57.5/100
Average
1620 North 7Th Street, Rapid City, SD 57701
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
2 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$24,108 in federal fines
CMS has fined this facility across 2 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: February 20, 2026 (6 months ago).
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
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.
Actual harm to a resident
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
No actual harm, potential for more than minimal harm
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.
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
No actual harm, potential for more than minimal harm
Part of LEGACY HEALTHCARE, which operates 89 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| BOKF,NA | Organization | 5% OR GREATER SECURITY INTEREST | — |
| RAJCHENBACH, CHAIM | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| SHABAT, MENACHEM | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| BOKF,NA | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| LOHRE, CELINA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| PTACEK, TRAVIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| RAJCHENBACH, CHAIM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| SHABAT, MENACHEM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | ADP OF THE SNF | — |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | ADP OF THE SNF | — |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | ADP OF THE SNF | — |
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Avantara North holds an ElderGrade of C (57.5 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.06 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 2 of the 17 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Avantara North is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.