Avantara North
Rapid City, Pennington County, South Dakota · CCN 435064 · For-profit (LLC) · part of Legacy Healthcare (89 facilities, chain average 2.9 stars)
CMS rates Avantara North 3 of 5 overall as of August 2026. 68 certified beds, 66 residents a day on average. 17 citations on record from the current inspection cycles, 2 involving actual harm; 2 fines totalling $24,108.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 2 / 2 of 5 |
Staffing
| Total nurse staffing | 3.05557 hours per resident per day |
|---|---|
| Registered nurses | 0.9852 hours per resident per day |
| Weekend total | 2.44022 hours per resident per day |
| Nursing staff turnover | 35.4% (registered nurses 9.1%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-02-20 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-04-06 |
| 2026-02-20 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-04-06 |
| 2025-08-07 complaint survey |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-09-05 |
| 2025-08-07 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-09-05 |
| 2025-08-07 complaint survey |
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-05 |
| 2025-08-07 complaint survey |
Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-05 |
| 2025-08-07 complaint survey |
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 · tag F0726 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2025-05-07 |
| 2025-01-14 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-02-28 |
| 2025-01-14 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-02-28 |
| 2025-01-14 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-28 |
| 2025-01-14 complaint survey |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2025-01-13 |
| 2025-01-14 | 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 · tag F0742 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-28 |
| 2024-10-07 complaint survey |
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 · tag F0600 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance 2024-09-29 |
| 2024-10-07 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2024-09-29 |
| 2023-09-28 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-11-12 |
| 2023-09-28 | 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 · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-12 |
| 2023-09-28 | 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 · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-12 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-07 | Fine | $17,940 |
| 2024-10-07 | Fine | $6,168 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Doros Generation Trust U/A/D 1/3/12 Organization | 5% or greater direct ownership interest | 43% | 2019-07-01 |
| Gpn Family Trust U/A/D 4/28/08 Organization | 5% or greater direct ownership interest | 43% | 2019-07-01 |
| Oakway Operations LLC Organization | 5% or greater direct ownership interest | 15% | 2019-07-01 |
| Bokf,Na Organization | 5% or greater security interest | — | 2024-03-04 |
| Doros Generation Trust U/A/D 1/3/12 Organization | adp of the snf | — | 2019-07-01 |
| Gpn Family Trust U/A/D 4/28/08 Organization | adp of the snf | — | 2019-07-01 |
| Legacy Healthcare Financial Services LLC Organization | adp of the snf | — | 2025-12-03 |
| Rc North Sd Property Holdings, LLC Organization | adp of the snf | — | 2019-07-01 |
| Roth & Co, LLP Organization | adp of the snf | — | 2024-01-01 |
| Bokf,Na Organization | operational/managerial control | — | 2024-03-04 |
| Legacy Healthcare Financial Services LLC Organization | operational/managerial control | — | 2019-07-01 |
| Lohre, Celina Individual | adp of the snf | — | 2021-08-30 |
| Ptacek, Travis Individual | adp of the snf | — | 2025-01-01 |
| Rajchenbach, Chaim Individual | adp of the snf | — | 2019-07-01 |
| Shabat, Menachem Individual | adp of the snf | — | 2019-07-01 |
| Rajchenbach, Chaim Individual | managing control - governing body | — | 2019-07-01 |
| Shabat, Menachem Individual | managing control - governing body | — | 2019-07-01 |
| Lohre, Celina Individual | operational/managerial control | — | 2021-08-30 |
| Ptacek, Travis Individual | operational/managerial control | — | 2025-01-01 |
| Rajchenbach, Chaim Individual | operational/managerial control | — | 2019-07-01 |
| Shabat, Menachem Individual | operational/managerial control | — | 2019-07-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Avantara North.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Pennington County.