AVANTARA NORTON
3600 SOUTH NORTON AVENUE, SIOUX FALLS, SD 57105 · CCN 435039
SFF Abuse icon
Ratings
- Overall
- — —
- Health inspection
- — —
- Quality measures
- — —
- Staffing
- — —
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 110
- Avg residents/day
- 96.6
- Phone
- 6053389891
Inspection history vs South Dakota & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | South Dakota avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-05 | 19 | 6.8 | 9.5 | +12.2 worse |
| 2 | 2023-11-09 | 34 | 5.6 | 9.8 | +28.4 worse |
| 3 | 2022-10-04 | 24 | 3.0 | 9.3 | +21.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 4 |
| Resident rights | 2 |
| Nutrition and dietary | 2 |
| Administration | 2 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.77 | 57.7% |
| RN staffing (reported) | 0.58 | 58.8% |
| Total nurse staffing (adjusted) | 3.43 | — |
Fines & penalties
- Total fines
- $191,055
- Number of fines
- 7
- Number of penalties
- 7
- Payment denials
- 0
Chain
- Chain
- LEGACY HEALTHCARE
- Facilities in chain
- 90
- Chain avg overall
- 3.00 / 5
Inspection citations (77)2 immediate jeopardy16 actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-30 · Health
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-12-30 · Health
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-11-14 · Health · corrected 2025-12-12
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-10 · Health · corrected 2025-05-28
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-07-10 · Health · corrected 2025-08-04
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-07-10 · Health · corrected 2025-05-01
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-10 · Health · corrected 2025-06-07
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-04-10 · Health · corrected 2025-04-09
Potential for more than minimal harm
- DF0624Prepare residents for a safe transfer or discharge from the nursing home.2025-04-10 · Health
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-04-10 · Health
Potential for more than minimal harm
- EF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-03-05 · Health · corrected 2025-04-04
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-05 · Health · corrected 2025-04-04
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-05 · Health · corrected 2025-04-04
Potential for more than minimal harm
- HF0675Honor each resident's preferences, choices, values and beliefs.2025-03-05 · Health · corrected 2025-04-04
Actual harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-05 · Health · corrected 2025-04-04
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-05 · Health · corrected 2025-04-04
Potential for more than minimal harm
- EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-03-05 · Health · corrected 2025-04-04
Potential for more than minimal harm
- EF0837Establish 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.2025-03-05 · Health · corrected 2025-04-04
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-03-05 · Health · corrected 2025-04-04
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-27 · Health · corrected 2025-02-10
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-14 · Health · corrected 2024-12-11
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-29 · Health · corrected 2024-11-27
Potential for more than minimal harm
- GF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-10-29 · Health · corrected 2024-11-27
Actual harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-09-26 · Health · corrected 2024-11-10
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-21 · Health · corrected 2024-09-20
Actual harm
- EF0760Ensure that residents are free from significant medication errors.2024-08-21 · Health · corrected 2024-09-20
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-08-21 · Health · corrected 2024-09-20
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-17 · Health · corrected 2024-08-26
Potential for more than minimal harm
- GF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-06-20 · Health · corrected 2024-05-30
Actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-20 · Health · corrected 2024-05-30
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-04-16 · Health · corrected 2024-04-14
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-03-13 · Health · corrected 2024-04-08
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-13 · Health · corrected 2024-04-08
Actual harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-03-13 · Health · corrected 2024-04-08
Actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-12-14 · Health · corrected 2024-01-11
Potential for more than minimal harm
- DF0585Honor 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.2023-12-14 · Health · corrected 2024-01-11
Potential for more than minimal harm
- EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-11-09 · Health · corrected 2023-12-14
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-11-09 · Health · corrected 2023-12-14
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-11-09 · Health · corrected 2023-12-14
Potential for more than minimal harm
- EF0625Notify 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.2023-11-09 · Health · corrected 2023-12-14
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-09 · Health · corrected 2023-12-14
