Home / South Dakota / Rapid City
2500 Arrowhead Dr, Rapid City, SD 57702 · Pennington County · (605) 348-0285
68 certified beds, about 59 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 435051 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 22, 2026, inspectors cited 4 health deficiencies (the South Dakota average is 6.7, the national average 9.2).
Of 45 health citations since May 2024, 10 were rated as actual harm or immediate jeopardy to residents.
CMS lists 6 fines totaling $153,583 in the last three years; the largest was $70,720, and the latest is dated November 6, 2025.
Nurses and nurse aides worked 3.52 hours per resident per day, against 3.79 across South Dakota and 3.86 nationally. Registered nurses accounted for 0.98 of those hours.
76.1% of nursing staff left within the year CMS measured (South Dakota average 48.2%).
CMS links it to Legacy Healthcare, an affiliated group of 95 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 45 health citations on file.
Inspectors wroteA. Based on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), interview, record review, and policy review, the provider failed to ensure physician's orders were entered in one of one resident's (57) electronic medical record (EMR) and implemented to mitigate that resident's risk for hospitalization. This citation is considered past non-compliance based on a review of the corrective actions the provider implemented following the incident.
Inspectors wroteBased on South Dakota Department of Health (SD DOH) facility-reported incidents (FRI), record review, and interview, the provider failed to ensure an effective, comprehensive quality assurance and performance improvement (QAPI) program was implemented to track and measure performance; systematically analyze underlying causes of a systemic quality deficiency; develop and implement corrective actions or performance improvement activities; and evaluate the effectiveness of the corrective actions, and to revise those actions as needed.
Inspectors wroteBased on observation, interview, record review, and policy review the provider failed to ensure:*Resident's medication self-administration assessment was completed, and a physician's order was obtained for two of two sampled resident (63 and 43) who was not assessed to determine her ability to safely self-administer her medications or had a physician's order to self-administer those medications.*Resident's medication were not stored in a bedside lockbox for two of two sampled residents (10 and 43) per facility policy and self-administration evaluations.
Inspectors wroteA. Based on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), observation, interview, and record review, the provider failed to ensure one of one resident (56) was provided timely incontinence (involuntary urine or bowel leakage) care by one of one certified nurse aide (CNA) (KK). This citation is considered past non-compliance based on a review of the corrective actions the provider implemented following the incident.
Inspectors wroteA. Based on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), record review, and interview, the provider failed to adhere to professional nursing standards of practice to ensure one of one resident's (99) pain medication was administered according to the physician's order by one of one licensed practical nurse (LPN) (H). This citation is considered past non-compliance based on a review of the corrective actions the provider implemented following the incident.
Inspectors wroteBased on observations, interviews, and policy review, the provider failed to ensure one of five certified nurse aide (CNA) (GG) wiped down a mechanical lift after resident use with disinfectant, two of five CNAs (L and GG) performed hand hygiene after resident cares or before putting on personal protective equipment (PPE), three of five CNAs (U, L, and S) had access to and could state how to use PPE per facility policy, and two of five CNAs (FF and L) maintained clean resident personal hygiene items in two of two sampled whirlpool rooms.
Inspectors wroteBased on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), interview, and record review, the provider failed to ensure that one of one resident's (62) preference for incontinence care was observed by one of one certified nurse aide (CNA) (Y). This citation is considered past non-compliance based on a review of the corrective actions the provider implemented following the incident.
Inspectors wroteBased on observation, interview, and record review, the provider failed to ensure that services were provided to improve or maintain the range of motion for one of three sampled residents (37), who developed a contracture (a permanent tightening or shortening of muscles, tendons, skin, or other tissues that causes joints to become stiff) of her left hand while residing in the facility, did not receive therapy services in the past 12 months, a physician's order was in place for staff to follow regarding resident 37's brace management and use, and the care plan included goals and interventions to address resident 37's left-hand contracture and brace use.
Inspectors wroteBased on observation, interview, record review, policy review, and manufacturer's user guide review, the provider failed to ensure infection control practices were followed for the cleaning of a continuous positive airway pressure (CPAP) machine for one of one sampled resident (34).
