Staffing
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.99 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceFacility record
AVANTARA NORTH has 68 certified beds in RAPID CITY, South Dakota. The CMS overall rating is 3 of 5, compared with the South Dakota average of 2.9. The CMS health inspection rating is 3 of 5, compared with the South Dakota average of 2.8. The CMS staffing rating is 3 of 5. The latest standard health survey on Feb 20, 2026 lists 2 deficiencies, compared with the South Dakota average of 5.0. CMS records a fine of $17,940 dated Aug 7, 2025. CMS records a fine of $6,168 dated Oct 7, 2024. Total nurse staffing is 3.06 hours per resident day in 2026Q1, compared with the South Dakota average of 3.83.
Nearby facilities
- AVANTARA ARROWHEAD RAPID CITY
- AVANTARA MOUNTAIN VIEW RAPID CITY
- AVANTARA SAINT CLOUD RAPID CITY
- CLARKSON HEALTH CARE RAPID CITY
- Fountain Springs Healthcare RAPID CITY
- GOOD SAMARITAN SOCIETY - ST MARTIN VILLAGE RAPID CITY
- Westhills Village Health Care Facility RAPID CITY
- GOOD SAMARITAN SOCIETY NEW UNDERWOOD NEW UNDERWOOD
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 435064.
At a glance
CMS research snapshot
CMS overall rating
3 of 5
CMS health inspection rating
3 of 5
CMS staffing rating
3 of 5
CMS quality-measure rating
2 of 5
CMS ownership-change history
CMS has published 1 ownership-change record for this provider.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
What CMS reports about quality
- MDS quality observations are in the CMS extract.
- PBJ staffing records are in the CMS extract.
- Inspection evidence is in the CMS extract.
- Fire-safety evidence is in the CMS extract.
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Who CMS/PECOS connects to this nursing home
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Current owners
- DOROS GENERATION TRUST U/A/D 1/3/12Organization5% OR GREATER DIRECT OWNERSHIP INTEREST42.5% ownership interest
- DOROS GENERATION TRUST U/A/D 1/3/12Organization5% OR GREATER DIRECT OWNERSHIP INTEREST43% ownership interest
- GPN FAMILY TRUST U/A/D 4/28/08Organization5% OR GREATER DIRECT OWNERSHIP INTEREST42.5% ownership interest
- GPN FAMILY TRUST U/A/D 4/28/08Organization5% OR GREATER DIRECT OWNERSHIP INTEREST43% ownership interest
- Individual name not published by CMSIndividual ownerINDIRECT OWNERSHIP INTEREST4.9% ownership interest
- Individual name not published by CMSIndividual ownerINDIRECT OWNERSHIP INTEREST2.6% ownership interest
- Individual name not published by CMSIndividual ownerINDIRECT OWNERSHIP INTEREST2.6% ownership interest
- Individual name not published by CMSIndividual ownerINDIRECT OWNERSHIP INTEREST4.9% ownership interest
- OAKWAY OPERATIONS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
- OAKWAY OPERATIONS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
Operators
- BOKF,NAOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- BOKF,NAOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- LEGACY HEALTHCARE FINANCIAL SERVICES LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- LEGACY HEALTHCARE FINANCIAL SERVICES LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- LOHRE, CELINAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- LOHRE, CELINAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- PTACEK, TRAVISIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- PTACEK, TRAVISIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- RAJCHENBACH, CHAIMIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- RAJCHENBACH, CHAIMIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- SHABAT, MENACHEMIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- SHABAT, MENACHEMIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- BOKF,NAOrganization · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- LEGACY HEALTHCARE FINANCIAL SERVICES LLCOrganization · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- LOHRE, CELINAIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- PTACEK, TRAVISIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- RAJCHENBACH, CHAIMIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- SHABAT, MENACHEMIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- BOKF,NAOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- BOKF,NAOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- LEGACY HEALTHCARE FINANCIAL SERVICES LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- LEGACY HEALTHCARE FINANCIAL SERVICES LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- LOHRE, CELINAIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- LOHRE, CELINAIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- PTACEK, TRAVISIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
Showing 25 of 30 relationships from CMS/PECOS evidence.
