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Avantara Arrowhead

Nursing Home Facility

2500 Arrowhead Dr, Rapid City, SD 57702

Nursing Home Care Senior Living
Avantara Arrowhead

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.

Employer rating 3.0 out of 5 271 reviews from their own employees on Indeed. See what they say.

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.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

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

  • 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.

    Inspected June 2026, after a complaint. Corrected by March 27, 2026.

  • 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.

    Inspected November 2025, after a complaint. Corrected by December 6, 2025.

  • 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.

    Inspected June 2026, after a complaint. Corrected by August 4, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    Allow residents to self-administer drugs if determined clinically appropriate.

    Inspected June 2026. Corrected by August 4, 2026.

  • 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.

    Inspected June 2026, after a complaint. Corrected by April 19, 2026.

  • 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.

    Inspected June 2026, after a complaint. Corrected by June 15, 2026.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected June 2026. Corrected by August 4, 2026.

  • 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.

    Inspected June 2026, after a complaint. Corrected by June 12, 2026.

Show 5 more
  • 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.

    Inspected June 2026. Corrected by August 4, 2026.

  • 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.

    Inspected June 2026. Corrected by August 4, 2026.

  • 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.

    Inspected December 2025, after a complaint.

  • 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.

    Inspected December 2025, after a complaint.

  • 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.

    Inspected December 2025, after a complaint.

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.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

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

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