Ability Worsened 27.4%

20% worse than South Dakota average

South Dakota average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence 33.9%

27% worse than South Dakota average

South Dakota average: 26.7%

Falls with Major Injury 6.0%

18% worse than South Dakota average

South Dakota average: 5.0%

High Risk Residents with Pressure Ulcers 1.6%

64% better than South Dakota average

South Dakota average: 4.5%

Urinary Tract Infection 9.9%

184% worse than South Dakota average

South Dakota average: 3.5%

Lost Too Much Weight 4.1%

25% better than South Dakota average

South Dakota average: 5.5%

Depressive Symptoms 9.5%

133% worse than South Dakota average

South Dakota average: 4.1%

Antipsychotic Use 49.8%

105% worse than South Dakota average

South Dakota average: 24.4%

Pneumococcal Vaccine 80.7%

16% worse than South Dakota average

South Dakota average: 95.7%

Influenza Vaccine 82.7%

15% worse than South Dakota average

South Dakota average: 96.9%

Hospitalizations per 1,000 days 1.71

13% worse than South Dakota average

South Dakota average: 1.51

ED visits per 1,000 days 1.55

16% better than South Dakota average

South Dakota average: 1.85

Short-stay resident measures

Pneumococcal Vaccine 33.3%

61% worse than South Dakota average

South Dakota average: 84.4%

Falls with major injury 4.4%

465% worse than South Dakota average

South Dakota average: 0.8%

Ability to care for self 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

Total residents 74

Medicare

5.4% of residents

Medicaid

67.6% of residents

Private pay or other

27% of residents

Programs & Services

Nurse Aide Training

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

Financial Trends

Historical financial and operational data for Avantara Saint Cloud from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 89.0% ↑ 7.6pp vs 2022

Net Patient Income $331.0K ↓ ~$45.1K vs 2022

Payroll Costs $3.6M ↑ ~$443.9K vs 2022

Operating Margin 4.8% ↓ 1.3pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2020	2021	2022	2023
Occupancy %	96.6%	98.2%	98.3%	96.8%	96.1%	92.3%	92.4%	87.2%	89.6%	84.8%	81.4%	89.0%
Beds	70	70	70	78	78	78	78	78	78	78	78	78
Net Income	$834,475	$711,834	$673,385	$845,425	$936,710	$28,573	-$304,086	$846,882	$1,544,298	$1,229,070	$376,747	$333,733
Gross Revenue	$7,256,012	$6,858,024	$6,837,733	$7,330,307	$7,328,418	$6,935,237	$7,271,480	$6,239,537	$10,735,956	$10,989,832	$9,928,478	$11,129,142
Operating Expenses	$4,627,280	$4,477,520	$4,487,180	$4,810,392	$4,908,836	$5,382,021	$6,007,648	$4,664,165	$5,890,494	$5,783,213	$5,844,931	$6,588,767
Net Patient Income	$797,662	$657,937	$628,426	$806,443	$922,486	$3,200	-$308,147	$322,881	$274,855	$268,753	$376,131	$331,047
Net Patient Revenue	$5,424,942	$5,135,457	$5,115,606	$5,616,835	$5,831,322	$5,385,221	$5,699,501	$4,987,046	$6,165,349	$6,051,966	$6,221,062	$6,919,814
Payroll Costs	$2,061,487	$2,037,315	$2,093,920	$2,278,641	$2,395,239	$2,480,047	$3,117,990	$2,928,682	$3,544,785	$3,121,369	$3,131,541	$3,575,402
Operating Margin %	14.7%	12.8%	12.3%	14.4%	15.8%	0.1%	-5.4%	6.5%	4.5%	4.4%	6.1%	4.8%
Medicare %	11.5%	8.5%	8.1%	9.7%	7.5%	5.6%	6.2%	6.8%	10.6%	6.4%	6.2%	8.2%
Medicaid %	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	52.8%	0.0%	63.6%	64.1%	63.9%	65.0%
Private %	88.5%	91.5%	91.9%	90.3%	92.5%	94.4%	41.0%	93.2%	25.8%	29.4%	29.9%	26.8%
Net Patient Revenue/Day	$220	$204	$204	$215	$213	$204	$217	$201	$241	$251	$269	$273
Cost/Day	$187	$178	$179	$184	$179	$204	$228	$188	$230	$240	$252	$260
Avg Length of Stay	561.1 days	718.5 days	1,321.3 days	512.7 days	636.1 days	823.8 days	398.7 days	335.7 days	521.8 days	383.3 days	351.0 days	333.3 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$6.9M

Net patient income

$331.0K

For-profit Operated by a single business entity.

Net patient revenue

$6.9M

Net patient income

$331.0K

Other income

$2.7K

Payroll costs

$3.6M 51.7% of net patient revenue

Other operating costs

$3.0M

Total costs

$6.6M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (36% of admissions), and a typical Medicare stay runs around 2 - 3 months.

Coverage residents most often arrive under.

Medicare 36%

Private pay 31%

Medicaid 32%

Coverage residents most often leave under.

Medicare 11%

Private pay 26%

Medicaid 63%

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.

