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C
Below Standard

AVANTARA ARROWHEAD

2500 ARROWHEAD DR · RAPID CITY, SD 57702

6053480285 · For profit - Limited Liability company

65 beds60 residents136 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

AVANTARA ARROWHEAD receives an overall staffing grade of C (Below Standard). With 3.2766 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.7397 HPRD, below the recommended 0.75. It is 0.62 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.73% compared to weekdays. The facility relies heavily on temporary agency staff (28.71% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2766 HPRD — needs 0.20 more hours per resident per day.
⚠️RN staffing (0.7397 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️28.71% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.2766hrs/resident/day▼ 0.62
CMS benchmark: 3.48
RN HPRD
0.7397hrs/resident/day▲ 0.06
Recommended: 0.75
Weekend Drop-off
16.73%
3.4392 weekday → 2.8639 weekend
Agency Staff
28.71%
14.63% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7902hrs/resident/day
Direct care aides
LPN HPRD
0.5657hrs/resident/day
Licensed practical nurses
Consistency
0.3874std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Pennington County Average-0.27 HPRD
3.55
03.28 HPRD
vs. South Dakota State Average-0.55 HPRD
3.83
03.28 HPRD
vs. National Average-0.62 HPRD
3.90
03.28 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
AVANTARA ARROWHEAD ★
RAPID CITY · This facility
—
C
3.27660.7397★☆☆☆☆
CLARKSON HEALTH CARE
RAPID CITY
0.5 mi
B
3.71170.7275★★★★★
AVANTARA MOUNTAIN VIEW
RAPID CITY
1.5 mi
B
3.8070.7706★★★☆☆
AVANTARA SAINT CLOUD
RAPID CITY
2.1 mi
C
3.07210.4703★☆☆☆☆
Westhills Village Health Care Facility
RAPID CITY
2.6 mi
A
4.3421.0651★★★★☆
Fountain Springs Healthcare
RAPID CITY
3.1 mi
B
3.94850.8229★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

10
Inspections
37
Total Deficiencies
$40,014
Fines Assessed
Dec 10, 2025Health
3 deficiencies cited
▼
Nov 6, 2025Health
1 deficiency cited· Includes actual harm
▼
Sep 11, 2025Health
16 deficiencies cited· Includes actual harm
▼
Jun 18, 2025Health
3 deficiencies cited
▼
Mar 26, 2025Health
2 deficiencies cited
▼
Mar 5, 2025Health
3 deficiencies cited· Includes actual harm
▼
Aug 6, 2024Health
1 deficiency cited
▼
Jul 10, 2024Health
2 deficiencies cited· Includes actual harm
▼
May 15, 2024Health
5 deficiencies cited· Includes actual harm
▼
Mar 9, 2023Health
1 deficiency cited
▼

Penalty History

Mar 5, 2025Fine
$7,968
Jul 10, 2024Fine
$8,018
Jul 10, 2024Fine
$11,333
May 15, 2024Fine
$12,695
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.