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Complaint Investigation

Avantara Arrowhead

March 26, 2025 · Rapid City, SD · 2500 Arrowhead Dr
Citations 1
CMS Rating 1/5
Beds 68
Provider ID 435051
Healthcare Facility
Avantara Arrowhead
Rapid City, SD  ·  View full profile →
Inspection Summary

AVANTARA ARROWHEAD in RAPID CITY, SD — inspection on March 26, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF600
TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 47780 Few policy review, the provider failed to ensure one of one sampled severely cognitively impaired resident (3) affected

Review of the 3/19/25 SD DOH complaint intake form regarding resident 3 revealed:

*The complainant would like to remain anonymous.

*They had concerns regarding the care resident 3 was receiving at the facility.

-They stated resident 3 was not getting bathed as scheduled and staff had not been putting lotion on the resident's dry skin.

Review of resident 3's electronic medical record (EMR) revealed:

*He was admitted on [DATE], and his diagnoses included sepsis, urinary tract infection (UTI), chronic obstructive pulmonary disease (COPD), depression, dementia, and diabetes.

*His Brief Interview for Mental Status (BIMS) assessment score was 2, which indicated he was severely cognitively impaired.

*A progress note on 1/13/25 at 6:01 a.m., Resident has red scabby rash on LUE and has a 1x1 [one by one] cm [centimeter] scab on [his] face.

Resident was picking at [a] scab and reopened it.

Scant bleeding noted. No signs of infection, no other open areas noted.

Area cleansed with soap and water.

Resident tolerated well, no complaints of pain or discomfort to [the] area.

Provider notified via fax. DON [director of nursing] notified via fax.

Will pass on to day shift nurse to notify POA [power of attorney].

*A skin assessment on 1/20/25 at 4:52 a.m., Resident has numerous scabbing BUE [bilateral upper extremities/both arms], from [his] shoulders down to [his] hands, some or possibly all of which is due to resident scratching [those area].

Bilateral [both] hips have scratch marks, and [his] LLE [lower left extremity/legs] on upper thigh has a few abrasions.

Skin protectant applied to all areas.

*A skin assessment on 1/27/25 at 3:56 a.m., Resident has scabs on upper arms and chest and back due to scratching and picking. No infections noted, open areas.

435051

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 435051 B.

Wing 03/26/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Avantara Arrowhead 2500 Arrowhead Dr Rapid City, SD 57702

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in RAPID CITY, SD, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from AVANTARA ARROWHEAD or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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