Inspectors wroteBased on the South Dakota Department of Health (SD DOH) facility-reported incident (FRI), interviews, and record review, the provider failed to ensure two of two registered nurses (RN) (D and E) had reported allegations of suspected abuse for two of two sampled residents (1 and 2). This citation is considered past non-compliance based on a review of the corrective actions the provider implemented following the incident.
Inspectors wroteBased on the South Dakota Department of Health (SD DOH) facility-reported incident (FRI), interview, and record review, the provider failed to ensure:*One of one agency certified nursing assistant (CNA) (O) followed the care plan regarding cares in pairs for one of one sampled resident (3).*One of one CNA (G) followed the care plan regarding the correct transfer device for one of one sampled resident (4), which resulted in a fall. This citation is considered past non-compliance based on a review of the corrective actions the provider implemented following the incident.
Inspectors wroteBased on the South Dakota Department of Health (SD DOH) facility-reported incident (FRI), complaint intake form, interview, record review, and policy review, the provider failed to ensure adequate pain management for one of one sampled resident (5) who consistently voiced concerns regarding unmanaged pain and the lack of staff response to her request for pain medication. This citation is considered past non-compliance based on a review of the corrective actions the provider implemented following the incident.
Inspectors wroteBased on South Dakota Department of Health (SD DOH) facility-reported incident (FRI) reviews, interviews, record review, and policy review, the provider failed to ensure the safety of three of eight sampled residents (1, 2, and 3) who had incidents of falls related to equipment use between 9/11/25 and 11/5/25. The manufacturer's instructions and policies for safe use of the resident care equipment had not been followed by the staff.
Inspectors wroteBased on record review, interview, and policy review, the provider failed to ensure quality care by not promptly implementing physician-ordered treatments for one of one sampled resident (69) with a physician-ordered negative pressure wound (NPWT) and antibiotic medication treatment.
Inspectors wroteBased on observation, interview, record review, and policy review the provider failed to identify and implement pressure ulcer (skin and/or underlying tissue injury due to prolonged pressure) preventative interventions for residents identified at risk for developing pressure ulcers for:*One of one sampled resident (31) who developed a pressure ulcer to her right heel, left upper buttocks, and left foot.*One of one sampled resident (11) who developed a pressure ulcer to his left lower and left upper buttocks.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure: Interventions were implemented or updated to mitigate falling incidents for one of one sampled resident (14) identified at risk for falling who fell and sustained facial bruising and to have completed and documented a thorough investigation of that fall.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure pain management interventions were implemented and effective for one of one sampled resident (6).
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure the respiratory treatment equipment for five of five sampled residents (40, 56, 57, 58, and 67) who used oxygen and one of one sampled resident (58) who used a continuous positive airway pressure (CPAP) machine (a machine used to keep a person's airway open while they sleep) was cleaned and stored according to the manufacturer's instructions and the provider's policies.
Inspectors wroteBased on observation, interview, record review, policy review, and manufacturer's recommendations review, the provider failed to ensure a medication error rate of less than 5 percent related to:*A topical pain medication was not applied according to the manufacturer's recommendations for one of one sampled resident (11) by one of one observed licensed practical nurse (LPN) (K).*An extended release medication was crushed and administered to one of one sampled resident who required their medications to be crushed (12) by one of one observed LPN (K). Those observed medication errors resulted in a medication error rate of 6.9%.
Inspectors wroteBased on observation, interview, and policy review, the provider failed to follow standard food safety practices to ensure:*Handwashing was completed be three of five observed kitchen staff (cook N, dietary aide Z, and dietary aide AA) according to the provider's policy. *Food observed in one of one dining room refrigerator belonging to three sampled residents (4, 5, and 44) was stored according to the provider's policy. *One of one kitchen where resident's food was prepared stored, and served was maintained in a clean condition.
Inspectors wroteBased on observation, interview, policy review, and review of the manufacturer's Important Safety Precautions, including instructions on how to clean and disinfect the glucometer, the provider failed to ensure:One of one observed guest service aide (F) who did not wear personal protective equipment while in two of two sampled residents' (5 and 8) rooms. One of one observed certified nurse aide (CNA) (T) who did not wash her hands after removing unclean gloves after assisting sampled resident (39) with personal care and dressing. [...]
