Cycle 1
Health 2026-01-27 · Fire 2026-01-27
6 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Rapid City, SD
Avantara Saint Cloud
1-star overall rating with 2-star inspections with abuse icon flag with $11,408 in total fines with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
302 St Cloud Street, Rapid City, SD
(605) 343-4738
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
78
Certified beds
Average residents
74
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Legacy Healthcare
Operator or chain grouping
Approved since
1991-05-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
90 facilities
Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.47
Registered nurse staffing · state 0.80 · national 0.68
LPN hours / resident day
0.44
Licensed practical nurse staffing · state 0.49 · national 0.87
Aide hours / resident day
2.17
Nurse aide staffing · state 2.61 · national 2.35
Total nurse hours
3.07
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
0.91
RN + LPN hours · state 1.28 · national 1.54
Weekend hours
2.78
Weekend nurse staffing · state 3.32 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.45
CMS adjusted RN staffing hours
Adjusted total hours
2.93
CMS adjusted total nurse staffing hours
Case-mix index
1.44
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,285
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.03
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
2.61
Baseline 48.94% · Performance 53.03% · Measure score 2.61 · Achievement 2.61 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.20 hours · Performance 3.17 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 23 · Denominator 23 |
| Falls with major injury | 4.35% |
0.77%
3.6 pts worse
|
Numerator 1 · Denominator 23 |
| Discharge self-care score | 10% |
53.69%
43.7 pts worse
|
Numerator 2 · Denominator 20 |
| Discharge mobility score | 25% |
50.94%
25.9 pts worse
|
Numerator 5 · Denominator 20 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 23 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 15.58% |
8.2%
7.4 pts better
|
Numerator 12 · Denominator 77 |
| Staff flu vaccination coverage | 20% |
42%
22 pts worse
|
Numerator 13 · Denominator 65 |
| Discharge function score | 25% |
56.45%
31.5 pts worse
|
Numerator 5 · Denominator 20 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.5
0.2 pts worse
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.0 · Expected 1.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.9
0.4 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 74.2% |
95.4%
21.2 pts worse
|
93.4%
19.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 90.3% · Q2 81.9% · Q3 59.4% · Q4 64.9% · 4Q avg 74.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 82.7% |
96.9%
14.2 pts worse
|
95.5%
12.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 82.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.3% |
5.1%
1.2 pts worse
|
3.3%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 5.6% · Q3 7.2% · Q4 8.1% · 4Q avg 6.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 19.9% |
4.6%
15.3 pts worse
|
11.4%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 4.5% · Q3 30.4% · Q4 42.3% · 4Q avg 19.9% |
| Percentage of long-stay residents who lose too much weight | 3.6% |
5.5%
1.9 pts better
|
5.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.7% · Q3 5.1% · Q4 0.0% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 31.7% |
17.8%
13.9 pts worse
|
19.6%
12.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.5% · Q2 40.0% · Q3 23.8% · Q4 25.7% · 4Q avg 31.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 55.5% |
25.1%
30.4 pts worse
|
16.7%
38.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 54.7% · Q2 56.2% · Q3 54.5% · Q4 56.4% · 4Q avg 55.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 33.0% |
21.3%
11.7 pts worse
|
16.3%
16.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 33.9% · Q3 27.0% · Q4 41.1% · 4Q avg 33.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 37.1% |
21.6%
15.5 pts worse
|
14.9%
22.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.8% · Q2 31.0% · Q3 39.0% · Q4 54.0% · 4Q avg 37.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
2.0%
2 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 7.9% |
3.3%
4.6 pts worse
|
1.7%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 7.0% · Q3 10.8% · Q4 2.8% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.1% |
25.8%
7.3 pts worse
|
19.8%
13.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.4% · Q2 37.6% · Q3 18.1% · Q4 34.2% · 4Q avg 33.1% |
| Percentage of long-stay residents with pressure ulcers | 1.3% |
4.6%
3.3 pts better
|
5.1%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 1.0% · Q4 2.1% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 26.0% |
83.2%
57.2 pts worse
|
81.7%
55.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 26.0% |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-11-07 · Fire 2024-11-07
6 health deficiencies
Top issue: Resident Rights (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2023-10-26 · Fire 2023-10-26
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2026-01-27
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2026-03-10
C · Minimal harm
2024-11-07
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-12-22
B · Minimal harm
2024-11-07
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-12-22
Inspection history
Recent health citations
E · Potential for more than minimal harm
2026-01-27
F761 · Pharmacy Service Deficiencies
Health
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 2026-03-10
E · Potential for more than minimal harm
2026-01-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-03-10
D · Potential for more than minimal harm
2026-01-27
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-03-10
G · Actual harm
2025-08-13
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-08-05
E · Potential for more than minimal harm
2025-07-02
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2025-08-12
D · Potential for more than minimal harm
2025-03-27
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-26
F · Potential for more than minimal harm
2024-11-07
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-22
F · Potential for more than minimal harm
2024-11-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-22
E · Potential for more than minimal harm
2024-11-07
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-12-22
E · Potential for more than minimal harm
2024-11-07
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-12-22
D · Potential for more than minimal harm
2024-11-07
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-12-22
D · Potential for more than minimal harm
2024-11-07
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-22
G · Actual harm
2023-10-26
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-11-22
E · Potential for more than minimal harm
2023-10-26
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-22
D · Potential for more than minimal harm
2023-10-26
F742 · Quality of Life and Care Deficiencies
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2023-11-22
Penalties and ownership
What sits behind the stars
$11,408
2023-10-26
Fine
Fine · fine $11,408
Fine
Ownership
Chaim Rajchenbach Descendants Tr Ua 04282008
5% Or Greater Direct Ownership Interest · Organization
Doros Generation Trust U/A/D 1/3/12
5% Or Greater Direct Ownership Interest · Organization
Oakway Operations LLC
5% Or Greater Direct Ownership Interest · Organization
Altena, Ashaley
Operational/Managerial Control · Individual
Ptacek, Travis
Operational/Managerial Control · Individual
Rajchenbach, Chaim
Operational/Managerial Control · Individual
Saint Cloud Sd Property Holdings, LLC
5% Or Greater Security Interest · Organization
Shabat, Menachem
Operational/Managerial Control · Individual
Truist Bank
Operational/Managerial Control · Organization
Truist Bank
5% Or Greater Security Interest · Organization
Nearby options
Other facilities in reach
#1
Avantara Mountain View
Rapid City, SD
3-star overall rating with 3-star inspections with $9,318 in total fines with 5 recent health deficiencies
#2
Westhills Village Health Care Facility
Rapid City, SD
4-star overall rating with 3-star inspections with 8 recent health deficiencies
#3
Avantara North
Rapid City, SD
2-star overall rating with 2-star inspections with $6,168 in total fines with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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