Federal inspection record · CMS data as of October 1, 2026
Avantara Mountain View
916 Mountain View Road, Rapid City, SD · (605) 343-8577
- Certified beds
- 101
- Residents per day
- 85
- Ownership
- For-Profit
- Chain
- Legacy Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 1990
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in South Dakota.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among South Dakota homes
Avantara Mountain View carries 78 inspection points. That is fewer than 30% of South Dakota's 94 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in South Dakota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–31.5 pts
- 3★ 31.5–55 pts
- 2★ 55–95.25 pts
- 1★ over 95.25 pts
Bars show every rated home in South Dakota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
22 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Resident Assessment and Care Planning5E
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care4E
- D
Provide care or services that was trauma informed and/or culturally competent.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control4E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
Resident Rights3D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Keep residents' personal and medical records private and confidential.
Freedom from Abuse, Neglect, and Exploitation2E
- E
Protect each resident from the wrongful use of the resident's belongings or money.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service2E
- E
Ensure medication error rates are not 5 percent or greater.
- E
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.
Inspection history
2026-01-06
11 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-12-12
8 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2023-08-23
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 47 min of nursing staff time a day, 45 min of it from a registered nurse.
This home
3 h 47 min
South Dakota average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 41% of nursing staff and 26% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$38,613 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-14 | Fine | $29,295 |
| 2024-05-15 | Fine | $9,318 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.3 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.3 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine23 pts worse | 71.9% | 94.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.7 pts worse | 96.5% | 97.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.2 pts better | 2.3% | 5.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.5 pts better | 1.4% | 5.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts better | 4.8% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.5 pts worse | 23.2% | 17.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.3 pts better | 24.5% | 24.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.2 pts worse | 25.5% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.2 pts better | 14.3% | 21.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 1.8% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts worse | 4.4% | 2.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.7 pts better | 20.8% | 24.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts better | 2.9% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine49.1 pts worse | 34.8% | 83.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.3 pts better | 11.0% | 13.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better | 1.4% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine55 pts worse | 20.5% | 75.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1 pts worse | 21.0% | 20.0% | 23.4% |
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Who owns and runs it
23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Doros Generation Trust U/A/D 1/3/12 | 5% Or Greater Direct Ownership Interest · Organization | 43% | 76 facilities |
| Gpn Family Trust U/A/D 4/28/08 | 5% Or Greater Direct Ownership Interest · Organization | 43% | 80 facilities |
| Oakway Operations LLC | 5% Or Greater Direct Ownership Interest · Organization | 15% | 46 facilities |
| Cibc Bank Usa | 5% Or Greater Security Interest · Organization | 0% | 208 facilities |
| Doros Generation Trust U/A/D 1/3/12 | Adp Of The SNF · Organization | 0% | 76 facilities |
| Gpn Family Trust U/A/D 4/28/08 | Adp Of The SNF · Organization | 0% | 80 facilities |
| Karlson, Laura | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Karlson, Laura | Adp Of The SNF · Individual | 0% | 1 facilities |
| Legacy Healthcare Financial Services LLC | Operational/Managerial Control · Organization | 0% | 78 facilities |
| Legacy Healthcare Financial Services LLC | Adp Of The SNF · Organization | 0% | 78 facilities |
| Mountain View Sd Property Holdings, LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Mountain View Sd Property Holdings, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ptacek, Travis | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Ptacek, Travis | Adp Of The SNF · Individual | 0% | 5 facilities |
| Rajchenbach, Chaim | Managing Control - Governing Body · Individual | 0% | 55 facilities |
| Rajchenbach, Chaim | Operational/Managerial Control · Individual | 0% | 55 facilities |
| Rajchenbach, Chaim | Adp Of The SNF · Individual | 0% | 55 facilities |
| Rsm Us Llp | Adp Of The SNF · Organization | 0% | 18 facilities |
| Shabat, Menachem | Managing Control - Governing Body · Individual | 0% | 86 facilities |
| Shabat, Menachem | Operational/Managerial Control · Individual | 0% | 86 facilities |
| Shabat, Menachem | Adp Of The SNF · Individual | 0% | 86 facilities |
| Truist Bank | 5% Or Greater Security Interest · Organization | 0% | 77 facilities |
| Truist Bank | Operational/Managerial Control · Organization | 0% | 77 facilities |
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