AVANTARA NORTON

Special Focus Facility · CMS abuse icon · CCN 435039 · NORTON SD SKILLED NURSING FACILITY LLC · For profit - Limited Liability company · LEGACY HEALTHCARE chain · 110 certified beds · Minnehaha · SD


AVANTARA NORTON is a 110-bed nursing home in SIOUX FALLS, South Dakota. CMS has certified it for Medicare and Medicaid since 1989-04-01. It averages 97.8 residents a day.

What harm was found in the violations cited at AVANTARA NORTON?

CMS lists 75 health-inspection deficiencies for AVANTARA NORTON, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-03-31.

Survey dateTagDeficiencySeverity
2026-03-31F0684, F0686, F0689, F0697, F0760Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure that residents are free from significant medication errors.G
2026-03-31F0561, F0641, F0655, F0688Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.E
2026-03-31F0550, F0578, F0600, F0740, F0812, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.D
2026-02-04F0684, F0686, F0689Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-12-30F0689, F0804Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D
2025-11-14F0880Provide and implement an infection prevention and control program.E
2025-07-10F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2025-07-10F0600, F0658, F0689Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-04-10F0658Ensure services provided by the nursing facility meet professional standards of quality.E
2025-04-10F0602, F0624Protect each resident from the wrongful use of the resident's belongings or money. / Prepare residents for a safe transfer or discharge from the nursing home.D
2025-03-05F0675Honor each resident's preferences, choices, values and beliefs.H
2025-03-05F0582, F0695, F0812, F0835, F0837, F0880Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Provide safe and appropriate respiratory care for a resident when needed. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. / Provide and implement an infection prevention and control program.E
2025-03-05F0656, F0658Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality.D
2024-12-27F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-11-14F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2024-10-29F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.G
2024-10-29F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2024-09-26F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD
2024-08-21F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2024-08-21F0760, F0804Ensure that residents are free from significant medication errors. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2024-07-17F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-06-20F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.G
2024-06-20F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-04-16F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D
2024-03-13F0689, F0697Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services.G
2024-03-13F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2023-12-14F0550, F0585Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D
2023-11-09F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K
2023-11-09F0686, F0725, F0726Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.H
2023-11-09F0835, F0837Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.F
2023-11-09F0561, F0565, F0623, F0625, F0657, F0692, F0756, F0758, F0802, F0809Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Honor the resident's right to organize and participate in resident/family groups in the facility. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide enough food/fluids to maintain a resident's health. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.E
2023-11-09F0656, F0658, F0880Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide and implement an infection prevention and control program.D
2023-10-04F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E
2023-10-04F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D

Why was AVANTARA NORTON fined 7 times?

DateTypeAmount
2026-02-04Fine$61,845
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

How is AVANTARA NORTON staffed?

MeasureThis facilitySD average
Total nurse staffing hours per resident per day3.855803.78948
Total nursing staff turnover (%)55.748.2
Average number of residents per day97.852.1

Who owns AVANTARA NORTON, and what chain is it in?

AVANTARA NORTON is registered with CMS as For profit - Limited Liability company, operates under the legal business name NORTON SD SKILLED NURSING FACILITY LLC and belongs to the LEGACY HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTDOROS GENERATION TRUST U/A/D 1/3/12, GPN FAMILY TRUST U/A/D 4/28/08, OAKWAY OPERATIONS LLCsince 10/02/2019
5% OR GREATER SECURITY INTERESTBOKF,NA, NORTON SD PROPERTY HOLDINGS, LLCsince 03/04/2024
MANAGING CONTROL - GOVERNING BODYSHABAT, MENACHEMsince 10/02/2019
OPERATIONAL/MANAGERIAL CONTROLBOKF,NA, LEGACY HEALTHCARE FINANCIAL SERVICES LLC, NICKEL, ASHLEY, REES, JOSEPH, SHABAT, MENACHEMsince 03/04/2024
ADP OF THE SNFDOROS GENERATION TRUST U/A/D 1/3/12, GPN FAMILY TRUST U/A/D 4/28/08, LEGACY HEALTHCARE FINANCIAL SERVICES LLC, NORTON SD PROPERTY HOLDINGS, LLC, ROTH & CO, LLP, NICKEL, ASHLEY, REES, JOSEPH, SHABAT, MENACHEMsince 01/01/2024

Were you or a family member harmed at AVANTARA NORTON?