The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited November 2024 — isolated incident, actual harm.
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F-Tag 578 — 42 CFR §483.10 — S/S: G
Nursing home report
AVANTARA GROTON
GROTON, SD · Medicare-certified · 37 beds
Needs attention
For-profitChain member
2 of 5 overall
AVANTARA GROTON (GROTON, SD) has a 2 out of 5 overall rating, with 3 out of 5 for health inspections and staffing but 1 out of 5 for quality measures. It has a recent federal penalty, $6,168 in fines over the last 24 months, and reported nurse staffing of 3.69 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.6904 hrs/resident/day
Quality measures
Last inspection: December 11, 2025Penalties, last 24 months: $6,168recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6904.
Staffing detail
- Registered nurses
- 0.65
- Licensed practical nurses
- 0.57
- Nurse aides
- 2.47
- Weekend nursing
- 3.22
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
32.9%Improving
Residents with a fall causing major injury
3.1%Worsening
Residents with pressure ulcers (bedsores)
4%Improving
Residents with a urinary tract infection
4.1%Worsening
Residents who lost too much weight
6.2%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
26.7%Improving
Residents whose ability to walk got worse
24.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
15%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1.8%Worsening
Residents with new or worsening incontinence
31.7%Worsening
Residents with depressive symptoms
24%Worsening
Long-stay residents given the seasonal flu vaccine
97.1%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
96.3%Worsening
What the inspectors found
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited December 2025 — widespread issue, potential for harm.
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F-Tag 655 — 42 CFR §483.21 — S/S: F
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $6,168 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $10,014 in total fines.
- $6,168
Federal fine
Nov 26, 2024
- $3,846
Federal fine
May 30, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LEGACY HEALTHCARE · 89 homes · 2.9 stars avg
- Occupancy
- 39.4 residents on an average day (106% of 37 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.