AVANTARA NORTON

SIOUX FALLS, SD · 110 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • This facility has a substantiated finding of abuse
  • 1-star health inspection rating (lowest possible)
  • 19 deficiencies — 2.8x the state average
  • 2 citation(s) at the highest severity level — immediate risk to residents
  • 16 citation(s) where residents suffered actual harm
  • $191,055 in fines over 3 years
  • RN hours significantly below state average

Green Flags

No positive signals identified yet.

Quick Facts

★☆☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
19
2.8x state avg
Deficiencies
$191,055
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

December 29, 2025

4 deficiencyies
F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0804 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0804 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

November 13, 2025

2 deficiencyies
F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

July 9, 2025

8 deficiencyies
F0600 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure services provided by the nursing facility meet professional standards of quality.

F0686 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0600 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Ensure services provided by the nursing facility meet professional standards of quality.

F0686 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

Show details

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

April 9, 2025

6 deficiencyies
F0602 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from the wrongful use of the resident's belongings or money.

F0624 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Prepare residents for a safe transfer or discharge from the nursing home.

F0658 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

Show details

Ensure services provided by the nursing facility meet professional standards of quality.

F0602 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Protect each resident from the wrongful use of the resident's belongings or money.

F0624 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Prepare residents for a safe transfer or discharge from the nursing home.

F0658 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

Show details

Ensure services provided by the nursing facility meet professional standards of quality.

See full violation history →

Staffing

0.53
RN hrs/res/day
0.67
LPN hrs/res/day
2.24
CNA hrs/res/day
3.02
Weekend hrs/res/day
58%
Total nurse turnover
59%
RN turnover

A nurse checks on each resident roughly every 7.0 hours on average.

Fines & Penalties

  • Fine Mar 4, 2025
    $51,376
  • Fine Sep 25, 2024
    $12,035
  • Fine Jul 16, 2024
    $12,035
  • Fine Jun 19, 2024
    $12,035
  • Fine Mar 12, 2024
    $37,557
  • Fine Oct 3, 2023
    $28,600
  • Fine Mar 22, 2023
    $37,417
Total $191,055

Ownership

For profit - Limited Liability company Chain: LEGACY HEALTHCARE
  • DOROS GENERATION TRUST U/A/D 1/3/12

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 10/02/2019

    43% Organization
  • GPN FAM TR UA 04282008

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 10/02/2019

    43% Organization
  • OAKWAY OPERATIONS LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 10/02/2019

    15% Organization
  • BOKF,NA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/04/2024

    Organization
  • LEGACY HEALTHCARE FINANCIAL SERVICES LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 10/02/2019

    Organization
  • NICKEL, ASHLEY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 08/28/2022

    Individual
  • REES, JOSEPH

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 10/02/2019

    Individual
  • SHABAT, MENACHEM

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 10/02/2019

    Individual
  • BOKF,NA

    5% OR GREATER SECURITY INTEREST

    Since since 03/04/2024

    Organization
  • NORTON SD PROPERTY HOLDINGS, LLC

    5% OR GREATER SECURITY INTEREST

    Since since 10/02/2019

    Organization

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