Avantara Saint Cloud
302 St Cloud Street, Rapid City, SD, 57701
Get the complete federal record on this facility — full background report, $249.
Order the reportFederal 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.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Legacy Healthcare
- Certified beds
- 78 · avg 70 residents/day
- Total nursing staff turnover
- 59.4% — higher than most South Dakota nursing homesSouth Dakota avg: 49.0% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 73.3% — higher than most South Dakota nursing homesSouth Dakota avg: 37.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the South Dakota averageSouth Dakota avg: 0.3 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $38,093 total
Medicare certification
- CMS Certification Number
- 435060
- Certified beds
- 78 beds · avg 70 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
- Saint Cloud Sd Skilled Nursing Facility, Llc
- Chain affiliation
- Legacy Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
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)
- Travis Ptacek
Operational/managerial Control · since 2025
- Rsm us Llp
Adp of The Snf · since 2024
- Ashaley Altena
Operational/managerial Control · since 2023
- Truist Bank
5% or Greater Security Interest · 100% · since 2022
- Chaim Rajchenbach Descendants tr ua 04282008
5% or Greater Direct Ownership Interest · 43% · since 2019
- Chaim z Rajchenbach
Operational/managerial Control · 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
Recent health-deficiency citations (most recent 8 of 17)
- D0726·Mar 18, 2026Complaint
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.
- G0580·Mar 18, 2026Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E0880·Jan 27, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0761·Jan 27, 2026
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D0695·Jan 27, 2026
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- G0600·Aug 13, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E0732·Jul 2, 2025Complaint
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- D0600·Mar 27, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Federal penalties
By year
- 20251 fine · $27K
- 20231 fine · $11K
Most recent events
- Aug 13, 2025Fine · $27K
- Oct 26, 2023Fine · $11K
Largest single fine on record: $27K.
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Jan 27, 2026. 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 Saint Cloudinto 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.
Order the full background report — $249Where 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.