Avantara North
1620 North 7th Street · Rapid City, SD · 57701 · 6053434958
68 certified beds For profit - Limited Liability company Chain: Legacy Healthcare
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Total nurse staffing below 3.0 hours per resident-day
2.95 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.95 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.99 | 0.55–0.75 |
| Weekend hours / resident-day | 2.46 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 2 · $33,768 |
Inspection citations (17 in the current record)
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Potential for harm · D February 20, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 20, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 6, 2026 · Quality of Life and Care
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Actual harm · G August 7, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 5, 2025 · Quality of Life and Care
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Potential for harm · D August 7, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 5, 2025 · Resident Rights
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Potential for harm · D August 7, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 5, 2025 · Quality of Life and Care
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Potential for harm · D August 7, 2025 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected May 7, 2025 · Nursing and Physician Services
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Potential for harm · E August 7, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 5, 2025 · Infection Control
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Potential for harm · D January 14, 2025 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected January 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 14, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 28, 2025 · Resident Rights
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Potential for harm · D January 14, 2025
Provide 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.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · F January 14, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 28, 2025 · Nutrition and Dietary
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Potential for harm · E January 14, 2025
Provide and implement an infection prevention and control program.
Corrected February 28, 2025 · Infection Control
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Actual harm · G October 7, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 7, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 28, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 12, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 28, 2023
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected November 12, 2023 · Quality of Life and Care
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Potential for harm · F September 28, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 12, 2023 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 7, 2025 | Fine | $27,600 |
| October 7, 2024 | Fine | $6,168 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435064 · certified since July 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.