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure one of one sampled resident (31) observed with medications at her bedside were securely stored, had a physician's order for self-administration, and were not outdated according to the provider's policy.
Inspectors wroteBased on interview and record review, the provider failed to ensure one of one sampled resident's (8) advance directive wishes after he returned to the facility following a hospital stay was accurately identified and documented to ensure the resident's directives were followed if an event that may have prompted life-sustaining measures occurred.
Inspectors wroteBased on observation, interview, and policy review, the provider failed to ensure one of one sampled resident's (12) protected health information in the resident's electronic medical record (EMR) was secured and was not displayed and accessible to other residents and staff in the west hall by one of one observed licensed practical nurse (LPN) (K).
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure one of two sampled residents resident (8 and 31) with diagnosed post-traumatic stress disorder had a Preadmission Screening and Resident Review (PASRR) reviewed for accuracy to ensure the resident was evaluated for mental health care needs.
Inspectors wroteBased on observation, interview, record review, and policy review the provider failed to review and revise the resident's care plan for two of two sampled residents' (8 and 31) care needs related to trauma exposure, and how to manage those needs according to the provider's policy.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to implement specific care approaches that addressed the mental and psychosocial needs of two of two sampled residents (8 and 31) with diagnosed post-traumatic stress disorder (a disorder in which a person has difficulty recovering after experiencing or witnessing a terrifying event) (PTSD) history of trauma exposure to mitigate triggers and prevent re-traumatization.
Inspectors wroteBased on observation, interview, record review, and job description review, the provider failed to provide medically-related social services for one of one sampled resident (6) at risk for a decline in his psychosocial well-being.
Inspectors wroteBased on record review, interview, and policy review, the provider failed to ensure preadmission screening and resident review (PASRR) assessment level II (level two, in-depth evaluation of a resident's needs, recommended services, and determination of what type of setting was appropriate for her care) had been uploaded and/or available within the record when conducting the Minimum Data Set (MDS) assessment (a tool used to evaluation a resident's health status and to develop an individualized care plan to manage the resident's care needs) for one of two sampled residents (31) with a chronic post-traumatic stress disorder (PTSD) (a disorder in which a person has lasting difficulty recovering after exposure to a traumatic event).
Inspectors wroteA. Based on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), record review, and interview, the provider failed to protect the resident's right to be free from potential physical abuse by one of one certified nursing assistant (CNA) F while providing morning cares for one of one sampled resident (1).
Inspectors wroteBased on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), interview, record review, and policy review, the provider failed to ensure medication was administered as ordered by the physician for two of two sampled residents (2 and 4).
Inspectors wroteBased on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), record review, interview, and policy review, the provider failed to ensure the physician was notified that prescribed medication had not been given to one of one sampled resident (2).
Inspectors wroteBased on South Dakota Department of Health (SD DOH) facility-reported incident (FRI) review, observation, record review, and interview, the provider failed to protect the residents' right to be free from neglect by two of two certified nursing assistants (CNA) (C and D) who failed to provide prompt incontinence care for two of two sampled residents (1 and 2) with continence assistance needs. This citation is considered past non-compliance based on a review of the corrective actions the provider implemented immediately following the incident.
Inspectors wroteBased on South Dakota Department of Health (SD DOH) complaint review, record review, interview, and policy review, the provider failed to ensure one of one sampled severely cognitively impaired resident (3) who developed a skin rash had: *Been provided adequate scheduled bathing. *Physician's orders for prompt treatment of the resident's skin rash.
Inspectors wroteBased on interview, record review, observation, South Dakota Department of Health (SD DOH) facility reported incident (FRI) review, and policy review, the provider failed to ensure an assessment, physician notification, initiation of a skin treatment, and monitoring for one of one sampled resident's (2) newly discovered skin injury. This citation is considered past non-compliance based on a review of the corrective actions the provider implemented following the incident.
