Avantara NortonCMS ratings, inspections and fines
- Address
- 3600 South Norton Avenue, Sioux Falls, SD 57105
- CCN
- 435039
- Ownership type
- For-profit, limited liability company
- Certified beds
- 110
- Chain
- Legacy Healthcare
- Residents per day
- 98
- CMS flags
- Special Focus Facility
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Avantara Norton no star ratings, because the home is in the Special Focus Facility program. The last standard survey was on 31 Mar 2026. The latest survey cycle has 21 health citations. The median for nursing homes in South Dakota is 6. CMS lists 7 fines with a total of $215,483 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in South Dakota (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Minnehaha County median | South Dakota median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | No data | 2.0 | 3.0 | 3.0 |
| Health inspection rating | No data | 2.0 | 3.0 | 2.8 |
| Staffing rating | No data | 4.0 | 4.0 | 2.9 |
| Quality measure rating | No data | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 10 homes in the county, 96 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | South Dakota median |
|---|---|---|---|
| Cycle 1 (latest) | 31 Mar 2026 | 21 | 6 |
| Cycle 2 | 5 Mar 2025 | 24 | 5 |
| Cycle 3 | No date | 30 | 3 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | L0 | |
| Actual harm that is not immediate jeopardy | I0 | ||
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 21 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 31 Mar 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 8 May 2026 |
| 31 Mar 2026 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Complaint investigation | 8 May 2026 |
| 31 Mar 2026 | 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 | 8 May 2026 |
| 31 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 8 May 2026 |
| 31 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 8 May 2026 |
| 31 Mar 2026 | 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 | 8 May 2026 |
| 31 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 8 May 2026 |
| 31 Mar 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 8 May 2026 |
| 31 Mar 2026 | F0688 | 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 | Complaint investigation | 8 May 2026 |
| 31 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 8 May 2026 |
| 31 Mar 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 8 May 2026 |
| 31 Mar 2026 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 10 Dec 2025 |
| 31 Mar 2026 | F0760 | Ensure that residents are free from significant medication errors. | G | Standard survey | 8 May 2026 |
| 31 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 8 May 2026 |
| 31 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 8 May 2026 |
| 4 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 16 Jan 2026 |
| 4 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 6 Mar 2026 |
| 4 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 6 Mar 2026 |
| 30 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | Past Non-Compliance |
| 30 Dec 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | Past Non-Compliance |
| 14 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 12 Dec 2025 |
Survey cycle 2: 24 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 28 May 2025 |
| 10 Jul 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 4 Aug 2025 |
| 10 Jul 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 1 May 2025 |
| 10 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 7 Jun 2025 |
| 10 Apr 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 9 Apr 2025 |
| 10 Apr 2025 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint investigation | Deficient, Provider has date of correction |
| 10 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | Deficient, Provider has date of correction |
| 5 Mar 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 4 Apr 2025 |
| 5 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 4 Apr 2025 |
| 5 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 4 Apr 2025 |
| 5 Mar 2025 | F0675 | Honor each resident's preferences, choices, values and beliefs. | H | Complaint investigation | 4 Apr 2025 |
| 5 Mar 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 4 Apr 2025 |
| 5 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 4 Apr 2025 |
| 5 Mar 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Standard survey | 4 Apr 2025 |
| 5 Mar 2025 | F0837 | 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. | E | Standard survey | 4 Apr 2025 |
| 5 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 4 Apr 2025 |
| 27 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Feb 2025 |
| 14 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 11 Dec 2024 |
| 29 Oct 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. | D | Complaint investigation | 27 Nov 2024 |
| 29 Oct 2024 | F0726 | 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. | G | Complaint investigation | 27 Nov 2024 |
| 26 Sep 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 10 Nov 2024 |
| 21 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 20 Sep 2024 |
| 21 Aug 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 20 Sep 2024 |
| 21 Aug 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 20 Sep 2024 |
Survey cycle 3: 30 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 17 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 26 Aug 2024 |
| 20 Jun 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Complaint investigation | 30 May 2024 |
| 20 Jun 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 30 May 2024 |
| 16 Apr 2024 | F0726 | 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. | D | Complaint investigation | 14 Apr 2024 |
| 13 Mar 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 8 Apr 2024 |
| 13 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 8 Apr 2024 |
