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Avantara North, Rapid City, SD: 3 star rating, fined $24,108 across 2 fines

Avantara North in Rapid City, SD is owned by Oakway Operations LLC, is rated 3 of 5 stars by Medicare, and was fined $24,108 across 2 fines in the three years to October 1, 2026. CMS lists 14 health citations from inspections in that time, the latest survey on February 20, 2026, and 2 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.

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Address
1620 North 7th Street, Rapid City, SD 57701
Overall rating
3 of 5 stars
Health inspection rating
3 of 5
Staffing rating
4 of 5
Quality measure rating
2 of 5
Certified beds
68
Residents per day
63 on average
Ownership type
For profit, limited liability company
Legal business name
RC North SD Skilled Nursing Facility LLC
Chain
Legacy Healthcare, 96 facilities
Fines
$24,108 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
14, of which 2 with actual harm or immediate jeopardy
Latest survey
February 20, 2026
CMS Certification Number
435064
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
August 7, 2025Fine$17,940Not listeddata.cms.gov
October 7, 2024Fine$6,168Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
February 20, 2026F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 6, 2026data.cms.gov
February 20, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 6, 2026data.cms.gov
August 7, 2025F690Provide 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 harmCorrectedSeptember 5, 2025data.cms.gov
August 7, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2025data.cms.gov
August 7, 2025F726Ensure 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: isolated, no actual harm, potential for more than minimal harmPast noncomplianceMay 7, 2025data.cms.gov
August 7, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2025data.cms.gov
August 7, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2025data.cms.gov
January 14, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
January 14, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F: widespread, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
January 14, 2025F742Provide 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: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
January 14, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceJanuary 13, 2025data.cms.gov
January 14, 2025F550Honor 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 harmCorrectedFebruary 28, 2025data.cms.gov
October 7, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmPast noncomplianceSeptember 29, 2024data.cms.gov
October 7, 2024F609Timely 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 noncomplianceSeptember 29, 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
Bokf,NaOperational or managerial controlNot listedMarch 4, 2024data.cms.gov
Legacy Healthcare Financial Services LLCOperational or managerial controlNot listedJuly 1, 2019data.cms.gov
Bokf,NaSecurity interestNot listedMarch 4, 2024data.cms.gov
Legacy Healthcare Financial Services LLCAdditional disclosable partyNot listedDecember 3, 2025data.cms.gov
RC North SD Property Holdings, LLCAdditional disclosable partyNot listedJuly 1, 2019data.cms.gov
Roth & Co, 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.