Enrollment organizations
- RC NORTH SD SKILLED NURSING FACILITY LLCOrganization · CURRENTMedicare-enrolled legal organization
- RC NORTH SD SKILLED NURSING FACILITY LLCOrganization · UNKNOWNMedicare-enrolled legal organization
Historical ownership observations
Historical
- DOROS GENERATION TRUST U/A/D 1/3/12Organization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST42.5% ownership interest
- GPN FAMILY TRUST U/A/D 4/28/08Organization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST42.5% ownership interest
- OAKWAY OPERATIONS LLCOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
Ownership observations with UNKNOWN status
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
UNKNOWN
- DOROS GENERATION TRUST U/A/D 1/3/12Organization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST42.5% ownership interest
- DOROS GENERATION TRUST U/A/D 1/3/12Organization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST43% ownership interest
- GPN FAMILY TRUST U/A/D 4/28/08Organization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST42.5% ownership interest
- GPN FAMILY TRUST U/A/D 4/28/08Organization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST43% ownership interest
- Individual name not published by CMSIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST4.9% ownership interest
- Individual name not published by CMSIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST2.6% ownership interest
- Individual name not published by CMSIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST4.9% ownership interest
- Individual name not published by CMSIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST2.6% ownership interest
- OAKWAY OPERATIONS LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
- OAKWAY OPERATIONS LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
Ownership change history
CMS ownership-change records
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2019-07-01.
- CMS type
- CHANGE OF OWNERSHIP
- Buyer legal entity
- RC NORTH SD SKILLED NURSING FACILITY LLC
- Seller legal entity
- BLACK HILLS CARE AND REHABILITATION CENTER LLC
- Effective date
- 2019-07-01
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
Source freshness
How current each evidence family is
- nursing-home-mds-quality-measures
- STALE · source as of 2026-08-01
- nursing-home-provider-information
- STALE · source as of 2026-08-01
- skilled-nursing-facility-all-owners
- AGING · source as of 2026-08-17
- skilled-nursing-facility-change-of-ownership
- CURRENT · source as of 2026-08-24
Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.
Methodology
How Trust Hub researches this provider
- CMS is the source for national nursing-home evidence.
- Trust Hub does not create the CMS star ratings.
- Ownership evidence does not measure care quality.
- CMS CHOW records document reported ownership-change events.
- Missing evidence is not interpreted as zero.
- UNKNOWN ownership history is not interpreted as divestiture.
- Ownership evidence is not a quality measure.
- Missing evidence is not a zero score.
- CMS ratings are CMS ratings, not Trust Hub ratings.
- UNKNOWN ownership does not prove an owner left.
- CHOW records are CMS transaction records, not Trust Hub judgments or sales.
CMS overview
CMS rating overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
- CMS certified beds
- 68
- Ownership descriptor
- For profit - Limited Liability company
- Medicare participation
- Yes
- Medicaid participation
- Yes
Facility information
Contact
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
- Phone
- 6053434958Verified public information · checked Aug 2026
CMS designations
Special Focus and abuse-icon status
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
Not currently SFF or candidate
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS abuse-icon designation
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
Medicare enrollment organization NPI associated with this CMS Certification Number
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
- NPI 1427614585 · enrollment O20190826003555
- NPI 1427614585 · enrollment O20190826003555
MDS quality measures
Individual CMS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
View individual MDS measures
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 95.600000
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 95.238095
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 3.200000 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 2.608696
- Percentage of long-stay residents who lose too much weight (Long Stay): 7.798165
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 13.656388
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 11.111111 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
- Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 27.316126 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 31.455399 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 3.418264 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a urinary tract infection (Long Stay): 6.224066 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 14.561478
- Percentage of long-stay residents with pressure ulcers (Long Stay): 5.772200 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 74.468085
- Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 86.111111
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2025-01-14 · tag 0222 · scope/severity E — Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- 2023-09-28 · tag 0321 · scope/severity D — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Decision guide
What to review
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
Inspections
The latest standard inspection on Feb 20, 2026 cited 2 deficiencies.
