CareWitness
Federal record · CMS Care Compare · CCN 435064 · Processed JUN 1 2026
CareWitnessSouth DakotaRapid CityNursing HomesAvantara North

Avantara North

1620 North 7Th Street, Rapid City, SD, 57701

Type
Nursing home
Medicare/Medicaid certified · CCN 435064

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Federal Quality Data

Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.

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CMS Star Ratings

Overall3 / 5
Health inspections3 / 5
Staffing3 / 5
Quality measures3 / 5

Facility & Staffing

Ownership
For profit - Limited Liability company · Chain: Legacy Healthcare
Certified beds
68 · avg 67 residents/day
Total nursing staff turnover
34.8%lower than most South Dakota nursing homesSouth Dakota avg: 49.0% · National avg: 46.1% · per CMS Care Compare
RN turnover
10%lower than most South Dakota nursing homesSouth Dakota avg: 37.2% · National avg: 43.3% · per CMS Care Compare
Administrators who left
0 departednear the South Dakota averageSouth Dakota avg: 0.3 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
2 fines · $33,768 total

Medicare certification

CMS Certification Number
435064
Certified beds
68 beds · avg 67 residents/day
Ownership type
For profit - Limited Liability company
Continuing-care community
No

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Rc North Sd Skilled Nursing Facility Llc
Chain affiliation
Legacy Healthcare

CMS Care Compare, processing date June 1, 2026

Federal ownership record

For-profitLlc

Chain affiliation

Part of the Legacy Healthcare chain — 89 facilities across 3 states. Chain-wide average overall rating 2.9 / 5.

Disclosed owners (15 on record)

  • Legacy Healthcare Financial Services Llc

    Adp of The Snf · since 2025

  • Travis Ptacek

    Operational/managerial Control · since 2025

  • Bokf,na

    5% or Greater Security Interest · 100% · since 2024

  • Roth & Co, Llp

    Adp of The Snf · since 2024

  • Celina Lohre

    Operational/managerial Control · since 2021

  • Chaim Rajchenbach Descendants tr ua 04282008

    5% or Greater Direct Ownership Interest · 43% · since 2019

+ 9 additional owners on the federal record.

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.

Federal inspection record

17 health citations on file8 from complaints2 federal fines totalling $34K

Recent health-deficiency citations (most recent 8 of 17)

  • E0695·Feb 20, 2026

    Quality of Life and Care Deficiencies

    Provide safe and appropriate respiratory care for a resident when needed.

  • D0658·Feb 20, 2026

    Resident Assessment and Care Planning Deficiencies

    Ensure services provided by the nursing facility meet professional standards of quality.

  • E0880·Aug 7, 2025Complaint

    Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

  • D0726·Aug 7, 2025Complaint

    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.

  • D0695·Aug 7, 2025Complaint

    Quality of Life and Care Deficiencies

    Provide safe and appropriate respiratory care for a resident when needed.

  • G0690·Aug 7, 2025Complaint

    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.

  • D0628·Aug 7, 2025Complaint

    Resident Rights Deficiencies

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  • E0880·Jan 14, 2025

    Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20251 fine · $28K
  • 20241 fine · $6,168

Most recent events

  • Aug 7, 2025Fine · $28K
  • Oct 7, 2024Fine · $6,168

Largest single fine on record: $28K.

Fire-safety citations

2 Life-Safety-Code citations on file. Most recent: Jan 14, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about Avantara Northinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

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Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.