South Dakota › Brown County › Groton
Avantara Groton
1106 North Second Street, Groton, SD 57445
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 37 beds, Avantara Groton serves Groton in Brown County, South Dakota and has taken Medicare and Medicaid residents since 1991.
CMS gives it 2 of 5 stars overall, below the South Dakota median of 3; the health inspection rating is 3, staffing 3 and quality measures 1.
Inspectors recorded 22 health deficiencies across the three most recent survey cycles (9, 4, 9 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 59.5 per 100 beds, more than the state median of 23.9.
CMS lists 1 penalty in the period covered: fines totalling $6K.
Reported nurse staffing is 3.7 hours per resident per day (0.6 RN), close to the South Dakota median of 3.6; nursing staff turnover is 37.0%.
Compared with county, state and nation
| Measure | This facility | Brown Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 22 | 18 | 16 | 28.7 |
| Citations per 100 beds | 59.5 | 22.2 | 23.9 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.7 | 3.6 | 3.9 |
| RN hours per resident day | 0.6 | 0.7 | 0.8 | 0.7 |
| Nursing staff turnover | 37.0% | 38.9% | 46.6% | 45.8% |
| Fines listed | $6,168 | $8,824 | $20,183 | — |
County and state figures are medians across facilities (5 in the county, 96 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: South Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Dec 2025, 31 Jul 2024.
Severity mix: G ×1 D ×11 E ×9 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 11 Dec 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | F | Standard survey | 25 Jan 2026 |
| 11 Dec 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 25 Jan 2026 |
| 11 Dec 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 25 Jan 2026 |
| 11 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 25 Jan 2026 |
| 11 Dec 2025 | F0578 | 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. | D | Standard survey | 25 Jan 2026 |
| 11 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 25 Jan 2026 |
| 11 Dec 2025 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 25 Jan 2026 |
| 11 Dec 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard survey | 25 Jan 2026 |
| 11 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 25 Jan 2026 |
| 26 Nov 2024 | F0578 | 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. | G | Complaint investigation | 24 Oct 2024 |
| 31 Jul 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 27 Aug 2024 |
| 31 Jul 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 27 Aug 2024 |
| 31 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Aug 2024 |
| 14 Apr 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 29 May 2023 |
| 14 Apr 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 29 May 2023 |
| 14 Apr 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 29 May 2023 |
| 14 Apr 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 29 May 2023 |
| 14 Apr 2023 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Standard survey | 29 May 2023 |
| 14 Apr 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 29 May 2023 |
| 14 Apr 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 29 May 2023 |
| 14 Apr 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 29 May 2023 |
| 14 Apr 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 29 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 26 Nov 2024 | Fine | $6,168 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 37.0%, RNs 33.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | South Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.5% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.6% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.9% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.6% | 4.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.4% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.1% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 31.4% | 22.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Groton Sd Skilled Nursing Facility Llc. Chain: Legacy Healthcare (89 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Oakway Operations LLC | 5% or greater direct ownership interest | 15% | 07/01/2019 |
| Groton Sd Property Holdings, LLC | 5% or greater security interest | NOT APPLICABLE | 07/01/2019 |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | NOT APPLICABLE | 07/01/2019 |
| Groton Sd Property Holdings, LLC | Adp of the snf | NOT APPLICABLE | 07/01/2019 |
| Legacy Healthcare Financial Services LLC | Adp of the snf | NOT APPLICABLE | 11/21/2025 |
| Roth & Co, LLP | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Brown County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Prairie Heights Healthcare | Aberdeen | 99 | 4 | 4 | 1 | 5 | 5.1 | — | 31 Jul 2025 |
| Bethesda Home of Aberdeen | Aberdeen | 86 | 3 | 3 | 4 | 12 | 14.0 | $25K | 12 Mar 2026 |
| Aberdeen Health and Rehab | Aberdeen | 78 | 1 | 1 | 4 | 24 | 30.8 | $64K | 4 Jun 2026 |
| Avera Mother Joseph Manor Retirement Community | Aberdeen | 81 | 1 | 2 | 4 | 18 | 22.2 | $9K | 17 Dec 2025 |
All 5 facilities in Brown County
Questions and answers
How many deficiencies has Avantara Groton been cited for?
22 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Avantara Groton been fined?
Yes. CMS lists fines totalling $6K in the period covered.
How does staffing at Avantara Groton compare?
Reported total nurse staffing is 3.7 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Avantara Groton?
It is part of the Legacy Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Oakway Operations LLC and Legacy Healthcare Financial Services LLC. Individual owners and managers are not listed on this site.
When was Avantara Groton last inspected?
The most recent survey or investigation in the CMS record is dated 11 Dec 2025; the most recent standard health survey was 11 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.