Avantara Arrowhead
Nursing home in Rapid City, South Dakota, CMS certification number 435051
2500 Arrowhead Dr, Rapid City, SD 57702 · Pennington County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 68
- Certified for
- Medicare and Medicaid
- Last standard inspection
- June 22, 2026
- Deficiencies at that inspection
- 13
- Fines in 3 years
- $144,523 (7)
Does Avantara Arrowhead take Medicare and Medicaid?
Yes to both. Avantara Arrowhead is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality of resident care | 1 of 5 |
| Long-stay quality | 1 of 5 |
| Short-stay quality | 1 of 5 |
Nurse staffing hours and turnover
These are the hours Avantara Arrowhead reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.39
- Registered nurse hours
- 0.83
- Licensed practical nurse hours
- 0.28
- Nurse aide hours
- 2.28
- Weekend total hours
- 3.05
- Nursing staff turnover
- 77.5%
- Registered nurse turnover
- 86.7%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on June 22, 2026 and cited 13 deficiencies, plus 9 from complaint visits.
The visit before, on September 11, 2025, found 16.
CMS shows an abuse icon for Avantara Arrowhead. That means inspectors cited it for abuse, neglect or exploitation in the past year or two.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Avantara Arrowhead 7 times in the past 3 years, for $144,523 in total.
Beds and residents
On an average day 61.5 residents live here, about 90% of its 68 certified beds.
- Certified beds
- 68
- Average residents per day
- 61.5
- Certified since
- January 1, 1991
- Resident or family council
- Both
Who owns Avantara Arrowhead
- Legal business name
- Arrowhead SD Skilled Nursing Facility LLC
- Ownership type
- For profit - Limited Liability company
- Chain
- 96 homes nationally under Legacy Healthcare, 3-star chain average
Other nursing homes near Avantara Arrowhead
- Clarkson Health Care1015 Mt View Rd, Rapid City 57702
- Avantara Mountain View916 Mountain View Road, Rapid City 57702
- Avantara Saint Cloud302 St Cloud Street, Rapid City 57701
- Westhills Village Health Care Facility255 Texas St, Rapid City 57701
- Fountain Springs Healthcare2000 Wesleyan Blvd, Rapid City 57702
See also all nursing homes in Rapid City.
Who inspects nursing homes in South Dakota
South Dakota's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in South Dakota, the 8 in Rapid City, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Avantara Arrowhead, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Avantara Arrowhead
What is the CMS star rating of Avantara Arrowhead?
1 out of 5 stars overall.
Does Avantara Arrowhead accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Avantara Arrowhead?
13 cited at the last standard visit.
Who owns Avantara Arrowhead?
Arrowhead SD Skilled Nursing Facility LLC, for profit - limited liability company.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.