Avantara Saint Cloud
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 20 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (6 vs median 5.0)
- High staff turnover (53%)
- High RN turnover (67%)
Bottom 25% in SD · Below recommended RN staffing · Worst in LEGACY HEALTHCARE chain · $11,408 in fines · Abuse citation
What this means for your family
While the facility is highly regarded for its rehabilitation and memory care programs, the reports of inconsistent oversight during critical end-of-life care are concerning. We strongly recommend that families maintain active involvement and frequent communication with the nursing team to ensure all care needs are being met.
Google Reviews
Google Reviews
20 reviews on Google“Avantara Saint Cloud receives highly polarized feedback, with many reviewers praising the staff's kindness and the facility's therapy programs. However, serious concerns have been raised regarding the quality of end-of-life care and the necessity for family members to be hyper-vigilant to ensure proper oversight of their loved ones' needs.”
Quality Themes
Tap a score for detailsStrengths
- Kind and attentive nursing staff
- Effective rehabilitation and therapy services
- Supportive Alzheimer’s and dementia programs
- Friendly and professional atmosphere
Concerns
- Inadequate end-of-life care and oversight (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 22 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed you are very active in responding to feedback online; how do you incorporate that family input into your daily operations and care planning?
- 2With the current staffing levels, could you walk me through how you ensure consistent, one-on-one attention for residents throughout the day?
- 3I’ve read positive things about your rehabilitation services; how do you integrate those therapy programs into the daily routines of residents who aren't in active recovery?
- 4When a resident’s health needs shift toward end-of-life care, what specific protocols and oversight measures do you have in place to ensure they remain comfortable and supported?
- 5Given the recent health inspection findings, what specific steps has the leadership team taken to address those areas and improve the overall quality of care?
- 6What does a typical day look like for residents in your Alzheimer’s and dementia program, and how do you tailor those activities to different levels of cognitive ability?
Personalized based on this facility's data
Key Review Excerpts
“This facility has the best staff. They look out for residents. They seem to care deeply about their comfort and care.”
“Wonderful facility specializing in programs for Alzheimer’s and Dementia care. Support groups and hands on education provided to assist families!”
“I liked the staff but totally lacking in care for end of life and well being of patients. Was a total nightmare at times and in the end of her life we were totally traumatized by how things were handled.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 15 measures
4
measures
11
measures
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has recurring serious concerns, with families filing four complaint-triggered reports that led to deficiencies including repeated abuse and neglect violations. The most problematic areas are resident protection from abuse/neglect, infection control, and quality of care issues including wound care and mental health services. While many past issues show corrections, recent violations from January 2025 in medication management and infection control suggest ongoing challenges with basic safety protocols.
Mar 18, 2026Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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 27, 2026Routine4
Pharmacy 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, compartments for controlled drugs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Aug 13, 2025Complaint1
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.
Jul 2, 2025Complaint1
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Mar 27, 2025Complaint1
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.
Nov 7, 2024Routine7
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Federal Penalties
Fine
Aug 13, 2025
$26,685
Fine
Oct 26, 2023
$11,408
Ownership & Operations
Who Operates This Facility
Avantara Saint Cloud
for profit
Chain Affiliation
Legacy Healthcare
89 facilities nationwide
Chain avg rating: 3.0/5 · Rank 81 of 89 (Worst)
Ownership & Management
Owners
Doros Generation Trust U/a/d 1/3/12
Owner · Organization
Gpn Family Trust U/a/d 4/28/08
Owner · Organization
Oakway Operations LLC
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
20 reviews from families & visitors
Official Website
Visit avantarasaintcloud.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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Avantara Arrowhead
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