01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-02-20 | 7 | 2026-02-20 | 0 |
| Cycle 2 | 2025-01-14 | 7 | 2025-01-14 | 1 |
| Cycle 3 | 2023-09-28 | 3 | 2023-09-28 | 1 |
CMS CCN 4350642026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Avantara North
1620 North 7Th Street · Rapid City, SD 57701 · Pennington County
Certified beds68CMS provider file
Recent citation rows19current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
19 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-20 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-04-062026-02-20 · HEALTHF0695Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-04-062025-08-07 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-09-05 · complaint2025-08-07 · HEALTHF0690Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-09-05 · complaint2025-08-07 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-09-05 · complaint2025-08-07 · HEALTHF0726Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
Correction field: Past Non-Compliance · 2025-05-07 · complaint2025-08-07 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-09-05 · complaint2025-01-14 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-02-282025-01-14 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Past Non-Compliance · 2025-01-13 · complaint2025-01-14 · HEALTHF0742Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-02-282025-01-14 · HEALTHF0804Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2025-02-282025-01-14 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-02-282025-01-14 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Waiver has been granted · 2025-02-102024-10-07 · HEALTHF0600Severity G · isolated actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Past Non-Compliance · 2024-09-29 · complaint2024-10-07 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Past Non-Compliance · 2024-09-29 · complaint2023-09-28 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2023-11-122023-09-28 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-11-122023-09-28 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-11-122023-09-28 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2023-09-2903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-08-07 | Fine | $17,940 | 0 |
| 2024-10-07 | Fine | $6,168 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- DOROS GENERATION TRUST U/A/D 1/3/12Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST43% · since 07/01/2019
- GPN FAMILY TRUST U/A/D 4/28/08Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST43% · since 07/01/2019
- OAKWAY OPERATIONS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST15% · since 07/01/2019
- BOKF,NAOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 03/04/2024
- RAJCHENBACH, CHAIMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2019
- SHABAT, MENACHEMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2019
- BOKF,NAOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/04/2024
- LEGACY HEALTHCARE FINANCIAL SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2019
- LOHRE, CELINAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/30/2021
- PTACEK, TRAVISIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2025
- RAJCHENBACH, CHAIMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2019
- SHABAT, MENACHEMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2019
- DOROS GENERATION TRUST U/A/D 1/3/12Organization · ADP OF THE SNFNOT APPLICABLE · since 07/01/2019
- GPN FAMILY TRUST U/A/D 4/28/08Organization · ADP OF THE SNFNOT APPLICABLE · since 07/01/2019
- LEGACY HEALTHCARE FINANCIAL SERVICES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/03/2025
- RC NORTH SD PROPERTY HOLDINGS, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 07/01/2019
- ROTH & CO, LLPOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2024
- LOHRE, CELINAIndividual · ADP OF THE SNFNOT APPLICABLE · since 08/30/2021
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.06per resident day
RN hours0.99per resident day
Weekend nurse hours2.44per resident day
Staff turnover35.4%CMS reported field
06 / LOCAL RECORDS
Open the Rapid City ledger →Other published facilities nearby
Avantara Arrowhead68 beds · CMS overall 1/546 citation rowsAvantara Mountain View101 beds · CMS overall 2/522 citation rowsAvantara Saint Cloud78 beds · CMS overall 1/520 citation rowsClarkson Health Care49 beds · CMS overall 5/56 citation rowsFountain Springs Healthcare90 beds · CMS overall 3/519 citation rowsGood Samaritan Society - St Martin Village60 beds · CMS overall 2/528 citation rowsWesthills Village Health Care Facility44 beds · CMS overall 5/511 citation rows