Avantara Arrowhead
Nursing Home Facility
2500 Arrowhead Dr, Rapid City, SD 57702

Our Golden LivingCenter would like to extend you a warm welcome. Your doctor has recommended that you receive certain care, and we are happy that you chose us to provide you with that care. Our staff will review your doctor’s orders, and then you and your family will have an opportunity to help us plan how you can get the care that your doctor has ordered. Our comprehensive approach ensures our residents receive the most innovative and expert care possible, while our compassion and dedication keeps our focus exclusively on the individual.
Operated by Legacy Healthcare, which runs 81 communities in our directory.
Avantara Arrowhead is licensed for 68 beds, about typical for the area, where senior care communities in Rapid City average about 67 beds.
Federal reporting puts occupancy at about 87% of its licensed beds.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Rapid City average about 2.8 stars. Its most recent standard health inspection was in June 2026 and recorded 13 deficiencies.
Residents receive about 3.5 hours of nursing care per day on average, including 1.0 hours from a registered nurse. Nursing staff turnover over the past year was about 76%, which is high and can affect continuity of care.
The community is located in Pennington County, SD.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 45 problems at Avantara Arrowhead. 10 findings involved harm to a resident. 21 came from investigating complaints by residents or families.
In the last three years Medicare fined this home 6 times, a total of $153,583.
Findings from the most recent inspection cycle
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, widespread
Administration
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Could cause more than minimal harm, a pattern
Resident Rights
Allow residents to self-administer drugs if determined clinically appropriate.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Show 5 more
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide 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.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe, appropriate pain management for a resident who requires such services.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Avantara Arrowhead offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 68
- Occupancy 87%
- Nursing hours per resident/day 3.5
- Annual staff turnover 76%
- Last health inspection June 2026
Resident & family reviews
No one has shared a review of Avantara Arrowhead yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.