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Data / Nursing homes / South Dakota / Avantara Saint Cloud

Avantara Saint Cloud, Rapid City, SD: 1 star rating, fined $39,131 across 3 fines

Avantara Saint Cloud in Rapid City, SD is owned by Oakway Operations LLC, is rated 1 of 5 stars by Medicare, and was fined $39,131 across 3 fines in the three years to October 1, 2026. CMS lists 17 health citations from inspections in that time, the latest survey on March 18, 2026, and 3 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
302 St Cloud Street, Rapid City, SD 57701
Overall rating
1 of 5 stars
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measure rating
1 of 5
Certified beds
78
Residents per day
69 on average
Ownership type
For profit, limited liability company
Legal business name
Saint Cloud SD Skilled Nursing Facility, LLC
Chain
Legacy Healthcare, 96 facilities
Fines
$39,131 across 3 fines, three years to October 1, 2026
Payment denials
0
Health citations
17, of which 3 with actual harm or immediate jeopardy
Latest survey
March 18, 2026
CMS Certification Number
435060
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
March 18, 2026Fine$14,380Not listeddata.cms.gov
August 13, 2025Fine$13,343Not listeddata.cms.gov
October 26, 2023Fine$11,408Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
March 18, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.G: isolated, actual harmCorrectedApril 14, 2026data.cms.gov
March 18, 2026F726Ensure 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 noncomplianceMarch 6, 2026data.cms.gov
January 27, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 10, 2026data.cms.gov
January 27, 2026F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 10, 2026data.cms.gov
January 27, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 10, 2026data.cms.gov
August 13, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmPast noncomplianceAugust 5, 2025data.cms.gov
July 2, 2025F732Post nurse staffing information every day.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 12, 2025data.cms.gov
March 27, 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 26, 2025data.cms.gov
November 7, 2024F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2024data.cms.gov
November 7, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2024data.cms.gov
November 7, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2024data.cms.gov
November 7, 2024F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2024data.cms.gov
November 7, 2024F583Keep residents' personal and medical records private and confidential.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2024data.cms.gov
November 7, 2024F550Honor 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 harmCorrectedDecember 22, 2024data.cms.gov
October 26, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedNovember 22, 2023data.cms.gov
October 26, 2023F742Provide 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 harmCorrectedNovember 22, 2023data.cms.gov
October 26, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2023data.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
Truist BankOperational or managerial controlNot listedApril 1, 2022data.cms.gov
Saint Cloud SD Property Holdings, LLCSecurity interestNot listedJuly 1, 2019data.cms.gov
Truist BankSecurity interestNot listedApril 1, 2022data.cms.gov
Legacy Healthcare Financial Services LLCAdditional disclosable partyNot listedJuly 1, 2019data.cms.gov
RSM US LLPAdditional disclosable partyNot listedJanuary 1, 2024data.cms.gov
Saint Cloud SD Property Holdings, LLCAdditional disclosable partyNot listedJuly 1, 2019data.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.