AVANTARA GROTON

1106 NORTH SECOND STREET, GROTON, SD 57445 · CCN 435048 · 37 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections3 of 5CMS staffing3 of 5CMS quality1 of 5

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 1 citation(s) in the last three years where CMS determined a resident was actually harmed.

Serious inspection findings

2024-11-26 ACTUAL HARM (tag F0578, severity G)
Resident Rights Deficiencies · correction not recorded in CMS data
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Staffing, from payroll records

Nursing hours / resident / day

3.00

state median 2.96

Weekend staffing gap

+1%

more nursing hours on weekends · state median −10%

RN hours / resident / day

0.22

registered nurses only

Contract (agency) staff

7%

share of all nursing hours

Days with zero RN hours reported

30

with residents present

Nursing staff turnover

37%

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

1 enforcement action(s), totaling $6,168 in fines.

DateTypeAmount
2024-11-26Fine$6,168

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: 1 · Potential for more than minimal harm: 21

Survey dateTagCategorySeverityCorrected
2025-12-11F0578Resident Rights DeficienciesDnot recorded
2025-12-11F0641Resident Assessment and Care Planning DeficienciesEnot recorded
2025-12-11F0655Resident Assessment and Care Planning DeficienciesFnot recorded
2025-12-11F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2025-12-11F0700Quality of Life and Care DeficienciesDnot recorded
2025-12-11F0761Pharmacy Service DeficienciesEnot recorded
2025-12-11F0803Nutrition and Dietary DeficienciesDnot recorded
2025-12-11F0812Nutrition and Dietary DeficienciesDnot recorded
2025-12-11F0880Infection Control DeficienciesEnot recorded
2024-11-26F0578Resident Rights DeficienciesGnot recorded
2024-07-31F0657Resident Assessment and Care Planning DeficienciesEnot recorded
2024-07-31F0759Pharmacy Service DeficienciesEnot recorded
2024-07-31F0880Infection Control DeficienciesEnot recorded
2023-04-14F0550Resident Rights DeficienciesDnot recorded
2023-04-14F0559Resident Rights DeficienciesDnot recorded
2023-04-14F0561Resident Rights DeficienciesDnot recorded
2023-04-14F0636Resident Assessment and Care Planning DeficienciesEnot recorded
2023-04-14F0655Resident Assessment and Care Planning DeficienciesEnot recorded
2023-04-14F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2023-04-14F0756Pharmacy Service DeficienciesDnot recorded
2023-04-14F0761Pharmacy Service DeficienciesEnot recorded
2023-04-14F0883Infection Control 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 GROTON, GROTON” at medicare.gov/care-compare.