Overview
Avantara Arrowhead has a Medicare overall rating of 1 out of 5, below the South Dakota average of 3.0. It ranks 8th of 8 nursing homes in Rapid City. It scores best on staffing (2 of 5) and lowest on health inspections (1 of 5).
Residents receive about 3.4 hours of nursing care per day, fewer than at 70% of nursing homes in South Dakota (the state average is 3.9 hours). Of that, 0.8 hours come from registered nurses.
Its most recent standard inspection, on June 22, 2026, found 13 health deficiencies, more than the South Dakota average of 6.1. 9 of them came from complaint investigations. Medicare records 7 fines totaling $144,523 in the past three years.
Avantara Arrowhead is a for-profit facility with 68 certified beds, caring for about 62 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1991.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 100%
Top 100%
Top 99%
Family reviews
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Inspections and penalties
- Most recent standard inspection
- June 22, 2026
- Health deficiencies cited
- 13
- Complaint-related deficiencies
- 9
- Fines in the last 3 years
- 7 totaling $144,523
- Payment denials
- 0
- Total penalties
- 7
Staffing
Average hours of care each resident receives per day.
- All nursing staff3.39 hrs
- Registered nurses (RN)0.83 hrs
- Licensed practical nurses (LPN)0.28 hrs
- Nurse aides2.28 hrs
- Physical therapists0.04 hrs
Facility details
- Ownership
- For profit - Limited Liability company
- Certified beds
- 68
- Average residents per day
- 62
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- January 1, 1991
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Both
- Sprinklers in all required areas
- Yes