AVANTARA NORTON

3600 SOUTH NORTON AVENUE, SIOUX FALLS, SD 57105 · CCN 435039 · 110 certified beds · Data as of 2026-07-01

CMS overallnot ratedCMS inspectionsnot ratedCMS staffingnot ratedCMS qualitynot rated

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 15 citation(s) in the last three years where CMS determined a resident was actually harmed.

CMS currently lists this facility as: SFF (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

Serious inspection findings

2026-03-31 ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2026-03-31 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2026-03-31 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2026-03-31 ACTUAL HARM (tag F0697, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.
2026-03-31 ACTUAL HARM (tag F0760, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2026-02-04 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2026-02-04 ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2026-02-04 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Staffing, from payroll records

Nursing hours / resident / day

3.18

state median 2.96

Weekend staffing gap

−3%

fewer nursing hours on weekends · state median −10%

RN hours / resident / day

0.41

registered nurses only

Contract (agency) staff

1%

share of all nursing hours

Nursing staff turnover

56%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

6 enforcement action(s), totaling $153,638 in fines.

DateTypeAmount
2025-03-05Fine$51,376
2024-09-26Fine$12,035
2024-07-17Fine$12,035
2024-06-20Fine$12,035
2024-03-13Fine$37,557
2023-10-04Fine$28,600

Ownership

Ownership type: For profit - Limited Liability company. Part of the LEGACY HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 18 · Potential for more than minimal harm: 56 · Immediate jeopardy: 1

Survey dateTagCategorySeverityCorrected
2026-03-31F0550Resident Rights DeficienciesDnot recorded
2026-03-31F0561Resident Rights DeficienciesEnot recorded
2026-03-31F0578Resident Rights DeficienciesDnot recorded
2026-03-31F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2026-03-31F0641Resident Assessment and Care Planning DeficienciesEnot recorded
2026-03-31F0655Resident Assessment and Care Planning DeficienciesEnot recorded
2026-03-31F0684Quality of Life and Care DeficienciesGnot recorded
2026-03-31F0686Quality of Life and Care DeficienciesGnot recorded
2026-03-31F0688Quality of Life and Care DeficienciesEnot recorded
2026-03-31F0689Quality of Life and Care DeficienciesGnot recorded
2026-03-31F0697Quality of Life and Care DeficienciesGnot recorded
2026-03-31F0740Quality of Life and Care DeficienciesDnot recorded
2026-03-31F0760Pharmacy Service DeficienciesGnot recorded
2026-03-31F0812Nutrition and Dietary DeficienciesDnot recorded
2026-03-31F0880Infection Control DeficienciesDnot recorded
2026-02-04F0684Quality of Life and Care DeficienciesGnot recorded
2026-02-04F0686Quality of Life and Care DeficienciesGnot recorded
2026-02-04F0689Quality of Life and Care DeficienciesGnot recorded
2025-12-30F0689Quality of Life and Care DeficienciesDnot recorded
2025-12-30F0804Nutrition and Dietary DeficienciesDnot recorded
2025-11-14F0880Infection Control DeficienciesEnot recorded
2025-07-10F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-07-10F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2025-07-10F0686Quality of Life and Care DeficienciesGnot recorded
2025-07-10F0689Quality of Life and Care DeficienciesDnot recorded
2025-04-10F0602Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-04-10F0624Resident Rights DeficienciesDnot recorded
2025-04-10F0658Resident Assessment and Care Planning DeficienciesEnot recorded
2025-03-05F0582Resident Rights DeficienciesEnot recorded
2025-03-05F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-03-05F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2025-03-05F0675Quality of Life and Care DeficienciesHnot recorded
2025-03-05F0695Quality of Life and Care DeficienciesEnot recorded
2025-03-05F0812Nutrition and Dietary DeficienciesEnot recorded
2025-03-05F0835Administration DeficienciesEnot recorded
2025-03-05F0837Administration DeficienciesEnot recorded
2025-03-05F0880Infection Control DeficienciesEnot recorded
2024-12-27F0684Quality of Life and Care DeficienciesDnot recorded
2024-11-14F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-10-29F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-10-29F0726Nursing and Physician Services DeficienciesGnot recorded
2024-09-26F0655Resident Assessment and Care Planning DeficienciesDnot recorded
2024-08-21F0686Quality of Life and Care DeficienciesGnot recorded
2024-08-21F0760Pharmacy Service DeficienciesEnot recorded
2024-08-21F0804Nutrition and Dietary DeficienciesEnot recorded
2024-07-17F0812Nutrition and Dietary DeficienciesFnot recorded
2024-06-20F0550Resident Rights DeficienciesGnot recorded
2024-06-20F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-04-16F0726Nursing and Physician Services DeficienciesDnot recorded
2024-03-13F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-03-13F0689Quality of Life and Care DeficienciesGnot recorded
2024-03-13F0697Quality of Life and Care DeficienciesGnot recorded
2023-12-14F0550Resident Rights DeficienciesDnot recorded
2023-12-14F0585Resident Rights DeficienciesDnot recorded
2023-11-09F0561Resident Rights DeficienciesEnot recorded
2023-11-09F0565Resident Rights DeficienciesEnot recorded
2023-11-09F0623Resident Rights DeficienciesEnot recorded
2023-11-09F0625Resident Rights DeficienciesEnot recorded
2023-11-09F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2023-11-09F0657Resident Assessment and Care Planning DeficienciesEnot recorded
2023-11-09F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2023-11-09F0686Quality of Life and Care DeficienciesHnot recorded
2023-11-09F0689Quality of Life and Care DeficienciesKnot recorded
2023-11-09F0692Quality of Life and Care DeficienciesEnot recorded
2023-11-09F0725Nursing and Physician Services DeficienciesHnot recorded
2023-11-09F0726Nursing and Physician Services DeficienciesHnot recorded
2023-11-09F0756Pharmacy Service DeficienciesEnot recorded
2023-11-09F0758Pharmacy Service DeficienciesEnot recorded
2023-11-09F0802Nutrition and Dietary DeficienciesEnot recorded
2023-11-09F0809Nutrition and Dietary DeficienciesEnot recorded
2023-11-09F0835Administration DeficienciesFnot recorded
2023-11-09F0837Administration DeficienciesFnot recorded
2023-11-09F0880Infection Control DeficienciesDnot recorded
2023-10-04F0584Resident Rights DeficienciesEnot recorded
2023-10-04F0677Quality of Life and Care DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “AVANTARA NORTON, SIOUX FALLS” at medicare.gov/care-compare.