AVANTARA ARROWHEAD

CMS abuse icon · CCN 435051 · ARROWHEAD SD SKILLED NURSING FACILITY LLC · For profit - Limited Liability company · LEGACY HEALTHCARE chain · 68 certified beds · Pennington · SD


AVANTARA ARROWHEAD is a 68-bed nursing home in RAPID CITY, South Dakota. CMS has certified it for Medicare and Medicaid since 1991-01-01. It averages 59.3 residents a day.

What harm was found in the violations cited at AVANTARA ARROWHEAD?

CMS lists 45 health-inspection deficiencies for AVANTARA ARROWHEAD, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-22.

Survey dateTagDeficiencySeverity
2026-06-22F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2026-06-22F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F
2026-06-22F0554, F0600, F0658, F0880Allow residents to self-administer drugs if determined clinically appropriate. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide and implement an infection prevention and control program.E
2026-06-22F0550, F0688, F0695Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide safe and appropriate respiratory care for a resident when needed.D
2025-12-10F0609, F0684, F0697Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate pain management for a resident who requires such services.D
2025-11-06F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-09-11F0684, F0686, F0689, F0697Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services.G
2025-09-11F0695, F0759, F0812, F0880Provide safe and appropriate respiratory care for a resident when needed. / Ensure medication error rates are not 5 percent or greater. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2025-09-11F0554, F0578, F0583, F0645, F0657, F0699, F0745, F0842Allow residents to self-administer drugs if determined clinically appropriate. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Keep residents' personal and medical records private and confidential. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care or services that was trauma informed and/or culturally competent. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-06-18F0600, F0760Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that residents are free from significant medication errors.E
2025-06-18F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D
2025-03-26F0600, F0684Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2025-03-05F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2025-03-05F0658, F0678Ensure services provided by the nursing facility meet professional standards of quality. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.D
2024-08-06F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-07-10F0600, F0686Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2024-05-15F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G
2024-05-15F0658, F0760, F0761, F0880Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that residents are free from significant medication errors. / Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Provide and implement an infection prevention and control program.D

Why was AVANTARA ARROWHEAD fined 6 times?

DateTypeAmount
2025-11-06Fine$70,720
2025-09-11Fine$42,705
2025-03-05Fine$8,112
2024-07-10Fine$11,333
2024-07-10Fine$8,018
2024-05-15Fine$12,695

How is AVANTARA ARROWHEAD staffed relative to the SD average?

MeasureThis facilitySD average
Total nurse staffing hours per resident per day3.522783.78948
Total nursing staff turnover (%)76.148.2
Average number of residents per day59.352.1

Who owns AVANTARA ARROWHEAD, and what chain is it in?

AVANTARA ARROWHEAD is registered with CMS as For profit - Limited Liability company, operates under the legal business name ARROWHEAD SD SKILLED NURSING FACILITY LLC and belongs to the LEGACY HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTDOROS GENERATION TRUST U/A/D 1/3/12, GPN FAMILY TRUST U/A/D 4/28/08, OAKWAY OPERATIONS LLCsince 07/01/2019
5% OR GREATER SECURITY INTERESTARROWHEAD SD PROPERTY HOLDINGS, LLC, TRUIST BANKsince 04/01/2022
MANAGING CONTROL - GOVERNING BODYRAJCHENBACH, CHAIM, SHABAT, MENACHEMsince 07/01/2019
OPERATIONAL/MANAGERIAL CONTROLLEGACY HEALTHCARE FINANCIAL SERVICES LLC, TRUIST BANK, MARTIN, SHARON, PTACEK, TRAVIS, RAJCHENBACH, CHAIM, SHABAT, MENACHEMsince 01/01/2025
ADP OF THE SNFARROWHEAD SD PROPERTY HOLDINGS, LLC, DOROS GENERATION TRUST U/A/D 1/3/12, GPN FAMILY TRUST U/A/D 4/28/08, LEGACY HEALTHCARE FINANCIAL SERVICES LLC, RSM US LLP, MARTIN, SHARON, PTACEK, TRAVIS, RAJCHENBACH, CHAIM, SHABAT, MENACHEMsince 01/01/2024

Were you or a family member harmed at AVANTARA ARROWHEAD?