Home›South Dakota›Pennington County›AVANTARA SAINT CLOUD
C
Below Standard

AVANTARA SAINT CLOUD

302 ST CLOUD STREET · RAPID CITY, SD 57701

6053434738 · For profit - Limited Liability company

78 beds74.1 residents165 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
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 SAINT CLOUD receives an overall staffing grade of C (Below Standard). With 3.0721 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4703 HPRD, below the recommended 0.75. It is 0.82 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.53% compared to weekdays. The facility relies heavily on temporary agency staff (28.43% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0721 HPRD — needs 0.41 more hours per resident per day.
⚠️RN staffing (0.4703 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️28.43% 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 (2)

✅No days with zero registered nurse hours this quarter
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.0721hrs/resident/day▼ 0.82
CMS benchmark: 3.48
RN HPRD
0.4703hrs/resident/day▼ 0.21
Recommended: 0.75
Weekend Drop-off
12.53%
3.1849 weekday → 2.7858 weekend
Agency Staff
28.43%
14.99% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0102hrs/resident/day
Direct care aides
LPN HPRD
0.4356hrs/resident/day
Licensed practical nurses
Consistency
0.2645std 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-0.47 HPRD
3.55
03.07 HPRD
vs. South Dakota State Average-0.76 HPRD
3.83
03.07 HPRD
vs. National Average-0.82 HPRD
3.90
03.07 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 SAINT CLOUD ★
RAPID CITY · This facility
—
C
3.07210.4703★☆☆☆☆
AVANTARA MOUNTAIN VIEW
RAPID CITY
1.1 mi
B
3.8070.7706★★★☆☆
Westhills Village Health Care Facility
RAPID CITY
1.6 mi
A
4.3421.0651★★★★☆
AVANTARA NORTH
RAPID CITY
2 mi
C
3.01930.9198★★☆☆☆
AVANTARA ARROWHEAD
RAPID CITY
2.1 mi
C
3.27660.7397★☆☆☆☆
Fountain Springs Healthcare
RAPID CITY
2.5 mi
B
3.94850.8229★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
18
Total Deficiencies
$11,408
Fines Assessed
Aug 13, 2025Health
1 deficiency cited· Includes actual harm
▼
Jul 2, 2025Health
1 deficiency cited
▼
Mar 27, 2025Health
1 deficiency cited
▼
Nov 7, 2024Health
6 deficiencies cited
▼
Oct 26, 2023Health
3 deficiencies cited· Includes actual harm
▼
Aug 31, 2022Health
6 deficiencies cited
▼

Penalty History

Oct 26, 2023Fine
$11,408
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.