View inspection evidenceOwnership
CMS-published records list 47 ownership or control parties.
CMS records show an ownership change effective July 2019.
View ownership evidenceChain context
CMS groups this facility with a chain covering 89 facilities across 3 states or territories.
View chain evidenceEnforcement record
CMS records show a $17,940 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Ownership & Operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
- Ownership type
- For profit - Limited Liability companyCMS
- Chain
- LEGACY HEALTHCARECMS identifies this facility as part of the LEGACY HEALTHCARE chain.
- Related facilities
- 90Current CMS organization identity
- Ownership changes
- 1 recordedCMS enrollment records
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- 6 CMS-reported ownership organizations
- CMS reports 24 individual ownership interests
- a CMS chain / common-control group
- recorded ownership-change events
Related facilities
90 currently connected nursing homes share this CMS organization identity with GPN FAMILY TRUST U/A/D 4/28/08.
- Average CMS overall rating
- 3 stars across 89 reporting facilities
- CMS monetary penalties
- 54 of 90 facilities had a recorded monetary penalty in the available CMS period.
- Recent CMS penalties
- 33 facilities had a CMS penalty in the last 18 months.
- Recent high-value CMS enforcement
- 29 facilities had a high-value CMS fine or payment denial in the last 18 months.
- Recent CMS complaint inspections
- 76 facilities had a CMS complaint inspection in the last 18 months.
- Total recorded CMS fines
- $4,185,478
Ownership
Who CMS records show is connected to this facility
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
- Reported party records
- 47
- Organizations shown
- 23
- Individuals shown
- 24
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
DOROS GENERATION TRUST U/A/D 1/3/12
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 43%
Association date reported to CMS: Jul 1, 2019
Other facilities connected through this exact CMS organization identity: 0 across SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
GPN FAMILY TRUST U/A/D 4/28/08
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 43%
Association date reported to CMS: Jul 1, 2019
Other facilities connected through this exact CMS organization identity: 0 across SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
OAKWAY OPERATIONS LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Jul 1, 2019
Other facilities connected through this exact CMS organization identity: 0 across SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
BOKF,NA
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Mar 4, 2024
Other facilities connected through this exact CMS organization identity: 0 across SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
DOROS GENERATION TRUST U/A/D 1/3/12
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2019
Other facilities connected through this exact CMS organization identity: 0 across SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
GPN FAMILY TRUST U/A/D 4/28/08
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2019
Other facilities connected through this exact CMS organization identity: 0 across SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
LEGACY HEALTHCARE FINANCIAL SERVICES LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 3, 2025
Other facilities connected through this exact CMS organization identity: 0 across SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
LOHRE, CELINA
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 30, 2021
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
PTACEK, TRAVIS
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
RAJCHENBACH, CHAIM
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
RC NORTH SD PROPERTY HOLDINGS, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2019
Other facilities connected through this exact CMS organization identity: 0 across SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
ROTH & CO, LLP
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
SHABAT, MENACHEM
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
RAJCHENBACH, CHAIM
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jul 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
SHABAT, MENACHEM
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jul 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
BOKF,NA
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 4, 2024
Other facilities connected through this exact CMS organization identity: 0 across SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
LEGACY HEALTHCARE FINANCIAL SERVICES LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2019
Other facilities connected through this exact CMS organization identity: 0 across SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
LOHRE, CELINA
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 30, 2021
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
PTACEK, TRAVIS
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
RAJCHENBACH, CHAIM
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
SHABAT, MENACHEM
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
DOROS GENERATION TRUST U/A/D 1/3/12
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 42.5%
Association date reported to CMS: Jul 1, 2019
Other facilities connected through this exact CMS organization identity: 89 across AL, IA, IL, SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
GPN FAMILY TRUST U/A/D 4/28/08
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 42.5%
Association date reported to CMS: Jul 1, 2019
