Avantara Saint Cloud
302 St Cloud Street · Rapid City, SD · 57701 · 6053434738
78 certified beds For profit - Limited Liability company Chain: Legacy Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- 3 citations involved actual harm to residents.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
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.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
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: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.35 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.52 | 0.55–0.75 |
| Weekend hours / resident-day | 3.08 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 2 · $38,093 |
Inspection citations (17 in the current record)
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Actual harm · G March 18, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 14, 2026 · Resident Rights
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Potential for harm · D March 18, 2026 · 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 March 6, 2026 · Nursing and Physician Services
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Potential for harm · D January 27, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 10, 2026 · Quality of Life and Care
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Potential for harm · E January 27, 2026
Ensure 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.
Corrected March 10, 2026 · Pharmacy Service
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Potential for harm · E January 27, 2026
Provide and implement an infection prevention and control program.
Corrected March 10, 2026 · Infection Control
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Actual harm · G August 13, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 2, 2025 · found via complaint
Post nurse staffing information every day.
Corrected August 12, 2025 · Nursing and Physician Services
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Potential for harm · D March 27, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 7, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 22, 2024 · Resident Rights
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Potential for harm · E November 7, 2024
Keep residents' personal and medical records private and confidential.
Corrected December 22, 2024 · Resident Rights
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Potential for harm · E November 7, 2024
Honor 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.
Corrected December 22, 2024 · Resident Rights
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Potential for harm · D November 7, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 22, 2024 · Quality of Life and Care
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Potential for harm · F November 7, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 22, 2024 · Nutrition and Dietary
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Potential for harm · F November 7, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 22, 2024 · Infection Control
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Actual harm · G October 26, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 22, 2023 · Quality of Life and Care
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Potential for harm · E October 26, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 22, 2023 · Resident Assessment and Care Planning
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Potential for harm · D October 26, 2023
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 November 22, 2023 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 13, 2025 | Fine | $26,685 |
| October 26, 2023 | Fine | $11,408 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435060 · certified since May 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.