Quick answers
- Where is Avantara Saint Cloud?
- 302 St Cloud Street, Rapid City, SD 57701, in Pennington County, South Dakota.
- What is the phone number of Avantara Saint Cloud?
- (605) 343-4738, as listed by Medicare (CMS).
- What is the Medicare star rating of Avantara Saint Cloud?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Avantara Saint Cloud been fined?
- Medicare lists 3 fines totaling $39,131.
- What did inspectors find at Avantara Saint Cloud?
- In its last three inspection cycles (October 26, 2023 to March 18, 2026), Medicare lists 17 health citations; the most serious was level G. 3 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (October 26, 2023 to March 18, 2026), Avantara Saint Cloud had 17 health citations; the most serious was level G (actual harm to residents). 3 of them were level G or higher (actual harm or immediate jeopardy). It was fined $39,131 in total (3 fines, the latest on March 18, 2026). Nurse staffing is 3.31 hours per resident per day; the South Dakota average is 3.86 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: January 27, 2026 — 5 health citations
Inspections in this cycle: January 27, 2026 (standard health inspection); March 18, 2026 (complaint investigation).
F0580 Level G
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
actual harm to residents; isolated (a few residents) · Resident Rights Deficiencies
Show 4 less serious citations (levels A to F)
F0761 Level E
“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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0726 Level D
“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.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
Previous cycle: November 7, 2024 — 9 health citations
Inspections in this cycle: November 7, 2024 (complaint investigation); November 7, 2024 (standard health inspection); March 27, 2025 (complaint investigation); July 2, 2025 (complaint investigation); August 13, 2025 (complaint investigation).
F0600 Level G
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show 8 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0732 Level E
“Post nurse staffing information every day.”
F0583 Level E
“Keep residents' personal and medical records private and confidential.”
F0584 Level E
“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.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
Earlier cycle: October 26, 2023 — 3 health citations
Inspections in this cycle: October 26, 2023 (standard health inspection).
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 2 less serious citations (levels A to F)
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0742 Level D
“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.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (3)
K0712 Level E
“Have simulated fire drills held at unexpected times.”
E0015 Level C
“Address subsistence needs for staff and patients.”
K0293 Level B
“Have properly located and lighted "Exit" signs.”
Fines and payment denials
Total fines over about the last three years: $39,131 (3 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| March 18, 2026 | Fine | $14,380 |
| August 13, 2025 | Fine | $13,343 |
| October 26, 2023 | Fine | $11,408 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | South Dakota | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.47 | 0.78 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.50 | 0.50 | 0.86 |
| Nurse aide hours per resident per day | 2.35 | 2.58 | 2.35 |
| Total nurse staff hours per resident per day | 3.31 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.11 | 3.28 | 3.43 |
| RN hours per resident per day on the weekend | 0.31 | 0.49 | 0.48 |
| Nursing staff turnover (per year) | 58.8% | 48.6% | 45.3% |
| RN turnover (per year) | 72.2% | 37.5% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.3 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 96 nursing homes: Legacy Healthcare.
Legal business name: Saint Cloud SD Skilled Nursing Facility, LLC.
Owners and managers Medicare lists (4)
| Name | Role | Share | Since |
|---|---|---|---|
| Doros Generation Trust U/A/D 1/3/12 | Direct owner | 43% | July 1, 2019 |
| GPN Family Trust U/A/D 4/28/08 | Direct owner | 43% | July 1, 2019 |
| Oakway Operations LLC | Direct owner | 15% | July 1, 2019 |
| Truist Bank | Management company (operational or managerial control) | NOT APPLICABLE | April 1, 2022 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 78 |
| Average residents per day | 68.7 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Legacy Healthcare |
| Legal business name | Saint Cloud SD Skilled Nursing Facility, LLC |
| First approved by Medicare/Medicaid | 1991-05-01 |
| Resident and family councils | None |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 302 St Cloud Street, Rapid City, SD 57701 |
| County | Pennington County |
| State | South Dakota |
| Phone | (605) 343‑4738 |
| CMS Certification Number | 435060 |
| Name in Medicare records | AVANTARA SAINT CLOUD |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Avantara Mountain View1.1 mi · Rapid City, SD · 2 of 5 stars
- Westhills Village Health Care Facility1.6 mi · Rapid City, SD · 5 of 5 stars
- Avantara North2.0 mi · Rapid City, SD · 3 of 5 stars
- Avantara Arrowhead2.1 mi · Rapid City, SD · 1 of 5 stars
- Fountain Springs Healthcare2.5 mi · Rapid City, SD · 3 of 5 stars
Nearest hospital emergency rooms
- Monument Health Rapid City Hospital1.5 mi · Rapid City, SD · Acute Care Hospital
- VA Black Hills Healthcare System26 mi · Fort Meade, SD · Federal/VA Acute Care Hospital
- Monument Health Sturgis Hospital27 mi · Sturgis, SD · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13