Avantara Norton
Nursing Home · Sioux Falls, SD
CMS certification number435039
CMS lists this nursing home as a Special Focus Facility – a facility with a persistent record of serious quality problems that is inspected more often.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
3600 South Norton AvenueSioux Falls, SD 57105
Minnehaha County
- Phone
- (605) 338-9891
- ZIP code
- 57105 – all care providers
Facility details
- Certified beds
- 110
- Residents per day
- 97.8 (89% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Norton SD Skilled Nursing Facility LLC
- Chain
- Legacy Healthcare (89 facilities, avg 2.9★)
- Medicare certified since
- April 1, 1989
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.86 (state 3.79 · U.S. 3.86)
- Registered nurses (RN)
- 0.77 (state 0.80 · U.S. 0.69)
- Licensed practical nurses
- 0.64 (state 0.47 · U.S. 0.86)
- Nurse aides
- 2.45 (state 2.52 · U.S. 2.32)
- Weekend total
- 3.45 (state 3.26 · U.S. 3.42)
- Nursing staff turnover
- 55.7 (state 48.2 · U.S. 45.8)%
- RN turnover
- 50.0 (state 34.7 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- March 31, 2026
- Health deficiencies (last cycle)
- 21.0 (state 6.9 · U.S. 9.3)
- From complaints
- 14
- Citations on record (3 years)
- 75 health · 1 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-31 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-05-08 |
| 2026-03-31 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-05-08 |
| 2026-03-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-05-08 |
| 2026-03-31 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2026-05-08 |
| 2026-03-31 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
G Actual harm |
Corrected 2026-05-08 |
| 2026-03-31 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-08 |
| 2026-03-31 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-08 |
| 2026-03-31 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-08 |
| 2026-03-31 | 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. F0688 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-08 |
| 2026-03-31 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-08 |
| 2026-03-31 | 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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-08 |
| 2026-03-31 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-08 |
| 2026-03-31 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-10 |
| 2026-03-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-08 |
| 2026-03-31 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-08 |
| 2026-02-04 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-01-16 |
| 2026-02-04 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-03-06 |
| 2026-02-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-03-06 |
| 2025-12-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Past Non-Compliance |
| 2025-12-30 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Past Non-Compliance |
| 2025-11-14 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-12 |
| 2025-07-10 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-05-01 |
| 2025-07-10 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-28 |
| 2025-07-10 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-04 |
| 2025-07-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-07 |
| 2025-04-10 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Deficient, Provider has date of correction |
| 2025-04-10 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-09 |
| 2025-04-10 | Prepare residents for a safe transfer or discharge from the nursing home. F0624 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Deficient, Provider has date of correction |
| 2025-03-05 | Honor each resident's preferences, choices, values and beliefs. F0675 · Quality of Life and Care Deficiencies · complaint inspection |
H Actual harm |
Corrected 2025-04-04 |
| 2025-03-05 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-04 |
| 2025-03-05 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-04 |
| 2025-03-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-04 |
| 2025-03-05 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-04 |
| 2025-03-05 | 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. F0837 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-04 |
| 2025-03-05 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-04 |
| 2025-03-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-04 |
| 2025-03-05 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-04 |
| 2024-12-27 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-10 |
| 2024-11-14 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-11 |
| 2024-10-29 | 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. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-11-27 |
| 2024-10-29 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-27 |
| 2024-09-26 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-10 |
| 2024-08-21 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-09-20 |
| 2024-08-21 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-20 |
| 2024-08-21 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-20 |
| 2024-07-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-08-26 |
| 2024-06-20 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-05-30 |
| 2024-06-20 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-30 |
| 2024-04-16 | 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. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-14 |
| 2024-03-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-04-08 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
7 penalties in the last three years, including $215,483 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-02-04 | Fine | $61,845 |
| 2025-03-05 | Fine | $51,376 |
| 2024-09-26 | Fine | $12,035 |
| 2024-07-17 | Fine | $12,035 |
| 2024-06-20 | Fine | $12,035 |
| 2024-03-13 | Fine | $37,557 |
| 2023-10-04 | Fine | $28,600 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Doros Generation Trust U/A/D 1/3/12 (organization) | 5%+ Direct Ownership Interest · 43% | |
| GPN Family Trust U/A/D 4/28/08 (organization) | 5%+ Direct Ownership Interest · 43% | |
| Oakway Operations LLC (organization) | 5%+ Direct Ownership Interest · 15% | |
| Bokf,Na (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Norton SD Property Holdings, LLC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Doros Generation Trust U/A/D 1/3/12 (organization) | Administrator · NOT APPLICABLE | |
| GPN Family Trust U/A/D 4/28/08 (organization) | Administrator · NOT APPLICABLE | |
| Legacy Healthcare Financial Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Nickel, Ashley (individual) | Administrator · NOT APPLICABLE | |
| Norton SD Property Holdings, LLC (organization) | Administrator · NOT APPLICABLE | |
| Rees, Joseph (individual) | Administrator · NOT APPLICABLE | |
| Roth & Co, LLP (organization) | Administrator · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Administrator · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Bokf,Na (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Legacy Healthcare Financial Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Nickel, Ashley (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Rees, Joseph (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
How many beds does Avantara Norton have?
It has 110 certified beds and cares for about 98 residents per day.
Has Avantara Norton been fined?
Yes. CMS lists 7 penalties totaling $215,483 in the last three years.
Who owns Avantara Norton?
It is part of Legacy Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Avantara Norton?
(605) 338-9891. The facility is located at 3600 South Norton Avenue, Sioux Falls, SD 57105.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.