Avantara Arrowhead is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1991-01-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (605) 348-0285 or your local Medicaid office to verify current eligibility.

Avantara Arrowhead holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (2★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 52.8/100, placing it #13655 of 14703 facilities nationally and #92 of 97 in South Dakota. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Avantara Arrowhead receives a reported average of 3 hours 16 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 44 minutes; Licensed Practical Nurse (LPN) — 34 minutes; Nurse Aide — 1 hour 58 minutes. On weekends, total nurse staffing is 2 hours 51 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 61.9%. Families are encouraged to ask about current staffing schedules during their facility visit.

⚠️ CMS has flagged Avantara Arrowhead with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 4 fine(s) totaling $40,014. 8 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 4 fine(s) totaling $40,014, and 0 Medicare payment denial(s). Total penalties: 4. The Total Weighted Health Survey Score is 194.0 (lower scores are better). IMPORTANT: CMS has flagged this facility with an abuse icon — indicating a reported history of abuse or neglect. Families should review the full inspection report on medicare.gov/care-compare before deciding. Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Avantara Arrowhead ranks 13655th out of 14,703 facilities (composite score: 52.8/100), placing it in the bottom 25% nationwide. Within SD, it ranks 92nd out of 97 nursing homes. In Rapid City, it ranks 7th out of 8 facilities. Among facilities sharing its ZIP code, it ranks 5th of 5. For 2026 staffing: total nurse hours rank #11,340 nationally and RN hours rank #4,377 nationally (#50 in SD). Our composite quality score of 52.8/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Rapid City, visit: https://nursinghomesnearme.org/south_dakota/rapid-city/