Why this was flagged
Medicare paid far more per patient than peers
In 2024 this provider was paid $25,849 per patient, against a typical $15,884 for the same kind of provider in SD. A genuinely high-need patient mix can explain some of this, but extreme per-patient billing is a classic upcoding and phantom-patient pattern.
Source CMS Skilled Nursing Facility Enrollments · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 02c2f9
Owners and managing parties of record
ARROWHEAD SD PROPERTY HOLDINGS, LLC
5% OR GREATER SECURITY INTEREST · O · 100% ownership · since Jul 1, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
TRUIST BANK
5% OR GREATER SECURITY INTEREST · O · 100% ownership · since Apr 1, 2022
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
GPN FAMILY TRUST U/A/D 4/28/08
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 42.5% ownership · since Jul 1, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
DOROS GENERATION TRUST U/A/D 1/3/12
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 42.5% ownership · since Jul 1, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
OAKWAY OPERATIONS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 15% ownership · since Jul 1, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
INDIRECT OWNERSHIP INTEREST · I · 4.9% ownership · since Jul 1, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
INDIRECT OWNERSHIP INTEREST · I · 4.9% ownership · since Jul 1, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
INDIRECT OWNERSHIP INTEREST · I · 2.6% ownership · since Jul 1, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
INDIRECT OWNERSHIP INTEREST · I · 2.6% ownership · since Jul 1, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
CHAIM RAJCHENBACH
ADP OF THE SNF · I · since Jul 1, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
TRAVIS PTACEK
OPERATIONAL/MANAGERIAL CONTROL · I · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
TRAVIS PTACEK
ADP OF THE SNF · I · since Jan 1, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
SHARON MARTIN
OPERATIONAL/MANAGERIAL CONTROL · I · since Apr 9, 2023
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
GPN FAMILY TRUST U/A/D 4/28/08
ADP OF THE SNF · O · since Jul 1, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
LEGACY HEALTHCARE FINANCIAL SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL · O · since Jul 1, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
LEGACY HEALTHCARE FINANCIAL SERVICES LLC
ADP OF THE SNF · O · since Nov 10, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
RSM US LLP
ADP OF THE SNF · O · since Jan 1, 2024
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ARROWHEAD SD PROPERTY HOLDINGS, LLC
ADP OF THE SNF · O · since Jul 1, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
TRUIST BANK
OPERATIONAL/MANAGERIAL CONTROL · O · since Apr 1, 2022
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
DOROS GENERATION TRUST U/A/D 1/3/12
ADP OF THE SNF · O · since Jul 1, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
MENACHEM SHABAT
OPERATIONAL/MANAGERIAL CONTROL · I · since Jul 1, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
SHARON MARTIN
ADP OF THE SNF · I · since Apr 9, 2023
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
MENACHEM SHABAT
MANAGING CONTROL - GOVERNING BODY · I · since Jul 1, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
MENACHEM SHABAT
ADP OF THE SNF · I · since Jul 1, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
CHAIM RAJCHENBACH
OPERATIONAL/MANAGERIAL CONTROL · I · since Jul 1, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
CHAIM RAJCHENBACH
MANAGING CONTROL - GOVERNING BODY · I · since Jul 1, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Source timeline
Every flag on this provider is built from one or more published government files. Below is each file that contributed, the weekly pulls we have of it, and the actual records read from it.
- Medicare paid far more per patient than peers
Weekly refreshes
- 18 Sept 2026 (in use)14,410 records14,410 added · 0 changed · 0 removedpublisher data as of 17 Aug 2026
Records read from this file
- ARROWHEAD SD SKILLED NURSING FACILITY LLCNPI 1881250397 · certification 435051 · 2500 ARROWHEAD DR, RAPID CITY, SD
CMS Skilled Nursing Facility All Owners
Weekly refreshes
- 18 Sept 2026 (in use)295,083 recordspublisher data as of 17 Aug 2026
Records read from this file
- ARROWHEAD SD PROPERTY HOLDINGS, LLC5% OR GREATER SECURITY INTEREST · 100% share · since 2019-07-01
- TRUIST BANK5% OR GREATER SECURITY INTEREST · 100% share · since 2022-04-01
- GPN FAMILY TRUST U/A/D 4/28/085% OR GREATER DIRECT OWNERSHIP INTEREST · 42.5% share · since 2019-07-01
- DOROS GENERATION TRUST U/A/D 1/3/125% OR GREATER DIRECT OWNERSHIP INTEREST · 42.5% share · since 2019-07-01
- OAKWAY OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST · 15% share · since 2019-07-01
- Unnamed partyINDIRECT OWNERSHIP INTEREST · 4.9% share · since 2019-07-01
- Unnamed partyINDIRECT OWNERSHIP INTEREST · 2.6% share · since 2019-07-01
- CHAIM RAJCHENBACHADP OF THE SNF · since 2019-07-01
cms_snf_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Avantara Arrowhead — 2024$982,252 paid · 38 patients
Where every detail came from
Each value below is traced to the published file it was read from, the day we downloaded it, and the weekly version it belongs to. Open the link to check the original record yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | ARROWHEAD SD SKILLED NURSING FACILITY LLC | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Trading name | AVANTARA ARROWHEAD | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| NPI | 1881250397 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Medicare certification number | 435051 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| CMS associate ID | 9032447099 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Provider type | PART A PROVIDER - SKILLED NURSING FACILITY | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Organisation type | LLC | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Street address | 2500 ARROWHEAD DR | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| City | RAPID CITY | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| State | SD | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| ZIP | 577024225 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
What changed
How this provider's public record has moved between weekly refreshes. See the whole week.
Nothing has changed for this provider since we started comparing weekly refreshes.
Public research history
Nobody has worked this lead yet. Notes published by investigators stay here even after a claim expires.
Readers judge whether this flag holds up. A note only reaches the top when people who usually disagree both rate it helpful.
No notes yet. If you have checked this provider, say what you found.