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Data / Nursing homes / South Dakota / Avantara Arrowhead

Avantara Arrowhead, Rapid City, SD: 1 star rating, fined $144,523 across 7 fines

Avantara Arrowhead in Rapid City, SD is owned by Oakway Operations LLC, is rated 1 of 5 stars by Medicare, and was fined $144,523 across 7 fines in the three years to October 1, 2026. CMS lists 45 health citations from inspections in that time, the latest survey on June 22, 2026, and 10 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in South Dakota
Address
2500 Arrowhead Dr, Rapid City, SD 57702
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
1 of 5
Certified beds
68
Residents per day
62 on average
Ownership type
For profit, limited liability company
Legal business name
Arrowhead SD Skilled Nursing Facility LLC
Chain
Legacy Healthcare, 96 facilities
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$144,523 across 7 fines, three years to October 1, 2026
Payment denials
0
Health citations
45, of which 10 with actual harm or immediate jeopardy
Latest survey
June 22, 2026
CMS Certification Number
435051
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
June 22, 2026Fine$26,300Not listeddata.cms.gov
November 6, 2025Fine$35,360Not listeddata.cms.gov
September 11, 2025Fine$42,705Not listeddata.cms.gov
March 5, 2025Fine$8,112Not listeddata.cms.gov
July 10, 2024Fine$11,333Not listeddata.cms.gov
July 10, 2024Fine$8,018Not listeddata.cms.gov
May 15, 2024Fine$12,695Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 22, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmPast noncomplianceMarch 27, 2026data.cms.gov
June 22, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 4, 2026data.cms.gov
June 22, 2026F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F: widespread, no actual harm, potential for more than minimal harmCorrectedAugust 4, 2026data.cms.gov
June 22, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 4, 2026data.cms.gov
June 22, 2026F688Provide 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: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 4, 2026data.cms.gov
June 22, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmPast noncomplianceJune 15, 2026data.cms.gov
June 22, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E: pattern, no actual harm, potential for more than minimal harmPast noncomplianceApril 19, 2026data.cms.gov
June 22, 2026F554Allow residents to self-administer drugs if determined clinically appropriate.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 4, 2026data.cms.gov
June 22, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceJune 12, 2026data.cms.gov
December 10, 2025F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmPast noncompliancedata.cms.gov
December 10, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmPast noncompliancedata.cms.gov
December 10, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmPast noncompliancedata.cms.gov
November 6, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedDecember 6, 2025data.cms.gov
September 11, 2025F697Provide safe, appropriate pain management for a resident who requires such services.G: isolated, actual harmCorrectedOctober 15, 2025data.cms.gov
September 11, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedOctober 15, 2025data.cms.gov
September 11, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedOctober 15, 2025data.cms.gov
September 11, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedOctober 15, 2025data.cms.gov
September 11, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 15, 2025data.cms.gov
September 11, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 15, 2025data.cms.gov
September 11, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 15, 2025data.cms.gov
September 11, 2025F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 15, 2025data.cms.gov
September 11, 2025F745Provide medically-related social services to help each resident achieve the highest possible quality of life.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 15, 2025data.cms.gov
September 11, 2025F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 15, 2025data.cms.gov
September 11, 2025F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 15, 2025data.cms.gov
September 11, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 15, 2025data.cms.gov
September 11, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 15, 2025data.cms.gov
September 11, 2025F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 15, 2025data.cms.gov
September 11, 2025F578Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 15, 2025data.cms.gov
September 11, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 15, 2025data.cms.gov
June 18, 2025F760Ensure that residents are free from significant medication errors.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 18, 2025data.cms.gov
June 18, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 18, 2025data.cms.gov
June 18, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 18, 2025data.cms.gov
March 26, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 30, 2025data.cms.gov
March 26, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceMarch 25, 2025data.cms.gov
March 5, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmPast noncomplianceMarch 4, 2025data.cms.gov
March 5, 2025F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceMarch 4, 2025data.cms.gov
March 5, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceMarch 4, 2025data.cms.gov
August 6, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2024data.cms.gov
July 10, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmPast noncomplianceJune 21, 2024data.cms.gov
July 10, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedAugust 3, 2024data.cms.gov
May 15, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G: isolated, actual harmCorrectedJune 13, 2024data.cms.gov
May 15, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 13, 2024data.cms.gov
May 15, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 13, 2024data.cms.gov
May 15, 2024F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 13, 2024data.cms.gov
May 15, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 13, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 14 individual or personal trusts (2 owners, 6 managers, 6 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Oakway Operations LLCDirect owner15%July 1, 2019data.cms.gov
Legacy Healthcare Financial Services LLCOperational or managerial controlNot listedJuly 1, 2019data.cms.gov
Truist BankOperational or managerial controlNot listedApril 1, 2022data.cms.gov
Arrowhead SD Property Holdings, LLCSecurity interestNot listedJuly 1, 2019data.cms.gov
Truist BankSecurity interestNot listedApril 1, 2022data.cms.gov
Arrowhead SD Property Holdings, LLCAdditional disclosable partyNot listedJuly 1, 2019data.cms.gov
Legacy Healthcare Financial Services LLCAdditional disclosable partyNot listedNovember 10, 2025data.cms.gov
RSM US LLPAdditional disclosable partyNot listedJanuary 1, 2024data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.