Avantara Arrowhead has received an F grade based on CMS data, with a score of 8/100 — placing it among the lowest-rated nursing facilities in South Dakota. Families considering this Rapid City facility should carefully review its inspection history and quality metrics.
With 3.27 total nurse hours per resident per day, Avantara Arrowhead falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 37 deficiencies at Avantara Arrowhead. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.27 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.74 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.57 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.97 | 2.4 | Below Average |
| Weekend Total Nursing | 2.85 | 3.8 | Below Average |
| Weekend RN Hours | 0.53 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Dec 9, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Dec 9, 2025 · Quality of Life and Care Deficiencies
- Tag 0697 Severity DProvide safe, appropriate pain management for a resident who requires such services.Dec 9, 2025 · Quality of Life and Care Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 5, 2025 · Quality of Life and Care Deficiencies
- Tag 0686 Severity GProvide appropriate pressure ulcer care and prevent new ulcers from developing.Sep 10, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.8% | 4.5% | Worse |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 35.8% | 14.5% | Worse |
| Urinary tract infections | 5.3% | 2.5% | Worse |
| ADL decline (daily activities) | 20.0% | 14.0% | Worse |
| Excessive weight loss | 6.2% | 7.5% | Better |
| New/worsened incontinence | 34.2% | 45.0% | Better |
⚠️ Penalties & Fines
4 penalties recorded by CMS
Total fines: $40,014
How This Grade Was Calculated
This facility's grade of F is based on a score of 8 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -4 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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