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Avantara Arrowhead is a 1-star rated nursing home in Rapid City, SD with 68 beds. CMS sub-ratings: health inspections 1/5, staffing 2/5, quality measures 2/5.

The facility has 47 health violations on record. Federal fines total $55,240 across 5 enforcement actions. Most recent inspection: March 26, 2025.

This facility has abuse citations on its federal record.

Staff turnover rate: 67.7% — significantly above the national average.

Data synthesized from CMS.gov and South Dakota public inspection records. Reviewed by Christopher F. Nesbitt, Sr., NR-EMT & BU-trained Paralegal.

Our Coverage of Avantara Arrowhead

Avantara Arrowhead: Accident Hazard Harm - SD Mar 8, 2026
Avantara Arrowhead: Weeks Without Bathing - SD Feb 7, 2026
Avantara Arrowhead: Corrected Federal Violation - SD Nov 26, 2025
Avantara Arrowhead Failed Life Support Response - SD Oct 30, 2025
Avantara Arrowhead: Pressure Ulcer Treatment Delays - SD Sep 13, 2025

Inspection History Overview

Data current as of May 6, 2026 · Source: CMS Provider Data

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

Complaint Investigation
Complaint Investigation
Complaint Investigation
Complaint Investigation
Complaint Investigation

Fines and Penalties by Year

2025 1 penalties totaling $15,935

$15,935

Fine

2022 2 penalties totaling $22,750

$13,000

Fine

$9,750

Fine

2020 1 penalties totaling $9,750

$9,750

Fine

2019 1 penalties totaling $6,805

$6,805

Fine

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Health Violations by Year

2025 5 violations

Tag 0600 D Mar 26, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Mar 25, 2025
Tag 0684 D Mar 26, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 30, 2025
Tag 0658 D Mar 5, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Mar 4, 2025
Tag 0678 D Mar 5, 2025

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

✓ Corrected: Mar 4, 2025
Tag 0686 G Mar 5, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Mar 5, 2025

2024 7 violations

Tag 0600 G Jul 10, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Aug 3, 2024
Tag 0686 G Jul 10, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jun 21, 2024
Tag 0658 D May 15, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Jun 13, 2024
Tag 0690 G May 15, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jun 13, 2024
Tag 0760 D May 15, 2024

Ensure that residents are free from significant medication errors.

✓ Corrected: Jun 13, 2024
Tag 0761 D May 15, 2024

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Jun 13, 2024
Tag 0880 D May 15, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 13, 2024

2023 1 violations

Tag 0658 D Mar 9, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Apr 11, 2023

2022 11 violations

Tag 0580 F Nov 30, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jan 9, 2023
Tag 0658 D Nov 30, 2022

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Jan 9, 2023
Tag 0835 F Nov 30, 2022

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Jan 9, 2023
Tag 0880 F Nov 30, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 9, 2023
Tag 0881 F Nov 30, 2022

Implement a program that monitors antibiotic use.

✓ Corrected: Jan 9, 2023
Tag 0882 F Nov 30, 2022

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

✓ Corrected: Jan 9, 2023
Tag 0842 D May 4, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jun 20, 2022
Tag 0658 E Mar 9, 2022

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Apr 14, 2022
Tag 0755 E Mar 9, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Apr 14, 2022
Tag 0849 D Mar 9, 2022

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

✓ Corrected: Apr 14, 2022
Tag 0880 E Mar 9, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 14, 2022

2020 3 violations

Tag 0880 D Jun 9, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 13, 2020
Tag 0658 D Mar 12, 2020

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Apr 27, 2020
Tag 0880 D Mar 12, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 27, 2020

2019 16 violations

Tag 0689 D Dec 3, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jan 22, 2020
Tag 0658 E Sep 18, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Nov 6, 2019
Tag 0761 E Sep 18, 2019

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Nov 6, 2019
Tag 0880 E Sep 18, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 6, 2019
Tag 0657 E Jan 16, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Feb 14, 2019
Tag 0658 E Jan 16, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Feb 14, 2019
Tag 0660 D Jan 16, 2019

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Feb 14, 2019
Tag 0686 H Jan 16, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Feb 14, 2019
Tag 0690 G Jan 16, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Feb 14, 2019
Tag 0745 D Jan 16, 2019

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Feb 14, 2019
Tag 0835 H Jan 16, 2019

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Feb 14, 2019
Tag 0837 H Jan 16, 2019

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

✓ Corrected: Feb 14, 2019
Tag 0842 E Jan 16, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Feb 14, 2019
Tag 0867 H Jan 16, 2019

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Feb 14, 2019
Tag 0880 F Jan 16, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 14, 2019
Tag 0881 F Jan 16, 2019

Implement a program that monitors antibiotic use.

✓ Corrected: Feb 14, 2019

2017 4 violations

Tag 0226 E Oct 5, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

✓ Corrected: Nov 24, 2017
Tag 0281 E Oct 5, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Nov 24, 2017
Tag 0425 E Oct 5, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

✓ Corrected: Nov 24, 2017
Tag 0441 E Oct 5, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Nov 24, 2017

Frequently Asked Questions About Avantara Arrowhead

What violations has Avantara Arrowhead received?
Avantara Arrowhead has 47 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of Avantara Arrowhead?
Avantara Arrowhead has a 1-star rating out of 5 from CMS. This rating indicates the facility may have quality concerns that should be investigated further. The rating is based on health inspections, staffing levels, and quality measures.
When was Avantara Arrowhead last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is Avantara Arrowhead safe?
Safety at Avantara Arrowhead should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact Avantara Arrowhead?
Phone: (605) 348-0285. Address: 2500 Arrowhead Dr, Rapid City, SD. For visiting hours and admission information, call the facility directly.
What services does Avantara Arrowhead offer?
Avantara Arrowhead is a skilled nursing facility with 68 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near Rapid City, SD?
Compare Avantara Arrowhead with other nursing homes in Rapid City, SD on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.

Compare Nursing Homes in Rapid City, SD

Facility Rating Violations Beds
Avantara Arrowhead (this facility) ★☆☆☆☆ 47 68
Clarkson Health Care ★★★★★ 14 49
Avantara Mountain View ★★★☆☆ 25 101
Avantara North ★★★☆☆ 42 68
Fountain Springs Healthcare ★★★☆☆ 33 90
Westhills Village Health Care Facility ★★★☆☆ 5 44
Good Samaritan Society - St Martin Village ★★☆☆☆ 41 60

Editorial Standards & Data Oversight

Data Source: This report is based on official public inspection records from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog.

Editorial Process: Content generated using AI to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.

Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., Nationally Registered EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.

Last verified: March 26, 2025 | Our methodology | Editorial standards | Report an error

This page is maintained by NursingHomeNews.org and is not affiliated with Avantara Arrowhead.

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