GoodStanding

Nursing home report

AVANTARA LAKE NORDEN

LAKE NORDEN, SD · Medicare-certified · 50 beds

In good standing
For-profitChain member
Data as of September 1, 2026
5 of 5 overall

AVANTARA LAKE NORDEN has a 5-star overall rating, with 4 stars for health inspections and staffing and 5 stars for quality measures. It has no fines in the last 24 months, and reported nurse staffing is 3.23 hours per resident per day compared with the federal benchmark of 4.1; recent inspection citations included nutrition, medication errors, and infection prevention and control.

Facility ratings

Health inspections

Staffing

3.2267 hrs/resident/day

Quality measures

Last inspection: July 9, 2026Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2267.

Staffing detail

Registered nurses
0.78
Licensed practical nurses
0.31
Nurse aides
2.14
Weekend nursing
2.91

Hours per resident per day.

Total staff turnover: 33%
Registered nurse turnover: 13%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

20%21.6%Worsening

Residents with a fall causing major injury

2.3%2.3%No change

Residents with pressure ulcers (bedsores)

3.4%0%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

2.4%4.7%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

39%38.1%Improving

Residents whose ability to walk got worse

7.1%8.8%Worsening

Long-stay residents on antianxiety or sleep medication

28.6%34.9%Worsening

Short-stay residents newly given an antipsychotic

—0%—

Residents with a long-term catheter

2.2%0%Improving

Residents with new or worsening incontinence

29%29.6%Worsening

Residents with depressive symptoms

17.5%15.4%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

—97.6%—

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

—97%—

Short-stay residents given the pneumonia vaccine

100%100%No change

What the inspectors found

The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited February 2026 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 803 — 42 CFR §483.60 — S/S: J

The nursing home failed to ensure residents were free from significant medication errors. Cited February 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — 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 November 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

The home failed to provide the appropriate treatment and services for a resident with dementia. Cited July 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 744 — 42 CFR §483.40(b)(3) — S/S: D

The nursing home failed to develop and follow policies to make sure residents received flu and pneumonia vaccinations. Cited July 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 883 — 42 CFR §483.80 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Operator & ownership

Recent ownership change · Jul 1, 2019

Now operated by Avantara Lake Norden, previously Lake Norden Care and Rehabilitation Center.

Ownership
For profit - Limited Liability company
Chain
Part of LEGACY HEALTHCARE · 95 homes · 2.9 stars avg
Occupancy
46.8 residents on an average day (94% of 50 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.