Nursing homes › South Dakota › Avantara Saint Cloud
302 St Cloud Street, Rapid City, SD 57701 · 6053434738 · 78 certified beds
Per CMS filings, this facility is affiliated with Legacy Healthcare, a group operating 89 facilities in 3 states. Group record: average rating 3.0/5, 7 abuse citation icons, 4 facilities on the Special Focus list, $3,703,514 in federal fines. This facility rates below its group average (3.0/5).
Total nurse staffing: 3.12 (South Dakota median: 3.63). RN hours: 0.52. Weekend total: 2.85. Nursing staff turnover: 57%.
All-time on record: 17 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-18 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | complaint | corrected 2026-04-14 |
| 2026-03-18 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | complaint | corrected 2026-03-06 |
| 2026-01-27 | 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. | E | Health | corrected 2026-03-10 |
| 2026-01-27 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-03-10 |
| 2026-01-27 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-03-10 |
| 2025-08-13 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2025-08-05 |
| 2025-07-02 | Post nurse staffing information every day. | E | complaint | corrected 2025-08-12 |
| 2025-03-27 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-03-26 |
| 2024-11-07 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-12-22 |
| 2024-11-07 | Provide and implement an infection prevention and control program. | F | complaint | corrected 2024-12-22 |
| 2024-11-07 | Keep residents' personal and medical records private and confidential. | E | Health | corrected 2024-12-22 |
| 2024-11-07 | 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. | E | Health | corrected 2024-12-22 |
| 2024-11-07 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2024-12-22 |
| 2024-11-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-12-22 |
| 2023-10-26 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Health | corrected 2023-11-22 |
| 2023-10-26 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Health | corrected 2023-11-22 |
| 2023-10-26 | 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. | D | Health | corrected 2023-11-22 |
| Date | Type | Amount |
|---|---|---|
| 2025-08-13 | Fine | $13,343 |
| 2023-10-26 | Fine | $11,408 |
| 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 |
| TRUIST BANK | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2022 |
| ALTENA, ASHALEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/08/2023 |
| 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 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 435060. Corrections: data@carerecords.org.