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-11-09 · Health · corrected 2023-12-14
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-11-09 · Health · corrected 2023-12-14
Potential for more than minimal harm
- HF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-11-09 · Health · corrected 2023-12-14
Actual harm
- KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-09 · Health · corrected 2023-12-07
Immediate jeopardy
- EF0692Provide enough food/fluids to maintain a resident's health.2023-11-09 · Health · corrected 2023-12-14
Potential for more than minimal harm
- HF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-11-09 · Health · corrected 2023-12-07
Actual harm
- HF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-11-09 · Health · corrected 2023-12-07
Actual harm
- EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-11-09 · Health · corrected 2023-12-14
Potential for more than minimal harm
- EF0758Implement 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.2023-11-09 · Health · corrected 2023-12-14
Potential for more than minimal harm
- EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-11-09 · Health · corrected 2023-12-14
Potential for more than minimal harm
- EF0809Ensure 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.2023-11-09 · Health · corrected 2023-12-14
Potential for more than minimal harm
- FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-11-09 · Health · corrected 2023-12-14
Potential for more than minimal harm
- FF0837Establish 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.2023-11-09 · Health · corrected 2023-12-14
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-11-09 · Health · corrected 2023-12-14
Potential for more than minimal harm
- EF0584Honor 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.2023-10-04 · Health · corrected 2023-12-14
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-04 · Health · corrected 2023-12-14
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-23 · Health · corrected 2023-04-21
Actual harm
- GF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-03-23 · Health · corrected 2023-04-21
Actual harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-03-23 · Health · corrected 2023-04-21
Potential for more than minimal harm
- EF0574The resident has the right to receive notices in a format and a language he or she understands.2022-10-04 · Health · corrected 2022-11-02
Potential for more than minimal harm
- EF0584Honor 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.2022-10-04 · Health · corrected 2022-11-02
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-10-04 · Health · corrected 2022-11-02
Actual harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-10-04 · Health · corrected 2022-11-02
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-10-04 · Health · corrected 2022-11-02
Potential for more than minimal harm
- FF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-10-04 · Health · corrected 2022-11-02
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-10-04 · Health · corrected 2022-11-02
Actual harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-10-04 · Health · corrected 2022-11-02
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-10-04 · Health · corrected 2022-11-02
Potential for more than minimal harm
- JF0692Provide enough food/fluids to maintain a resident's health.2022-10-04 · Health · corrected 2022-11-02
Immediate jeopardy
- HF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-10-04 · Health · corrected 2022-11-02
Actual harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-10-04 · Health · corrected 2022-11-02
Potential for more than minimal harm
- EF0809Ensure 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.2022-10-04 · Health · corrected 2022-11-02
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-10-04 · Health · corrected 2022-11-02
Potential for more than minimal harm
- FF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2022-10-04 · Health · corrected 2022-11-02
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-10-04 · Health · corrected 2022-11-02
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2022-10-04 · Health · corrected 2022-11-02
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 43% | 2019-10-02 |
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 43% | 2019-10-02 |
| OAKWAY OPERATIONS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | 2019-10-02 |
| BOKF,NA | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-04 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-02 |
| NICKEL, ASHLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-08-28 |
| REES, JOSEPH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-02 |
| SHABAT, MENACHEM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-02 |
| BOKF,NA | Organization | 5% OR GREATER SECURITY INTEREST | — | 2024-03-04 |
| NORTON SD PROPERTY HOLDINGS, LLC | Organization | 5% OR GREATER SECURITY INTEREST | — | 2019-10-02 |
Other facilities in SIOUX FALLS
| Name | Overall | Beds |
|---|---|---|
| BETHANY HOME SIOUX FALLS | ★★★★☆ | 52 |
| AVERA PRINCE OF PEACE | ★★★☆☆ | 126 |
| DOW RUMMEL VILLAGE | ★★★☆☆ | 50 |
| GOOD SAMARITAN SOCIETY LUTHER MANOR | ★★☆☆☆ | 92 |
| GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER | ★★☆☆☆ | 98 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.