Nursing homes › South Dakota › Rapid City › Avantara Arrowhead
2500 Arrowhead Dr, Rapid City, SD 57702 · (605) 348-0285 · 68 certified beds
Per CMS filings, this facility is affiliated with Legacy Healthcare, a group operating 89 facilities in 3 states. Group record: average rating 2.9/5, 12 abuse citation icons, 4 facilities on the Special Focus list, $3,742,782 in federal fines. This facility rates below its group average (2.9/5).
Total nurse staffing: 3.52 (South Dakota median: 3.62). RN hours: 0.98. Weekend total: 3.27. Nursing staff turnover: 76%.
All-time on record: 45 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2026-03-27 |
| 2026-06-22 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | complaint | corrected 2026-08-04 |
| 2026-06-22 | Allow residents to self-administer drugs if determined clinically appropriate. | E | Health | corrected 2026-08-04 |
| 2026-06-22 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | complaint | corrected 2026-04-19 |
| 2026-06-22 | Ensure services provided by the nursing facility meet professional standards of quality. | E | complaint | corrected 2026-06-15 |
| 2026-06-22 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-08-04 |
| 2026-06-22 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2026-06-12 |
| 2026-06-22 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Health | corrected 2026-08-04 |
| 2026-06-22 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-08-04 |
| 2025-12-10 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | Past Non-Compliance |
| 2025-12-10 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | Past Non-Compliance |
| 2025-12-10 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | Past Non-Compliance |
| 2025-11-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-12-06 |
| 2025-09-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2025-10-15 |
| 2025-09-11 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2025-10-15 |
| 2025-09-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Health | corrected 2025-10-15 |
| 2025-09-11 | Provide safe, appropriate pain management for a resident who requires such services. | G | Health | corrected 2025-10-15 |
| 2025-09-11 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2025-10-15 |
| 2025-09-11 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2025-10-15 |
| 2025-09-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-10-15 |
| 2025-09-11 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-10-15 |
| 2025-09-11 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2025-10-15 |
| 2025-09-11 | 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. | D | Health | corrected 2025-10-15 |
| 2025-09-11 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2025-10-15 |
| 2025-09-11 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2025-10-15 |
| 2025-09-11 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-10-15 |
| 2025-09-11 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2025-10-15 |
| 2025-09-11 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Health | corrected 2025-10-15 |
| 2025-09-11 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-10-15 |
| 2025-06-18 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | complaint | corrected 2025-07-18 |
| 2025-06-18 | Ensure that residents are free from significant medication errors. | E | complaint | corrected 2025-07-18 |
| 2025-06-18 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-07-18 |
| 2025-03-26 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-03-25 |
| 2025-03-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-04-30 |
| 2025-03-05 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2025-03-04 |
| 2025-03-05 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-03-04 |
| 2025-03-05 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | complaint | corrected 2025-03-04 |
| 2024-08-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-08-22 |
| 2024-07-10 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2024-08-03 |
| 2024-07-10 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2024-06-21 |
| Date | Type | Amount |
|---|---|---|
| 2025-11-06 | Fine | $70,720 |
| 2025-09-11 | Fine | $42,705 |
| 2025-03-05 | Fine | $8,112 |
| 2024-07-10 | Fine | $8,018 |
| 2024-07-10 | Fine | $11,333 |
| 2024-05-15 | Fine | $12,695 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | 5% Or Greater Direct Ownership Interest | Organization | 43% | since 07/01/2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 | 5% Or Greater Direct Ownership Interest | Organization | 43% | since 07/01/2019 |
| OAKWAY OPERATIONS LLC | 5% Or Greater Direct Ownership Interest | Organization | 15% | since 07/01/2019 |
| RAJCHENBACH, CHAIM | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/01/2019 |
| SHABAT, MENACHEM | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/01/2019 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/01/2019 |
| TRUIST BANK | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2022 |
| MARTIN, SHARON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/09/2023 |
| PTACEK, TRAVIS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| RAJCHENBACH, CHAIM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2019 |
| SHABAT, MENACHEM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2019 |
How to cite this page: CareRecords, “Avantara Arrowhead — compliance, penalty and ownership record” (CCN 435051), compiled from the CMS Provider Data Catalog, July 2026 release. https://carerecords.org/nursing-home/avantara-arrowhead-rapid-city-sd/
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 435051. Corrections: data@carerecords.org.