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Complaint Investigation

Avantara Arrowhead

Inspection Date: September 11, 2025
Total Violations 16
Facility ID 435051
Location RAPID CITY, SD
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Inspection Findings

F-Tag F0554

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0578

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0583

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0645

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0657

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

Federal health inspectors cited AVANTARA ARROWHEAD in RAPID CITY, SD for a deficiency under regulatory tag F-F0684 during a complaint investigation conducted on 2025-09-11.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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.

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F-Tag F0686

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

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.

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F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

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.

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F-Tag F0695

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0697

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

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.

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F-Tag F0699

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0745

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0759

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0812

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0842

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

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.

πŸ“‹ Inspection Summary

AVANTARA ARROWHEAD in RAPID CITY, SD inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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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