Avantara Saint Cloud has received an F grade based on CMS data, with a score of 19/100 — 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 3.07 total nurse hours per resident per day, Avantara Saint Cloud falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 15 deficiencies at Avantara Saint Cloud. 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 | 3.07 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.47 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.44 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.17 | 2.4 | Average |
| Weekend Total Nursing | 2.78 | 3.8 | Below Average |
| Weekend RN Hours | 0.25 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiJan 26, 2026 · Pharmacy Service Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Jan 26, 2026 · Infection Control Deficiencies
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.Jan 26, 2026 · Quality of Life and Care Deficiencies
- Tag 0600 Severity GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Aug 12, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0732 Severity EPost nurse staffing information every day.Jul 1, 2025 · Nursing and Physician Services 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 | 1.3% | 4.5% | Better |
| Falls with major injury | 6.3% | 3.0% | Worse |
| On antipsychotic medication | 55.5% | 14.5% | Worse |
| Urinary tract infections | 7.9% | 2.5% | Worse |
| ADL decline (daily activities) | 37.1% | 14.0% | Worse |
| Excessive weight loss | 3.6% | 7.5% | Better |
| New/worsened incontinence | 33.1% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $11,408
How This Grade Was Calculated
This facility's grade of F is based on a score of 19 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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