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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D11 | E4 | F2 |
| 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 | |
|---|---|---|---|---|---|---|
| Feb 20, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Feb 20, 2026 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Aug 7, 2025 | Health | Health Complaint | 5 | Actual harm | — | Open → |
| Jan 14, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jan 14, 2025 | Health | Health Complaint, Health Standard | 5 | Potential harm | — | Open → |
| Oct 7, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Sep 28, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Sep 28, 2023 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Aug 7, 2025 | Civil money penalty (fine) | $17,940 | — | 435064|Fine|138082 |
| Oct 7, 2024 | Civil money penalty (fine) | $6,168 | — | 435064|Fine|100241 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D11 | E4 | F2 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 20, 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 | Corrected Apr 6, 2026 | |
| Feb 20, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 6, 2026 | |
| Aug 7, 2025 | F-0690 |
“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 |
|---|---|---|---|---|---|---|
| Fountain Springs Healthcare 2000 Wesleyan Blvd, Rapid City, SD 57702 CCN 435110 | 1.7 km | 90 | Feb 12, 2026 | 191 IJ1 harm | $23k | |
| Avantara Mountain View 916 Mountain View Road, Rapid City, SD 57702 CCN 435040 | 3.1 km | 101 | Jul 2, 2026 | 222 harm | $39k | |
| Avantara Saint Cloud 302 St Cloud Street, Rapid City, SD 57701 CCN 435060 | 3.2 km | 78 | Mar 18, 2026 | 203 harm2 open | $39k | |
| Avantara Arrowhead 2500 Arrowhead Dr, Rapid City, SD 57702 CCN 435051Abuse icon | 5.4 km | 68 | Jun 22, 2026 | 4610 harm | $145k | |
| Good Samaritan Society - St Martin Village 4825 Jericho Way, Rapid City, SD 57702 CCN 435134 | 5.6 km | 60 | Jul 30, 2026 | 312 open | — | |
| Westhills Village Health Care Facility 255 Texas St, Rapid City, SD 57701 CCN 435033 | 5.7 km | 44 | Mar 12, 2026 | 111 harm | $8,788 | |
| Clarkson Health Care 1015 Mt View Rd, Rapid City, SD 57702 CCN 435037 | 5.8 km | 49 | Aug 13, 2026 | 51 harm | $20k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 435064 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 435064 | 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
| G · Actual harm Isolated |
| Corrected Sep 5, 2025 |
| Complaint |
| Aug 7, 2025 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 5, 2025 | Complaint |
| Aug 7, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 5, 2025 | Complaint |
| Aug 7, 2025 | F-0726 | 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. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Past non-compliance May 7, 2025 | Complaint |
| Aug 7, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 5, 2025 | Complaint |
| Jan 14, 2025 | K-0222 | 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. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted Feb 10, 2025 |
| Jan 14, 2025 | 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 Feb 28, 2025 |
| Jan 14, 2025 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Past non-compliance Jan 13, 2025 | Complaint |
| Jan 14, 2025 | F-0742 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 28, 2025 |
| Jan 14, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Feb 28, 2025 |
| Jan 14, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 28, 2025 |
| Oct 7, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Past non-compliance Sep 29, 2024 | Complaint |
| Oct 7, 2024 | 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 | D · Potential harm Isolated | Past non-compliance Sep 29, 2024 | Complaint |
| Sep 28, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 29, 2023 |
| Sep 28, 2023 | 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 Nov 12, 2023 |
| Sep 28, 2023 | F-0693 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 12, 2023 |
| Sep 28, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Nov 12, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.07 (case-mix index 1.43).
| Menachem Shabat | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2019 |
| Bokf,Na | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 4, 2024 |
| Legacy Healthcare Financial Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2019 |
| Celina Lohre | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 30, 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 |
| Bokf,Na | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Mar 4, 2024 |
| 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 | Dec 3, 2025 |
| Rc North Sd Property Holdings, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2019 |
| Roth & Co, LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
| Celina Lohre | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 30, 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 Mountain View 916 Mountain View Road, Rapid City, SD 57702 CCN 435040 | 101 | Jul 2, 2026 | 222 harm | $39k |
| 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 |