Inspectors wroteBased on South Dakota Department of Health (SD DOH) facility reported incident (FRI) review, interview, record review, observation, and job description review, the provider failed to ensure one of one certified nurse aide (CNA) (J) had followed CNA professional standards and scope of practice by having applied a dressing to one of one sampled resident's (2) newly discovered skin injury. This citation is considered past non-compliance based on a review of the corrective actions the provider implemented following the incident.
Inspectors wroteBased on record review, interview, South Dakota Department of Health (SD DOH) facility reported incident (FRI) review, and policy review, the provider failed to ensure: *One of one registered nurse (RN) (F) had assessed one of one sampled resident (1) for irreversible signs of death after she was found unresponsive. *One of one RN (F) and one of one licensed practical nurse (LPN) (I) had documented one of one sampled resident's (1) change in medical status. These citations are considered past non-compliance based on a review of the corrective actions the provider implemented following the incident.
Inspectors wroteBased on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), interview, and record review, the provider failed to ensure proper supervision for one of one sampled resident (1) who fell and received and injury when the resident was outside.
Inspectors wroteBased on record review, interview, and policy review, the provider failed to ensure the physician and family had been notified for a change in condition for one of one sampled resident (1) following a laceration to her left leg.
Inspectors wroteBased on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), record review, interview, and policy review, the provider failed to assess, and implement preventative pressure injury interventions for one of one sampled resident (2) who was identified as at risk for pressure injuries and developed a pressure injury. Failure to assess and implement pressure injury prevention interventions potentially contributed to resident 2's development of a pressure injury. This citation is considered past non-compliance based on a review of the corrective actions the provider implemented following the incident.
Inspectors wroteBased on observation, record review, interview, and policy review, the provider failed to ensure: *A bowel management program was monitored for one of one sampled resident (9) who had multiple diarrhea consistency stools and unintentional weight loss. *Appropriate and necessary notification of resident 9's physician assistant (PA) H and registered dietician (RD) I about the consistency and amount of her stools.
Inspectors wroteBased on observation, interview, record review and policy review, the provided failed to ensure the following: *One of one registered nurse (RN) L had appropriately administered and documented medication administration for one of three sampled residents (31). *One of one licensed practical nurse (LPN) N had appropriately documented medication administration for one of one sampled resident (36). *Accurate and complete documentation of nutritional formula and water flushes for one of two sampled residents (50) who had a feeding tube.
Inspectors wroteBased on record review, observation, interview, and policy review, the provider failed to ensure medications were administered as ordered for two of nine sampled residents (14 and 32).
Inspectors wroteBased on record review, observation, interview, and policy review, the provider failed to ensure: *Two of nine sampled residents (14 and 32) had prescription medications that were accurately labeled. *One of one certified medication aide (CMA) (J) had not altered one of one sampled resident's (14) prescription medication label.
Inspectors wroteBased on observation, interview, and policy review, the provider failed to ensure proper infection control practices were followed for the following: *Hand hygiene and glove use by one of one occupational therapist (OT) (K) during personal care for one of one sampled resident (50). *Hand hygiene by one of one assistant director of nursing (ADON) (C) during personal care for one of one observed resident (209).