Other facilities connected through this exact CMS organization identity: 91 across AL, IA, IL, SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
OAKWAY OPERATIONS LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Jul 1, 2019
Other facilities connected through this exact CMS organization identity: 61 across IA, IL, SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
BOKF,NA
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 4, 2024
Other facilities connected through this exact CMS organization identity: 11 across IL, KS, NJ, OK, SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
DOROS GENERATION TRUST U/A/D 1/3/12
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2019
Other facilities connected through this exact CMS organization identity: 89 across AL, IA, IL, SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
GPN FAMILY TRUST U/A/D 4/28/08
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2019
Other facilities connected through this exact CMS organization identity: 91 across AL, IA, IL, SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
LEGACY HEALTHCARE FINANCIAL SERVICES LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 3, 2025
Other facilities connected through this exact CMS organization identity: 78 across IA, IL, SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
LOHRE, CELINA
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 30, 2021
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
PTACEK, TRAVIS
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
RAJCHENBACH, CHAIM
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
RC NORTH SD PROPERTY HOLDINGS, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2019
Other facilities connected through this exact CMS organization identity: 0 across SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
ROTH & CO, LLP
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Other facilities connected through this exact CMS organization identity: 39 across IL, KY, SD, WI.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
SHABAT, MENACHEM
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
Individual name not published by CMS
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 4.9%
Association date reported to CMS: Jul 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
Individual name not published by CMS
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.6%
Association date reported to CMS: Jul 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
Individual name not published by CMS
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 4.9%
Association date reported to CMS: Jul 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
Individual name not published by CMS
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.6%
Association date reported to CMS: Jul 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
RAJCHENBACH, CHAIM
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jul 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
SHABAT, MENACHEM
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jul 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
BOKF,NA
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 4, 2024
Other facilities connected through this exact CMS organization identity: 11 across IL, KS, NJ, OK, SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
LEGACY HEALTHCARE FINANCIAL SERVICES LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2019
Other facilities connected through this exact CMS organization identity: 78 across IA, IL, SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
LOHRE, CELINA
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 30, 2021
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
PTACEK, TRAVIS
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
RAJCHENBACH, CHAIM
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
SHABAT, MENACHEM
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2019
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
RC NORTH SD SKILLED NURSING FACILITY LLC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across SD.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Enrollments
- CMS dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
Ownership changes reported in CMS enrollment records
- CHANGE OF OWNERSHIPBLACK HILLS CARE AND REHABILITATION CENTER LLC to RC NORTH SD SKILLED NURSING FACILITY LLC
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Change of Ownership
- CMS dataset identifier
- f557a6ed-95b3-4a22-8433-4175db2dec1c
- Source updated
- Aug 24, 2026
- Retrieved
- Aug 15, 2026
What this means
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Questions to ask
- CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
- CMS enrollment records show a change of ownership effective Jul 1, 2019. What operational or leadership changes followed that event?
- CMS records connect DOROS GENERATION TRUST U/A/D 1/3/12 to 90 facilities. Which policies and staffing decisions are managed centrally versus locally?
Chain context
CMS groups this facility with LEGACY HEALTHCARE
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 306 is a grouping identifier, not a legal organization.
- Facilities
- 89
- States and territories
- 3
- Average overall rating
- 3
- Average staffing rating
- 2.5
- Average total nurse HPRD
- 3.4
- Total fines
- 110
CMS-published history
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 89 | 3 | 2.5 |
| Mon Jun | 89 | 2.9 | 2.6 |
| Fri May | 89 | 2.9 | 2.6 |
| Wed Apr | 93 | 3 | 2.5 |
| Sun Mar | 90 | 3 | 2.6 |
| Sun Feb | 90 | 3 | 2.6 |
Questions to ask
- CMS groups facilities in 3 states or territories under this chain. Which operational policies are set at the chain level?
