All 8 Medicare-certified nursing homes in Rapid City,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Clarkson Health Care runs on 4.20 nurse hours per resident day, roughly 9% above the national average, and its staff turnover of 34% sits well below the 45.8% norm, two signs of a stable, adequately covered floor. The catch is weekends, when staffing drops about 18% below its own weekday level, so care may look different on a Saturday than a Tuesday. Six deficiencies on record include one at the harm level, though none involve abuse, and the most recent inspection came in July 2025. As a nonprofit with 49 beds, it has the size and structure to keep an eye on those weekend gaps.
Westhills Village runs about 3.70 nurse hours per resident day, a bit under the national average of 3.86, and weekends drop roughly 17% below its own weekday coverage, that gap matters most when a family member needs help on a Saturday. The inspection record is otherwise solid: a 4-out-of-5 health inspection rating, a recent survey from March 2026, and one fine of $8,788. But 11 deficiencies sit on the current record, including one at the harm level and two tied to abuse, and staff turnover of 46.2% is essentially the national rate. For a 44-bed nonprofit, that mix of good routine oversight and a few serious findings is what holds the grade at a B.
Good Samaritan Society's St Martin Village runs 60 certified beds in Rapid City under nonprofit ownership, and its staffing numbers are a mixed picture. Nurses provide 3.73 hours per resident day, about 3% under the national average, and weekend coverage drops roughly 16% below what the home staffs on weekdays, so the hours get thinnest exactly when families tend to visit. Annual turnover sits at 60% against a 45.8% national figure, meaning most of the aides and nurses at the bedside are relatively new.
The inspection record is the other thing to weigh. State surveyors last visited in March 2025 and logged 19 deficiencies, none serious enough to cause harm or put anyone in immediate jeopardy, though two are abuse-related, worth asking about directly.
Fountain Springs runs 90 certified beds in Rapid City under for-profit limited liability ownership, and the nurse staffing numbers sit slightly under the national mark, 3.79 hours per resident day against 3.86. That gap is small, but weekend coverage drops about 11% below weekday levels, and turnover hits 53.7% compared to 45.8% nationally, meaning the faces around a resident change more often than at the typical home.
The inspection record shows 18 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with $22,526 in fines across two penalties. The most recent inspection was December 9, 2025, so the picture is current.
Avantara Mountain View runs 101 certified beds in Rapid City under for-profit LLC ownership, and its nurse staffing sits at 3.61 hours per resident day, roughly 7% under the national average of 3.86. Weekends thin out further, running about 15% below the home's own weekday coverage, so the hours a resident gets on a Saturday look different from a Tuesday. Turnover is 41.4%, a bit better than the 45.8% national figure, which matters because familiar aides tend to notice changes sooner. The inspection record is where the concern concentrates: 21 deficiencies, two at harm or jeopardy level, one abuse-related, and a $9,318 fine. The most recent inspection was January 6, 2026.
Avantara North runs about 3.06 nursing hours per resident per day, roughly a fifth below the national average, and weekends drop further, about 20% under its own weekday baseline, which is when families tend to visit and notice. Staff turnover sits at 35.4%, better than the 45.8% national figure, so the people who are there tend to stay. The current record carries 17 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, with $24,108 in fines across two penalties. The last inspection was February 2026. For-profit, LLC-owned, 68 beds.
Avantara Saint Cloud runs a 78-bed for-profit home in Rapid City under an LLC, and the numbers raise real questions. Nurse staffing sits at 3.12 hours per resident day, about 19% under the national average of 3.86, and weekends drop roughly another 9% below the home's own weekday coverage, so the thinnest shifts land when families often visit. Staff turnover is 57.3% against a national 45.8%, meaning more than half the nursing team turns over in a year. On the current record: 17 deficiencies, three at harm or jeopardy level, two tied to abuse, and $24,751 in fines. The most recent inspection was January 2026.
Avantara Arrowhead runs on 3.52 nursing hours per resident day, about 9% under the national average, and weekends dip roughly 7% below its own weekday staffing. That thin coverage sits alongside a 76.1% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses at the bedside are frequently new. The current inspection record shows 37 deficiencies, nine of them serious enough to cause harm or jeopardy, four tied to abuse, and five fines totaling $82,863, with the last inspection in September 2025. For-profit, LLC-owned, 68 beds. The pattern across staffing, turnover, and inspection history is what drives the low marks.