Avantara Arrowhead
AVANTARA ARROWHEAD in RAPID CITY, SD — inspection on September 11, 2025.
Found 16 citations. 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.
Inspection Findings
Federal health inspectors cited AVANTARA ARROWHEAD in RAPID CITY, SD for a deficiency under regulatory tag F-F0554 during a standard health inspection conducted on 2025-09-11.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Allow residents to self-administer drugs if determined clinically appropriate.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of AVANTARA ARROWHEAD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Federal health inspectors cited AVANTARA ARROWHEAD in RAPID CITY, SD for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2025-09-11.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of AVANTARA ARROWHEAD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Federal health inspectors cited AVANTARA ARROWHEAD in RAPID CITY, SD for a deficiency under regulatory tag F-F0583 during a standard health inspection conducted on 2025-09-11.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Keep residents' personal and medical records private and confidential.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of AVANTARA ARROWHEAD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Federal health inspectors cited AVANTARA ARROWHEAD in RAPID CITY, SD for a deficiency under regulatory tag F-F0645 during a standard health inspection conducted on 2025-09-11.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: PASARR screening for Mental disorders or Intellectual Disabilities
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of AVANTARA ARROWHEAD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Federal health inspectors cited AVANTARA ARROWHEAD in RAPID CITY, SD for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-09-11.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of AVANTARA ARROWHEAD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Review of the provider's 8/21 IV Push Medication Administration policy revealed:*Purpose-To safely administer small volume IV bolus medications.*Procedure- Consult with IV pharmacist as needed.- Verify medication order.
The provider indicated there was no NPWT policy.
Review of the provider's 3/13 Training and Knowledge Checklist for V.A.C.
Therapy Systems revealed:*Assess wound dimensions, pathology, presence of undermining or tunnels, need for debridement or need for non-adherent layer to protect blood vessels/organs/nerves and measure wound.*Ensure therapy is maintained 22 out of 24 hours.
Access therapy history if available.
Facility ID:
Federal health inspectors cited AVANTARA ARROWHEAD in RAPID CITY, SD for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2025-09-11.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.
Actual harm to residents was documented as a result of this deficiency.
This was one of 16 deficiencies cited during this inspection of AVANTARA ARROWHEAD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Federal health inspectors cited AVANTARA ARROWHEAD in RAPID CITY, SD for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-09-11.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.
Actual harm to residents was documented as a result of this deficiency.
This was one of 16 deficiencies cited during this inspection of AVANTARA ARROWHEAD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Federal health inspectors cited AVANTARA ARROWHEAD in RAPID CITY, SD for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-09-11.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of AVANTARA ARROWHEAD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Federal health inspectors cited AVANTARA ARROWHEAD in RAPID CITY, SD for a deficiency under regulatory tag F-F0697 during a standard health inspection conducted on 2025-09-11.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe, appropriate pain management for a resident who requires such services.
Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.
Actual harm to residents was documented as a result of this deficiency.
This was one of 16 deficiencies cited during this inspection of AVANTARA ARROWHEAD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Federal health inspectors cited AVANTARA ARROWHEAD in RAPID CITY, SD for a deficiency under regulatory tag F-F0699 during a standard health inspection conducted on 2025-09-11.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide care or services that was trauma informed and/or culturally competent.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of AVANTARA ARROWHEAD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Federal health inspectors cited AVANTARA ARROWHEAD in RAPID CITY, SD for a deficiency under regulatory tag F-F0745 during a standard health inspection conducted on 2025-09-11.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide medically-related social services to help each resident achieve the highest possible quality of life.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of AVANTARA ARROWHEAD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Federal health inspectors cited AVANTARA ARROWHEAD in RAPID CITY, SD for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2025-09-11.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of AVANTARA ARROWHEAD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Federal health inspectors cited AVANTARA ARROWHEAD in RAPID CITY, SD for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-09-11.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of AVANTARA ARROWHEAD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Federal health inspectors cited AVANTARA ARROWHEAD in RAPID CITY, SD for a deficiency under regulatory tag F-F0842 during a standard health inspection conducted on 2025-09-11.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of AVANTARA ARROWHEAD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.
Federal health inspectors cited AVANTARA ARROWHEAD in RAPID CITY, SD for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-11.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 16 deficiencies cited during this inspection of AVANTARA ARROWHEAD.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.