| 13 Mar 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 8 Apr 2024 |
| 14 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 11 Jan 2024 |
| 14 Dec 2023 | F0585 | 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 | Complaint investigation | 11 Jan 2024 |
| 9 Nov 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 14 Dec 2023 |
| 9 Nov 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 14 Dec 2023 |
| 9 Nov 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 14 Dec 2023 |
| 9 Nov 2023 | F0625 | 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. | E | Standard survey | 14 Dec 2023 |
| 9 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 14 Dec 2023 |
| 9 Nov 2023 | 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 | Complaint investigation | 14 Dec 2023 |
| 9 Nov 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 14 Dec 2023 |
| 9 Nov 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | H | Standard survey | 14 Dec 2023 |
| 9 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 7 Dec 2023 |
| 9 Nov 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 14 Dec 2023 |
| 9 Nov 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | H | Standard survey | 7 Dec 2023 |
| 9 Nov 2023 | F0726 | 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 | Complaint investigation | 7 Dec 2023 |
| 9 Nov 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. | E | Standard survey | 14 Dec 2023 |
| 9 Nov 2023 | F0758 | 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. | E | Standard survey | 14 Dec 2023 |
| 9 Nov 2023 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 14 Dec 2023 |
| 9 Nov 2023 | F0809 | 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 | Standard survey | 14 Dec 2023 |
| 9 Nov 2023 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 14 Dec 2023 |
| 9 Nov 2023 | F0837 | 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 | Standard survey | 14 Dec 2023 |
| 9 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Dec 2023 |
| 4 Oct 2023 | F0584 | Honor 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 | Complaint investigation | 14 Dec 2023 |
| 4 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 14 Dec 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 4 Feb 2026 | Fine | $61,845 | |
| 5 Mar 2025 | Fine | $51,376 | |
| 26 Sep 2024 | Fine | $12,035 | |
| 17 Jul 2024 | Fine | $12,035 | |
| 20 Jun 2024 | Fine | $12,035 | |
| 13 Mar 2024 | Fine | $37,557 | |
| 4 Oct 2023 | Fine | $28,600 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | South Dakota median | South Dakota average (CMS) |
|---|---|---|---|
| All nurse staff | 3.86 | 3.60 | 3.79 |
| Registered nurses (RN) | 0.77 | 0.80 | 0.80 |
| Licensed practical nurses (LPN) | 0.64 | 0.47 | |
| Nurse aides | 2.45 | 2.52 | |
| All nurse staff, weekends | 3.45 | 3.10 | 3.26 |
- Nurse staff turnover in a year
- 55.7%
- Nurse staff turnover, South Dakota median
- 46.6%
- RN turnover in a year
- 50.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | South Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 29.7% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.2% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 6.1% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.2% | 4.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.1% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 32.8% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.7% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.6% | 22.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Norton SD Skilled Nursing Facility LLC
- Chain
- Legacy Healthcare (89 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Oakway Operations LLC | 5% or greater direct ownership interest | 15% | 2 Oct 2019 |
| Norton SD Property Holdings, LLC | 5% or greater security interest | 2 Oct 2019 | |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | 2 Oct 2019 | |
| Legacy Healthcare Financial Services LLC | Adp of the snf | 24 Nov 2025 | |
| Norton SD Property Holdings, LLC | Adp of the snf | 2 Oct 2019 | |
| Roth & Co, LLP | Adp of the snf | 1 Jan 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in Minnehaha County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Good Samaritan Society Luther Manor | Sioux Falls | 2 of 5 | 12 | $92,066 | 5 Mar 2026 | |
| Bethany Home Sioux Falls | Sioux Falls | 3 of 5 | 2 | $0 | 18 Dec 2025 | |
| Avera Prince of Peace | Sioux Falls | 4 of 5 | 11 | $8,278 | 21 Aug 2025 | |
| Good Samaritan Society Sioux Falls Village | Sioux Falls | 2 of 5 | 6 | $72,812 | 2 Jul 2026 | |
| Good Samaritan Society Sioux Falls Center | Sioux Falls | 2 of 5 | 13 | $54,936 | 5 Sep 2025 | |
| Dow Rummel Village | Sioux Falls | 3 of 5 | 6 | $71,373 | 8 Jan 2026 | |
| Bethany Home - Brandon | Brandon | 1 of 5 | 14 | $51,350 | 18 Dec 2025 | |
| Palisade Healthcare Center | Garretson | 1 of 5 | 12 | $154,946 | 7 Aug 2025 | |
| Dells Nursing and Rehab Center Inc | Dell Rapids | 4 of 5 | 3 | $173,010 | 11 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Avantara Norton (CCN 435039). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/avantara-norton-sioux-falls-sd-435039/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Avantara Norton last inspected?
- The latest inspection with a citation in the CMS record was on 31 Mar 2026. It was a standard survey and a complaint investigation. It gave 15 citations. The standard survey before the last one was on 5 Mar 2025.
- Who operates Avantara Norton?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Legacy Healthcare. The CMS ownership file names Legacy Healthcare Financial Services LLC for operational or managerial control. This site does not show the names of persons.
- What does the Special Focus status mean for Avantara Norton?
- CMS lists the home as a Special Focus Facility. The State Survey Agency inspects a Special Focus Facility every six months. CMS gives no star ratings to a home in the program.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.