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CMS CCN 435051 · For profit - Limited Liability company

AVANTARA ARROWHEAD

2500 ARROWHEAD DR, RAPID CITY, SD 57702

Overall CMS Rating

1/5

Staffing Rating

2/5
View on Medicare.gov

Near-average staffing

3.52 total HPRD vs. 3.89 national avg · 0.98 RN HPRD vs. 0.69 national avg

Staffing Hours Per Resident Per Day

3.52

Total HPRD

Nat avg 3.89

0.98

RN HPRD

Nat avg 0.69

N/A

LPN HPRD

Nat avg 0.94

2.23

CNA HPRD

Nat avg 2.27

Staffing Comparison

Bar = this facility. Markers = state avg (blue) and national avg (purple).

RN Hours/Day0.98 hr/day
State 0.72National 0.69
LPN Hours/DayN/A
State 0.82National 0.94
CNA Hours/Day2.23 hr/day
State 2.41National 2.27
Total Nursing Hours/Day3.52 hr/day
State 3.95National 3.89

Weekend Staffing

Weekend RN hours often drop 10–20% — a key quality indicator.

Weekend RN HPRD

N/A

National avg 0.48

Weekend Drop vs. Weekday

N/A

Staff Turnover

Annual staff turnover — below 30% is excellent; above 70% indicates instability.

Total Nursing Turnover

76%

National avg 52%

RN Turnover

75%

Total Turnover76%

Purple marker = national average (52%). Lower is better.

CMS Star Ratings

Overall Rating

Much below average

1/5

Health Inspection

Much below average

1/5

Staffing

Below average

2/5

Quality Measures

Below average

2/5

Facility Information

Ownership
For profit - Limited Liability company
Certified Beds
68
State
South Dakota
ZIP
57702
Last Inspection
CMS CCN
435051

Penalty & Inspection History

5 CMS fines totaling $82,863

Review full inspection reports on Medicare.gov Care Compare.

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Frequently Asked Questions

What are the staffing levels at AVANTARA ARROWHEAD?
AVANTARA ARROWHEAD reports 3.52 total nursing hours per resident per day (HPRD), including 0.98 RN hours, N/A LPN hours, and 2.23 CNA hours. The U.S. national average is 3.89 total HPRD (0.69 RN, 0.94 LPN, 2.27 CNA).
What is the CMS rating for AVANTARA ARROWHEAD?
AVANTARA ARROWHEAD holds a CMS overall rating of 1 out of 5 stars. The staffing-specific rating is 2 stars, health inspection rating is 1 stars, and quality measure rating is 2 stars. CMS ratings are updated quarterly.
How does AVANTARA ARROWHEAD compare to other South Dakota nursing homes?
The South Dakota average is 3.95 total HPRD and 0.72 RN HPRD. AVANTARA ARROWHEAD's total HPRD of 3.52 is near the state average.
What is the staff turnover rate at AVANTARA ARROWHEAD?
AVANTARA ARROWHEAD reports 76% total nursing staff turnover annually (75% RN turnover). The national average is approximately 52%. This is significantly above average; high turnover can disrupt care relationships.

Data: CMS Payroll-Based Journal (PBJ) via CMS Care Compare. Revalidated every 24 h. Not a substitute for professional medical advice.

AVANTARA ARROWHEAD Staffing Ratios — RAPID CITY, South Dakota Nursing Home (2026) | AllyKin