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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D9 | E11 | F· |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 2, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 14, 2026 | Health | Health Complaint | 5 | Actual harm | — | Open → |
| Jan 6, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jan 6, 2026 | Health | Health Complaint, Health Standard | 5 | Potential harm | — | Open → |
| Dec 12, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Dec 12, 2024 | Health | Health Complaint, Health Standard | 8 | Potential harm | — | Open → |
| May 15, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Aug 23, 2023 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Aug 23, 2023 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 14, 2026 | Civil money penalty (fine) | $29,295 | — | 435040|Fine|144184 |
| May 15, 2024 | Civil money penalty (fine) | $9,318 | — | 435040|Fine|100211 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D9 | E11 | F· |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 2, 2026 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Past non-compliance | Complaint |
| May 14, 2026 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 12, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
96 facilities in 4 states. CMS chain ID 306.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Doros Generation Trust U/a/D 1/3/12 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 43% | Jul 1, 2019 |
| Gpn Family Trust U/a/D 4/28/08 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 43% | Jul 1, 2019 |
| Oakway Operations LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | Jul 1, 2019 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Doros Generation Trust U/a/D 1/3/12 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 43% | Jul 1, 2019 |
| Gpn Family Trust U/a/D 4/28/08 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 43% | Jul 1, 2019 |
| Oakway Operations LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | Jul 1, 2019 |
| Chaim Rajchenbach | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2019 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Avantara Milbank 1103 South Second Street, Milbank, SD 57252 CCN 435009 | 55 | Jul 9, 2026 | 398 harm | $126k | |
| Avantara Huron 1345 Michigan Avenue SW, Huron, SD 57350 CCN 435020 | 119 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Avantara Saint Cloud 302 St Cloud Street, Rapid City, SD 57701 CCN 435060 | 1.7 km | 78 | Mar 18, 2026 | 203 harm2 open | $39k | |
| Avantara Arrowhead 2500 Arrowhead Dr, Rapid City, SD 57702 CCN 435051Abuse icon | 2.4 km | 68 | Jun 22, 2026 | 4610 harm | $145k | |
| Clarkson Health Care 1015 Mt View Rd, Rapid City, SD 57702 CCN 435037 | 2.9 km | 49 | Aug 13, 2026 | 51 harm | $20k | |
| Fountain Springs Healthcare 2000 Wesleyan Blvd, Rapid City, SD 57702 CCN 435110 | 3 km | 90 | Feb 12, 2026 | 191 IJ1 harm | $23k | |
| Avantara North 1620 North 7th Street, Rapid City, SD 57701 CCN 435064 | 3.1 km | 68 | Feb 20, 2026 | 192 harm | $24k | |
| Westhills Village Health Care Facility 255 Texas St, Rapid City, SD 57701 CCN 435033 | 3.9 km | 44 | Mar 12, 2026 | 111 harm | $8,788 | |
| Good Samaritan Society - St Martin Village 4825 Jericho Way, Rapid City, SD 57702 CCN 435134 | 5.1 km | 60 | Jul 30, 2026 | 312 open | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 435040 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 435040 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| May 14, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 11, 2026 | Complaint |
| May 14, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 12, 2026 | Complaint |
| May 14, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Past non-compliance May 11, 2026 | Complaint |
| May 14, 2026 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 12, 2026 | Complaint |
| Jan 6, 2026 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 17, 2026 |
| Jan 6, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 17, 2026 |
| Jan 6, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 17, 2026 |
| Jan 6, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Past non-compliance Jan 1, 2026 | Complaint |
| Jan 6, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 17, 2026 |
| Dec 12, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 25, 2025 |
| Dec 12, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 25, 2025 |
| Dec 12, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Past non-compliance Oct 29, 2024 | Complaint |
| Dec 12, 2024 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 25, 2025 |
| Dec 12, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 25, 2025 |
| Dec 12, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 25, 2025 |
| Dec 12, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 25, 2025 |
| Dec 12, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 25, 2025 |
| May 15, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Past non-compliance May 5, 2024 | Complaint |
| Aug 23, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 6, 2023 |
| Aug 23, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 6, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.72 (case-mix index 1.42).
| Menachem Shabat | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2019 |
| Legacy Healthcare Financial Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2019 |
| Truist Bank | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2022 |
| Laura Karlson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 26, 2021 |
| Travis Ptacek | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Chaim Rajchenbach | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2019 |
| Menachem Shabat | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2019 |
| Cibc Bank USA | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Jul 1, 2019 |
| Mountain View Sd Property Holdings, LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Jul 1, 2019 |
| Truist Bank | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Apr 1, 2022 |
| Doros Generation Trust U/a/D 1/3/12 | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2019 |
| Gpn Family Trust U/a/D 4/28/08 | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2019 |
| Legacy Healthcare Financial Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 10, 2025 |
| Mountain View Sd Property Holdings, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2019 |
| Rsm US LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
| Laura Karlson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 26, 2021 |
| Travis Ptacek | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Chaim Rajchenbach | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2019 |
| Menachem Shabat | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2019 |
| Jun 24, 2026 |
281 IJ4 harm |
| $29k |
| Avantara Norton 3600 South Norton Avenue, Sioux Falls, SD 57105 CCN 435039SFFAbuse icon | 110 | Not rated | Mar 31, 2026 | 761 IJ18 harm3 open | $284k |
| Avantara Pierre 950 East Park Street, Pierre, SD 57501 CCN 435047Abuse icon | 65 | Aug 6, 2026 | 393 harm | $40k |
| Avantara Groton 1106 North Second Street, Groton, SD 57445 CCN 435048 | 37 | Dec 11, 2025 | 281 harm | $6,168 |
| Avantara Arrowhead 2500 Arrowhead Dr, Rapid City, SD 57702 CCN 435051Abuse icon | 68 | Jun 22, 2026 | 4610 harm | $145k |
| Avantara Redfield 1015 Third Street East, Redfield, SD 57469 CCN 435054 | 58 | Jan 28, 2026 | 233 harm | $23k |
| Avantara Clark City 201 8th Avenue NW, Clark, SD 57225 CCN 435058 | 35 | Jan 8, 2026 | 181 harm | $11k |