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Nursing HomeMedicaid

Avantara North

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1620 North 7th Street, Rapid City, SD 5770168 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 26 Google reviews

5
4
3
2
1
Avantara North Nursing Home in Rapid City, SD — Street View
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What this means for your family

Avantara North is highly regarded for its compassionate nursing care and clean environment, making it a strong candidate for long-term or hospice needs. However, families should be aware of potential communication hurdles, such as difficulty reaching staff by phone, and should verify current staffing levels during their tour.

Google Reviews

Google Reviews

26 reviews on Google
Avantara North receives high praise from many families for its compassionate nursing staff and dedicated care, particularly in hospice and long-term settings. However, some reviewers have expressed significant frustration regarding administrative communication, staffing shortages, and inconsistencies in food quality.

Quality Themes

Tap a score for details
Food6.0Staff9.0Clean10.0Activities9.0MedsN/AMemory10.0Comms3.0Value2.0

Strengths

  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Engaging resident activities and events
  • Strong leadership and management

Concerns

  • Difficulty reaching staff via phone (mentioned by 2 reviewers)
  • Staffing shortages and high turnover (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.02020(1)4.72021(13)1.02022(1)1.02023(1)5.02024(7)4.22025(5)5.02026(1)

Distribution · 29 analyzed

5
24
4
0
3
0
2
0
1
5

How They Respond to Reviews

85%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that you are very active in responding to feedback online; how do you use that family input to improve the daily experience for residents?
  • 2With a capacity of 68 residents, what is your current strategy for ensuring consistent communication with families when they call to check in?
  • 3Given the recent focus on staffing stability, what steps is the leadership team taking to ensure that residents receive consistent, attentive care throughout the week?
  • 4I see that you have a strong reputation for resident activities; could you share what a typical week of programming looks like for someone who enjoys social interaction?
  • 5How does your nursing team coordinate with local medical providers to handle urgent health changes or emergencies for residents?
  • 6With the facility maintaining a clean and well-kept environment, how do you balance those high standards with the current staffing levels to ensure residents' needs are always met promptly?

Personalized based on this facility's data


Key Review Excerpts

My mom lived at Avantara North for over 3 years and when she passed away it was in the arms of one of her caregivers who loved her like she was family.

Long-term resident's family · 2024★★★★★

From the moment he arrived to the day he died- my sister and I felt he received excellent care. The nurses and the staff seemed to genuinely care.

Hospice family member · 2024★★★★★

It is a beautiful, clean facility, and smelled very fresh. We were greeted by friendly staff in every department we toured during our visit.

Prospective family member · 2025★★★★★
Source: 26 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.99hrs
OK
Registered nurses for medical care
Total Nursing
2.95hrs
72%
All nurses + aides combined
Staff Turnover
35%
Lower is better (< 30% = good)
RN Turnover
10%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

9

measures

Worse Than Avg

6

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility36.1%
Worse than Avg
Here
36.1%
US
15.3%
SD
20.2%
Pennington
23.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility33.5%
Worse than Avg
Here
33.5%
US
14.4%
SD
21.4%
Pennington
21.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.9%
Better than Avg
Here
10.9%
US
15.5%
SD
24.5%
Pennington
25.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility17.8%
Better than Avg
Here
17.8%
US
19.4%
SD
25.6%
Pennington
28.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.2%
Better than Avg
Here
2.2%
US
12.1%
SD
5.3%
Pennington
5.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility95.5%
Better than Avg
Here
95.5%
US
93.4%
SD
95.2%
Pennington
88.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility86.1%
Better than Avg
Here
86.1%
US
79.8%
SD
78.2%
Pennington
65.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility74.5%
Mixed vs Avgs
Here
74.5%
US
81.8%
SD
82.7%
Pennington
66.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
SD
1.9%
Pennington
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
2penalties
Above state avg (6.8)
8 complaint-triggered
$6,168 in fines

Families have filed multiple complaints triggering 8 deficiencies, indicating ongoing concerns about care quality and safety at this facility. The most frequent issues involve infection control, resident protection from abuse and neglect, and dietary services. While most deficiencies show correction dates, the pattern of repeated problems in infection control and multiple complaints about resident protection suggest persistent care challenges that families should carefully evaluate.

Feb 20, 2026Routine
2
0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Aug 7, 2025Complaint
5
0690Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0726Potential for harm · IsolatedResolved (past non-compliance)

Nursing 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.

Jan 14, 2025Complaint
1
0604Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Jan 14, 2025Routine
5
0804Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0222Potential for harm · Pattern

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0742Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Oct 7, 2024Complaint
2
0600Actual harm · IsolatedResolved (past non-compliance)

Freedom 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.

0609Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Sep 28, 2023Routine
4
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Federal Penalties

Fine

Aug 7, 2025

$27,600

Fine

Oct 7, 2024

$6,168

Ownership & Operations

Who Operates This Facility

Owner / Operator

Avantara North

Organization Type

for profit

Chain Affiliation

Chain Name

Legacy Healthcare

Chain Size

89 facilities nationwide

Chain avg rating: 3.0/5 · Rank 65 of 89

Ownership & Management

Owners

Doros Generation Trust U/a/d 1/3/12

Owner · Organization

43%

Gpn Family Trust U/a/d 4/28/08

Owner · Organization

43%

Oakway Operations LLC

Owner · Organization

15%

Key personnel

Bokf,na5% or Greater Security InterestRajchenbach, ChaimManaging Control - Governing BodyShabat, MenachemManaging Control - Governing BodyBokf,naManagerLegacy Healthcare Financial Services LLCManager
Source: Medicare provider data

Contact

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References & Resources

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