- CMS reports 110 fines across the chain in this dataset. What compliance functions are managed centrally?
CMS chain source and methodology
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
What CMS inspection records show
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Latest recorded inspection
- Date
- Feb 20, 2026
- Survey type
- Fire Safety Standard
- Linked findings
- 0
- Highest linked CMS classification
- No linked health-deficiency finding in the loaded record
View source details
- Dataset
- Inspection Dates
- CMS dataset ID
- svdt-c123
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 435064
- Source record locator
- csv-row:114660:ccn:435064
Feb 20, 2026 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Feb 20, 2026 — Health Standard — 2 linked findings
F0658 — Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 6, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 435064
- Source record locator
- csv-row:318651:ccn:435064
F0695 — Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 6, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 435064
- Source record locator
- csv-row:318650:ccn:435064
Aug 7, 2025 — Health Complaint — 5 linked findings
F0628 — Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 5, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 435064
- Source record locator
- csv-row:318654:ccn:435064
F0690 — 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.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 5, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 435064
- Source record locator
- csv-row:318652:ccn:435064
F0695 — Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 5, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 435064
- Source record locator
- csv-row:318655:ccn:435064
F0726 — 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (May 7, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 435064
- Source record locator
- csv-row:318656:ccn:435064
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 5, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 435064
- Source record locator
- csv-row:318653:ccn:435064
Jan 14, 2025 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jan 14, 2025 — Health Complaint — 1 linked finding
F0604 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Jan 13, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 435064
- Source record locator
- csv-row:318660:ccn:435064
Jan 14, 2025 — Health Standard — 4 linked findings
F0550 — Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 28, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 435064
- Source record locator
- csv-row:318659:ccn:435064
F0742 — Quality of Life and Care Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 28, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 435064
- Source record locator
- csv-row:318661:ccn:435064
F0804 — Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 28, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 435064
- Source record locator
- csv-row:318657:ccn:435064
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 28, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 435064
- Source record locator
- csv-row:318658:ccn:435064
Oct 7, 2024 — Health Complaint — 2 linked findings
F0600 — 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.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Sep 29, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 435064
- Source record locator
- csv-row:318662:ccn:435064
F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Sep 29, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 435064
- Source record locator
- csv-row:318663:ccn:435064
Sep 28, 2023 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Sep 28, 2023 — Health Standard — 3 linked findings
F0657 — Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 12, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 435064
- Source record locator
- csv-row:318665:ccn:435064
F0693 — Quality of Life and Care Deficiencies
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 12, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 435064
- Source record locator
- csv-row:318666:ccn:435064
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 12, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 435064
- Source record locator
- csv-row:318664:ccn:435064
Tags appearing across inspections
- F0695 appears in 2 linked inspections.
- F0880 appears in 2 linked inspections.
Penalties & enforcement
CMS penalty records in the loaded three-year dataset
Fine — Aug 7, 2025
Published fine amount: $17,940.00
View source details
- Dataset
- Penalties
- CMS dataset ID
- g6vv-u9sr
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 435064
- Source record locator
- csv-row:11790:ccn:435064
Fine — Oct 7, 2024
Published fine amount: $6,168.00
View source details
- Dataset
- Penalties
- CMS dataset ID
- g6vv-u9sr
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 435064
- Source record locator
- csv-row:11789:ccn:435064
Questions to ask
Questions generated from the evidence above
- CMS records show F0695 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0880 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show a monetary penalty dated Aug 7, 2025. What changes were made after that enforcement action?
Facility history
Facility History
10 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
- Health inspection completed2 deficiencies were recorded.