1 fire safety citation on file: 1 on May 15, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| November 6, 2025 | Fine | $70,720 |
| September 11, 2025 | Fine | $42,705 |
| March 5, 2025 | Fine | $8,112 |
| July 10, 2024 | Fine | $8,018 |
| July 10, 2024 | Fine | $11,333 |
| May 15, 2024 | Fine | $12,695 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | South Dakota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.52 | 3.79 | 3.86 |
| Registered nurses | 0.98 | 0.80 | 0.69 |
| All nursing staff on weekends | 3.27 | 3.26 | 3.42 |
| Nurse aides | 2.23 | ||
| Licensed practical nurses | 0.30 | ||
| Nursing staff turnover (share who left in a year) | 76.1% | 48.2% | 45.8% |
| Registered nurse turnover | 75.0% | 34.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.19 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.63 on weekdays and 3.27 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 28.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.23 in April to June 2025 to 3.52 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.52 | 0.98 | 3.63 | 3.27 | 28.6% | 0 of 90 | 59 |
| Oct to Dec 2025 | 3.24 | 0.78 | 3.37 | 2.90 | 29.5% | 0 of 92 | 61 |
| Jul to Sep 2025 | 3.27 | 0.74 | 3.44 | 2.85 | 28.7% | 0 of 92 | 60 |
| Apr to Jun 2025 | 3.23 | 0.71 | 3.43 | 2.73 | 26.8% | 0 of 91 | 61 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| South Dakota, Jan to Mar 2026 | 3.76 | 0.79 | 3.97 | 3.25 | 9.1% | 1.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| South Dakota, all employers | |||
| CNAs (nursing assistants) | $18.65 | $17.71 to $21.12 | 6,860 |
| LPNs and LVNs | $25.36 | $23.88 to $29.47 | 2,050 |
| Registered nurses | $37.53 | $31.29 to $40.52 | 14,710 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | South Dakota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 28.8 | 21.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 7.6 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.6 | 5.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 7.1 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 34.8 | 19.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.5 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 30.2 | 24.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 14.8 | 19.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.0 | 12.0 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Avantara Arrowhead's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (50.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
50.2% this home
No different from the national rate
US median of homes 51.5% · South Dakota: 7 better, 10 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 29 eligible stays.
10.8% this home
No different from the national rate
US median of homes 10.7% · South Dakota: 0 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 48 eligible stays.
8.2% this home
No different from the national rate
US median of homes 7.1% · South Dakota: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 29 eligible stays.
21.6% this home
Median of homes: South Dakota52.7% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 37 residents counted.
0.0% this home
Median of homes: South Dakota1.1% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 56 residents counted.
1.5% this home
Median of homes: South Dakota2.5% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 56 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: South Dakota100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 12 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: ARROWHEAD SD SKILLED NURSING FACILITY LLC. CMS links this home to Legacy Healthcare, a group of 95 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Doros Generation Trust U/a/D 1/3/12 | 5% or greater direct ownership interest | Organization | 43% | 07/01/2019 |
| Gpn Family Trust U/a/D 4/28/08 | 5% or greater direct ownership interest | Organization | 43% | 07/01/2019 |
| Oakway Operations LLC | 5% or greater direct ownership interest | Organization | 15% | 07/01/2019 |
| Arrowhead Sd Property Holdings, LLC | 5% or greater security interest | Organization | 07/01/2019 | |
| Truist Bank | 5% or greater security interest | Organization | 04/01/2022 | |
| Rajchenbach, Chaim | Managing control - governing body | Individual | 07/01/2019 | |
| Shabat, Menachem | Managing control - governing body | Individual | 07/01/2019 | |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | Organization | 07/01/2019 | |
| Truist Bank | Operational/managerial control | Organization | 04/01/2022 | |
| Martin, Sharon | Operational/managerial control | Individual | 04/09/2023 | |
| Ptacek, Travis | Operational/managerial control | Individual | 01/01/2025 | |
| Rajchenbach, Chaim | Operational/managerial control | Individual | 07/01/2019 | |
| Shabat, Menachem | Operational/managerial control | Individual | 07/01/2019 | |
| Arrowhead Sd Property Holdings, LLC | Adp of the SNF | Organization | 07/01/2019 | |
| Doros Generation Trust U/a/D 1/3/12 | Adp of the SNF | Organization | 07/01/2019 | |
| Gpn Family Trust U/a/D 4/28/08 | Adp of the SNF | Organization | 07/01/2019 | |
| Legacy Healthcare Financial Services LLC | Adp of the SNF | Organization | 11/10/2025 | |
| Rsm Us LLP | Adp of the SNF | Organization | 01/01/2024 | |
| Martin, Sharon | Adp of the SNF | Individual | 04/09/2023 | |
| Ptacek, Travis | Adp of the SNF | Individual | 01/01/2025 | |
| Rajchenbach, Chaim | Adp of the SNF | Individual | 07/01/2019 | |
| Shabat, Menachem | Adp of the SNF | Individual | 07/01/2019 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in South Dakota. NursingHomeClear cannot take or act on complaints.