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

CMS & SD Dept. of Health data


Westhills Village	NH AL HC IL PC SNF	Rapid City (Texas Street)	44	93.6% Facility 93.6% SD AVG 82.2 Rank #6 / 34	+14%	4.59 Facility 4.59 SD AVG 4.34 Rank #14 / 65	+31%	+6%	$13.5k Facility $13.5k SD AVG $38.5k Rank #28 / 67	9 Facility 9 SD AVG 14.8 Rank #17 / 65	3.0 Facility 3.0 SD AVG 3.3 Rank #27 / 65	1	41	-	21	Bradley Archer	$6.7MFiscal year ending 09/2023 Facility $6.7MFiscal year ending 09/2023 SD AVG $6.7M Rank #2 / 63	$8.6MFiscal year ending 09/2023 Facility $8.6MFiscal year ending 09/2023 SD AVG $2.6M Rank #6 / 63	128.7%Fiscal year ending 09/2023 Facility 128.7%Fiscal year ending 09/2023 SD AVG 40.8% Rank #62 / 63	435033
Fountain Springs Healthcare Center	NH AL IL	Rapid City	10	-	-	3.82 Facility 3.82 SD AVG 4.34 Rank #33 / 65	-2%	-12%	$22.5k Facility $22.5k SD AVG $38.5k Rank #40 / 67	11 Facility 11 SD AVG 14.8 Rank #20 / 65	1.6 Facility 1.6 SD AVG 3.3 Rank #11 / 65	2	82	-	16	-	$10.4MFiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $10.4MFiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. SD AVG $6.7M Rank #12 / 63	$4.2MFiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $4.2MFiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. SD AVG $2.6M Rank #17 / 63	40.8%Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility 40.8%Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. SD AVG 40.8% Rank #35 / 63	435110
Avantara North	NH HOS MC SNF	Rapid City (North 7Th Street)	68	97.9% Facility 97.9% SD AVG 82.2 Rank #2 / 34	+19%	3.12 Facility 3.12 SD AVG 4.34 Rank #56 / 65	+43%	-28%	$33.8k Facility $33.8k SD AVG $38.5k Rank #45 / 67	20 Facility 20 SD AVG 14.8 Rank #40 / 65	4.0 Facility 4.0 SD AVG 3.3 Rank #44 / 65	2	67	-	39	-	$7.1MFiscal year ending 12/2023 Facility $7.1MFiscal year ending 12/2023 SD AVG $6.7M Rank #21 / 63	$3.8MFiscal year ending 12/2023 Facility $3.8MFiscal year ending 12/2023 SD AVG $2.6M Rank #26 / 63	53.3%Fiscal year ending 12/2023 Facility 53.3%Fiscal year ending 12/2023 SD AVG 40.8% Rank #46 / 63	435064
Avantara Mountain View	NH SNF	Rapid City	95	-	-	3.41 Facility 3.41 SD AVG 4.34 Rank #44 / 65	-15%	-21%	$9.3k Facility $9.3k SD AVG $38.5k Rank #20 / 67	16 Facility 16 SD AVG 14.8 Rank #31 / 65	4.0 Facility 4.0 SD AVG 3.3 Rank #44 / 65	2	87	-	83	-	$9.5MFiscal year ending 12/2023 Facility $9.5MFiscal year ending 12/2023 SD AVG $6.7M Rank #11 / 63	$5.2MFiscal year ending 12/2023 Facility $5.2MFiscal year ending 12/2023 SD AVG $2.6M Rank #14 / 63	54.7%Fiscal year ending 12/2023 Facility 54.7%Fiscal year ending 12/2023 SD AVG 40.8% Rank #50 / 63	435040
Avantara Saint Cloud	NH MC SNF	Rapid City	78	96.2% Facility 96.2% SD AVG 82.2 Rank #3 / 34	+17%	2.95 Facility 2.95 SD AVG 4.34 Rank #58 / 65	+43%	-32%	$38.1k Facility $38.1k SD AVG $38.5k Rank #47 / 67	18 Facility 18 SD AVG 14.8 Rank #35 / 65	3.0 Facility 3.0 SD AVG 3.3 Rank #27 / 65	2	75	-	0	Laura Henney	$6.9MFiscal year ending 12/2023 Facility $6.9MFiscal year ending 12/2023 SD AVG $6.7M Rank #25 / 63	$3.6MFiscal year ending 12/2023 Facility $3.6MFiscal year ending 12/2023 SD AVG $2.6M Rank #28 / 63	51.7%Fiscal year ending 12/2023 Facility 51.7%Fiscal year ending 12/2023 SD AVG 40.8% Rank #54 / 63	435060

Nursing Home Explorer

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).

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

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).

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.

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.

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

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.

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.

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).

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.

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

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%.

Does Avantara Saint Cloud operate as a for-profit or non-profit?

Avantara Saint Cloud is registered as a for-profit in SD.

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, Rapid City, SD 57701.

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Avantara Saint Cloud

Overview of Avantara Saint Cloud

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Amenities & Lifestyle

Contact Avantara Saint Cloud

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the South Dakota state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

86 Certified Nursing Assistant

14 Licensed Practical Nurse

26 Registered Nurse

8 Medication Aide/Technician

2 Other Dietary Services Staff

3 Clinical Nurse Specialist

3 Nurse Practitioner

1 Administrator

1 RN Director of Nursing

1 Dental Services Staff

1 Physical Therapy Aide

1 Dietitian

2 Speech Language Pathologist

6 Respiratory Therapy Technician

5 Physical Therapy Assistant

4 Qualified Social Worker

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Nurse Aide Training

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Avantara Saint Cloud

Calculate Travel Distance to Avantara Saint Cloud

Compare Nursing Homes around Rapid City

Financial Assistance for Nursing Home in South Dakota

Home and Community Based Services Waiver

South Dakota Elderly Services Program

Medicare Savings Program (MSP)

Low-Income Home Energy Assistance Program (LIEAP)

Family Caregiver Support Program (FCSP)

VA Aid and Attendance (A&A) and Housebound Benefits

Property Tax Reduction Program

Senior Farmers’ Market Nutrition Program (SFMNP)

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

Financial Assistance for
Nursing Home in South Dakota