GoodStanding

Nursing home report

AVANTARA LAKE NORDEN

LAKE NORDEN, SD · Medicare-certified · 50 beds

In good standing
For-profitChain member
5 of 5 overall

AVANTARA LAKE NORDEN has an overall 5-star rating, with 4 stars for health inspections and staffing and 5 stars for quality measures. It had no fines in the last 24 months, but reported nurse staffing was 3.19 hours per resident per day, below the federal benchmark of 4.1, and recent inspection citations included menu/nutrition, pressure ulcer care, and medication error issues.

Facility ratings

Health inspections

Staffing

3.1886 hrs/resident/day

Quality measures

Last inspection: February 19, 2026Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1886.

Staffing detail

Registered nurses
0.79
Licensed practical nurses
0.30
Nurse aides
2.10
Weekend nursing
2.84

Hours per resident per day.

Total staff turnover: 39%
Registered nurse turnover: 33%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

20.5%Worsening

Residents with a fall causing major injury

3%Steady

Residents with pressure ulcers (bedsores)

2.5%Improving

Residents with a urinary tract infection

0.6%Worsening

Residents who lost too much weight

3.2%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

29.2%Worsening

Residents whose ability to walk got worse

13%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

26.5%Worsening

Short-stay residents newly given an antipsychotic

0%Steady

Residents with a long-term catheter

1.2%Improving

Residents with new or worsening incontinence

28.4%Improving

Residents with depressive symptoms

13.7%Worsening

Long-stay residents given the seasonal flu vaccine

97.6%Steady

Long-stay residents given the pneumonia vaccine

100%Steady

Short-stay residents given the seasonal flu vaccine

97%Steady

Short-stay residents given the pneumonia vaccine

97.8%Improving

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 provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2023 — isolated incident, actual harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: G

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 nursing home failed to provide services that met professional standards of quality. Cited November 2023 — isolated incident, potential for harm.

View the original federal record

F-Tag 658 — 42 CFR §483.21(b)(3) — 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. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of LEGACY HEALTHCARE · 89 homes · 2.9 stars avg
Occupancy
46.3 residents on an average day (93% 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.