CareRecords.org

Nursing homes › South Dakota › Rapid City › Avantara Saint Cloud

Avantara Saint Cloud

302 St Cloud Street, Rapid City, SD 57701 · (605) 343-4738 · 78 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★★☆☆☆ 2/5
Staffing★☆☆☆☆ 1/5
Quality measures★★☆☆☆ 2/5
Abuse icon: CMS flags this facility for an abuse citation in recent inspections.

Use this record in your decision

Save this provider to compare the same published fields across up to four providers of the same care type.

Open your comparison

Same-type reference in SD

CMS overall star rating: this provider 1/5; median among 93 providers with a published value in the same state and provider category: 3/5.

CareRecords calculates this unweighted median from the loaded source snapshot. Providers with missing values are excluded. It is a descriptive reference, not a new quality rating or recommendation. Individual reporting periods may differ; do not compare different rating systems.

Questions to take to Avantara Saint Cloud

  • The snapshot includes a CMS abuse citation icon. Ask which inspection it relates to, what corrective action followed, and whether CMS has updated the designation.
  • The published staff-turnover figure is 57.3%. Ask which reporting period it covers and how the current staffing team compares.
  • Ask who is responsible for care decisions locally and at LEGACY HEALTHCARE. A shared affiliation does not establish identical care at every location.
  • Check the source date and the latest official record before deciding. Bring the issues above to a visit or call rather than treating the profile as a recommendation.

How to compare records without mistaking missing data for good performance →

Ownership group

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).

See all 89 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.12 (South Dakota median: 3.62). RN hours: 0.52. Weekend total: 2.85. Nursing staff turnover: 57%.

Inspection deficiencies

In the downloaded CMS dataset: 17 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-03-18Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Gcomplaintcorrected 2026-04-14
2026-03-18Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Dcomplaintcorrected 2026-03-06
2026-01-27Ensure 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. EHealthcorrected 2026-03-10
2026-01-27Provide and implement an infection prevention and control program. EHealthcorrected 2026-03-10
2026-01-27Provide safe and appropriate respiratory care for a resident when needed. DHealthcorrected 2026-03-10
2025-08-13Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Gcomplaintcorrected 2025-08-05
2025-07-02Post nurse staffing information every day. Ecomplaintcorrected 2025-08-12
2025-03-27Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2025-03-26
2024-11-07Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2024-12-22
2024-11-07Provide and implement an infection prevention and control program. Fcomplaintcorrected 2024-12-22
2024-11-07Keep residents' personal and medical records private and confidential. EHealthcorrected 2024-12-22
2024-11-07Honor 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. EHealthcorrected 2024-12-22
2024-11-07Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. DHealthcorrected 2024-12-22
2024-11-07Provide appropriate treatment and care according to orders, resident’s preferences and goals. DHealthcorrected 2024-12-22
2023-10-26Provide appropriate pressure ulcer care and prevent new ulcers from developing. GHealthcorrected 2023-11-22
2023-10-26Ensure services provided by the nursing facility meet professional standards of quality. EHealthcorrected 2023-11-22
2023-10-26Provide 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. DHealthcorrected 2023-11-22

Federal penalties

DateTypeAmount
2025-08-13Fine$13,343
2023-10-26Fine$11,408

Ownership & control records (CMS filings)

NameRoleType%Since
DOROS GENERATION TRUST U/A/D 1/3/125% Or Greater Direct Ownership InterestOrganization43%since 07/01/2019
GPN FAMILY TRUST U/A/D 4/28/085% Or Greater Direct Ownership InterestOrganization43%since 07/01/2019
OAKWAY OPERATIONS LLC5% Or Greater Direct Ownership InterestOrganization15%since 07/01/2019
RAJCHENBACH, CHAIMManaging Control - Governing BodyIndividualNOT APPLICABLEsince 07/01/2019
SHABAT, MENACHEMManaging Control - Governing BodyIndividualNOT APPLICABLEsince 07/01/2019
TRUIST BANKOperational/Managerial ControlOrganizationNOT APPLICABLEsince 04/01/2022
ALTENA, ASHALEYOperational/Managerial ControlIndividualNOT APPLICABLEsince 10/08/2023
PTACEK, TRAVISOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2025
RAJCHENBACH, CHAIMOperational/Managerial ControlIndividualNOT APPLICABLEsince 07/01/2019
SHABAT, MENACHEMOperational/Managerial ControlIndividualNOT APPLICABLEsince 07/01/2019

Compare nearby (Pennington County)

How to cite this page: CareRecords, “Avantara Saint Cloud — compliance, penalty and ownership record” (CCN 435060), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/avantara-saint-cloud-rapid-city-sd/

Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 435060. Corrections: data@carerecords.org.