Skilled NursingCMS verified

Avantara Saint Cloud

302 St Cloud Street, Rapid City, SD 57701 · Pennington County

Avantara Saint Cloud's friendly and experienced staff works with each guest one-on-one to address their medical needs and offer highest level of services.

1.0CMS overall rating(605) 343-4738 Visit website ↗

Use Caution

Haven Scout Score

Our composite of CMS ratings, staffing, and safety. This community rates use caution.

Photos via google places, facility website.

Availability outlook● Fills quickly

Typically 90% full (70 of 78 beds occupied on an average day).

If this community is on your shortlist, checking current openings sooner rather than later genuinely matters here.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

A low federal rating — review the details closely

Avantara Saint Cloud is a for-profit skilled nursing facility in Rapid City, SD, with 78 certified beds and an average of about 70 residents per day. It operates as part of the Legacy Healthcare network.

Medicare rates it 1 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 2/5 on health inspections, 1/5 on staffing, 2/5 on quality measures.

Staff provide about 3.35 total nurse hours per resident each day (0.52 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 59.4%, higher than the ~52% national average. On the safety record, CMS notes 7 health deficiencies at its most recent standard survey, and 2 federal fines totaling $38,093 in the recent record. Note: CMS has flagged this facility with an abuse icon. We strongly recommend reviewing the full inspection report and discussing it on any tour.

Strengths

✓Full sprinkler system

Things to ask about

•Below-average 1-star overall CMS rating
•Below-average health-inspection rating
•Below-average nurse staffing (3.35 hrs/resident/day)
•$38,093 in federal fines
•CMS abuse-citation flag — review carefully

Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated Rapid City options — our advisors can help you compare.

At a glance

Certified beds: 78
Avg. residents/day: 70
Ownership: For profit - Limited Liability company
Part of a chain: Legacy Healthcare
Continuing care: No
CMS provider #: 435060

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating

Health inspections

Staffing

Quality measures

Pricing & cost

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of care	Monthly cost	Source
Skilled Nursing	$8,440–$10,340/mo (median $9,140)	Local market estimate

2024–2026 published survey medians, state median adjusted to local Rapid City prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs

Request exact pricing for Avantara Saint Cloud →

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day: 3.35; National avg ≈ 3.9
RN hrs / resident / day: 0.52; National avg ≈ 0.75
Nursing staff turnover: 59.4%; National avg ≈ 52%

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

⚠️ This community carries a serious CMS flag (abuse citation). We recommend reviewing the full inspection report and raising it directly on any tour.

Health deficiencies (last survey): 7
Federal fines: 2 ($38,093)
Total penalties: 2
Last standard survey: 2026-01-27
Sprinkler system: Yes
Resident & family council: None

What inspectors found

The most recent findings from federal health inspections (17 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2026-03-18Severity G — actual harmFrom a complaintResident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2026-03-18Severity D — potential for harmFrom a complaintNursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

2026-01-27Severity E — potential for harmPharmacy Service Deficiencies

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, compar…

2026-01-27Severity E — potential for harmInfection Control Deficiencies

Provide and implement an infection prevention and control program.

2026-01-27Severity D — potential for harmQuality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

2025-08-13Severity G — actual harmFrom a complaintFreedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2025-07-02Severity E — potential for harmFrom a complaintNursing and Physician Services Deficiencies

Post nurse staffing information every day.

2025-03-27Severity D — potential for harmFrom a complaintFreedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Penalty history

Federal fines and Medicare/Medicaid payment denials on record.

Date	Type	Amount
2025-08-13	Fine	$26,685
2023-10-26	Fine	$11,408

Services & amenities

✓ Full automatic sprinkler system
✓ Medicare & Medicaid certified
✓ 24-hour licensed nursing
✓ On-site rehabilitation therapy
✓ Memory care
✓ On-site salon / barber
✓ Daily activities & events
✓ Gardens / walking paths

Location

302 St Cloud Street, Rapid City, SD

Monday: Open 24 hours
Tuesday: Open 24 hours
Wednesday: Open 24 hours
Thursday: Open 24 hours
Friday: Open 24 hours
Saturday: Open 24 hours
Sunday: Open 24 hours

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Google

4.4

20 reviews →

Verified family reviews

No verified family reviews yet for Avantara Saint Cloud.

Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.

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Common questions about Avantara Saint Cloud

How much does Avantara Saint Cloud cost?

Avantara Saint Cloud does not publish exact rates. Comparable skilled nursing in the Rapid City, SD area typically runs $8,440–$10,340 per month (median $9,140, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

What is Avantara Saint Cloud's Medicare rating?

Medicare (CMS) rates Avantara Saint Cloud 1 out of 5 stars overall, including 2/5 for health inspections, 1/5 for staffing, 2/5 for quality measures. The national average is about 3 stars.

How is the staffing at Avantara Saint Cloud?

Staff provide about 3.35 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 59.4% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.

What did inspectors find at Avantara Saint Cloud?

Avantara Saint Cloud has 17 health citations on its recent federal inspection record (last standard survey: 2026-01-27). The full citation-by-citation detail, with severity levels, is published on this page.

Does Avantara Saint Cloud have availability?

Typically 90% full (70 of 78 beds occupied on an average day). Availability changes weekly — a Haven advisor can confirm current openings at no cost.

What types of care does Avantara Saint Cloud offer?

Avantara Saint Cloud in Rapid City, SD offers skilled nursing and is licensed for 78 beds.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Rapid City.
The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.

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Your next steps — this week

1
Confirm the fit
Check the inspection record and staffing data on this page against your loved one's needs.
2
Get exact pricing & availability
Request current rates for Avantara Saint Cloud — takes one minute, answered same day.
3
Tour 2–3 communities
Compare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
4
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