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Nursing home report

AVANTARA NORTON

SIOUX FALLS, SD · Medicare-certified · 110 beds

Needs attention
Special Focus FacilityAbuse citationFor-profitChain member
Not yet rated

Overall rating: not rated. This special focus facility has been flagged for special attention, with $87,481 in fines over the last 24 months and reported nurse staffing of 3.73 hours per resident per day, below the federal benchmark of 4.1.

Facility ratings

Health inspections

Staffing

3.7266 hrs/resident/day

Quality measures

Last inspection: March 31, 2026Penalties, last 24 months: $87,481special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7266.

Staffing detail

Registered nurses
0.64
Licensed practical nurses
0.73
Nurse aides
2.35
Weekend nursing
3.15

Hours per resident per day.

Total staff turnover: 59%
Registered nurse turnover: 55%

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

14.9%10.2%Improving

Residents with a fall causing major injury

2.7%4.2%Worsening

Residents with pressure ulcers (bedsores)

12.9%4.4%Improving

Residents with a urinary tract infection

6.2%7.7%Worsening

Residents who lost too much weight

5.2%1.8%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

34.5%26.4%Improving

Residents whose ability to walk got worse

29%38.6%Worsening

Long-stay residents on antianxiety or sleep medication

17.6%30.2%Worsening

Short-stay residents newly given an antipsychotic

0%1.1%Worsening

Residents with a long-term catheter

1.5%4.2%Worsening

Residents with new or worsening incontinence

30.4%26.1%Improving

Residents with depressive symptoms

16.2%18.8%Worsening

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

97.7%

Long-stay residents given the pneumonia vaccine

83.8%97.2%Improving

Short-stay residents given the seasonal flu vaccine

70%

Short-stay residents given the pneumonia vaccine

67.2%79.7%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: K

The home failed to provide enough food and fluids to keep residents healthy. Cited October 2022 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 692 — 42 CFR §483.25(g) — S/S: J

The home failed to honor each resident’s preferences, choices, values, and beliefs. Cited March 2025 — limited pattern, actual harm.

View the original federal record

F-Tag 675 — 42 CFR §483.24 — S/S: H

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited November 2023 — limited pattern, actual harm.

View the original federal record

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

The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited November 2023 — limited pattern, actual harm.

View the original federal record

F-Tag 726 — 42 CFR §483.35 — S/S: H

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 8 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $51,376 was recorded.

  6. PENALTY

    A federal fine of $12,035 was recorded.

  7. PENALTY

    A federal fine of $12,035 was recorded.

  8. PENALTY

    A federal fine of $12,035 was recorded.

Penalties & enforcement

On record with Medicare: 6 fines · $153,638 in total fines.

  • Federal fine

    Mar 5, 2025

    $51,376
  • Federal fine

    Sep 26, 2024

    $12,035
  • Federal fine

    Jul 17, 2024

    $12,035
  • Federal fine

    Jun 20, 2024

    $12,035
  • Federal fine

    Mar 13, 2024

    $37,557
  • Federal fine

    Oct 4, 2023

    $28,600

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of LEGACY HEALTHCARE · 89 homes · 2.9 stars avg
Occupancy
99 residents on an average day (90% of 110 beds)
Resident voice
Resident council
Medicare history
Certified for 37 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.