- RN staffing increasedRN staffing increased from 0.79 to 0.92 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
- Civil monetary penalty recordedCMS recorded a $17,940 civil monetary penalty.
2026
- Health inspection completed
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2025
- RN staffing increased
RN staffing increased from 0.79 to 0.92 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
0.79 → 0.92
CMS · Reported in a source release · View related evidence
- Complaint inspection recorded
5 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
- Civil monetary penalty recorded
CMS recorded a $17,940 civil monetary penalty.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
- Health inspection completed
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2024
- Complaint inspection recorded
2 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
- Civil monetary penalty recorded
CMS recorded a $6,168 civil monetary penalty.
CMS · Recorded event date · View related evidence
2023
- Health inspection completed
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2019
- Ownership change recorded
An ownership change was recorded. New organization: RC NORTH SD SKILLED NURSING FACILITY LLC.
BLACK HILLS CARE AND REHABILITATION CENTER LLC → RC NORTH SD SKILLED NURSING FACILITY LLC
CMS · Recorded event date · View related evidence
Staffing
Reported nursing staffing at a glance
CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
- Total nursing
- 3.056 reported hours per resident day
- RN categories
- 0.985 reported hours per resident day
- LPN/LVN categories
- 0.209 reported hours per resident day
- CNA
- 1.589 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.304 | 2.44 |
| RN categories | 1.125 | 0.639 |
Contract staff accounted for 1.4% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.009 lower than the prior loaded quarter.
Staffing over time
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.134 | 0.794 | 0.451 | 1.641 | 0% | 91 |
| 2025Q3 | 3.02 | 0.92 | 0.294 | 1.567 | 0% | 92 |
| 2025Q4 | 2.955 | 0.994 | 0.176 | 1.541 | 0% | 92 |
| 2026Q1 | 3.056 | 0.985 | 0.209 | 1.589 | 1.4% | 90 |
Questions to ask
- PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
- PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?
Staffing source and calculation details
- Source
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Payroll Based Journal Daily Nurse Staffing
- CMS dataset ID
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Quarter
- 2026Q1
- Coverage
- Jan 1, 2026–Mar 31, 2026
- Days represented
- 90 (90 with positive MDS census)
- CMS source updated
- Jul 29, 2026
- Calculation version
- pbj-quarter-ratio-of-sums-v1
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
Current Provider Information facts
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
- CMS reports a 3-star overall rating.
- CMS reports a 3-star health inspection rating.
- CMS reports a 3-star staffing rating.
- CMS reports a 2-star quality-measure rating.
Trust participation
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Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.
How corrections workSource register
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Provider Information
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 4pq5-n9py
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Overview, facility facts, and CMS ratings
Inspection Dates
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- svdt-c123
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Inspections and facility history
Health Deficiencies
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- r5ix-sfxw
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Health deficiencies and facility history
Penalties
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- g6vv-u9sr
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Penalties, enforcement, and facility history
Payroll Based Journal Daily Nurse Staffing
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Coverage
- Apr 1, 2025–Mar 31, 2026
- Source updated
- Jul 29, 2026
- Retrieved
- Aug 15, 2026
- Supports
- PBJ staffing cards, history, and transparent calculations
Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility All Owners
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Enrollments
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Change of Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- f557a6ed-95b3-4a22-8433-4175db2dec1c
- Source updated
- Aug 24, 2026
- Retrieved
- Aug 15, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Nursing Home Chain Performance Measures
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 97ecfad1-d3f1-4d42-b774-d74661d830bc
- Coverage
- Wed Jul
- Source updated
- Aug 12, 2026
- Retrieved
- Aug 16, 2026
- Supports
- CMS chain context, performance, and monthly history
Verified public facility information
- Source organization
- Public facility listing
- Dataset identifier
- commercial-corroboration:public-listing
- Source updated
- Aug 18, 2026
- Retrieved
- Aug 18, 2026
- Supports
- Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.