Minnehaha County, South Dakota · Nursing home
Avantara Norton
Not rated
3600 South Norton Avenue, Sioux Falls, SD 57105
At a glance
- Overall rating Not rated
- Nurse time per resident, per day 3.86 hours Above the state average of 3.79
- Nursing staff who left in a year 55.7% Above the state average of 48.2%
- Health citations, last 3 inspection cycles 75 19 at the harm level or above
- Fines in 3 years $312,233 8 fines
- Certified beds in use 88.9% of 110 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Avantara Norton is a 110-bed nursing home in Sioux Falls, South Dakota (Minnehaha County). CMS has not published an overall star rating for it as of Sep 2026. It reports 3.86 nurse staffing hours per resident per day, above the South Dakota average of 3.79. CMS lists 8 fines totaling $312,233 in the past three years.
- Certified beds
- 110
- Residents per day (average)
- 97.8
- Certified since
- 1989 (37 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Legacy Healthcare (95 homes)CMS Special Focus: SFFCMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus Facility. CMS has placed this home under closer oversight because of its inspection record. CMS does not publish star ratings for a home while it is in the program. What a Special Focus Facility is
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Avantara Norton
Chosen from this home's public data.
- CMS lists this home in its Special Focus Facility program. What is the improvement plan, and what has changed so far?Special Focus status in CMS data
- CMS lists 8 fines totaling $312,233 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 21 health deficiencies in the latest inspection cycle (the standard inspection on Mar 31, 2026 plus complaint and infection-control inspections); the South Dakota average is 6.7. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall Not rated South Dakota average 2.9
- Health inspections Not rated South Dakota average 2.9
- Staffing Not rated South Dakota average 3.5
- Quality measures Not rated South Dakota average 2.7
The vertical line marks the South Dakota average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.86 h South Dakota average 3.79
- Nurse aides 2.45 h South Dakota average 2.52
- Licensed practical nurses 0.64 h South Dakota average 0.47
- Registered nurses 0.77 h South Dakota average 0.80
- All staff, weekends 3.45 h South Dakota average 3.26
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the South Dakota average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover55.7%
- South Dakota average48.2%
- Registered nurse turnover50.0%
- South Dakota average34.7%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the South Dakota and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | South Dakota | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 29.7% | 21.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.1% | 5.6% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.2% | 2.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 6.1% | 2.9% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 16.5% | 5.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% | 5.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.5% | 94.9% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 32.8% | 19.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.5% | 17.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.7% | 96.9% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.7% | 4.6% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.0% | 25.4% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 12.6% | 24.6% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.95 | 1.52 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.28 | 1.75 | 1.78 |
Short-stay residents
| Measure | This home | South Dakota | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 80.7% | 83.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% | 2.0% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 70.0% | 78.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.1% | 19.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 15.9% | 12.0% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 75 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 18 involved actual harm; the rest were graded as no actual harm. 44 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 31, 2026: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 31, 2026 | 21 | 0 |
| Mar 5, 2025 | 21 | 1 |
| Nov 9, 2023 | 33 | 0 |
South Dakota homes averaged 6.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (75)
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 8, 2026)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 8, 2026)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 8, 2026)
-
GActual harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (May 8, 2026)
-
GActual harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (May 8, 2026)
Show 25 more
-
EPotential for more than minimal harm, pattern
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (May 8, 2026)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 8, 2026)
-
EPotential for more than minimal harm, pattern
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 8, 2026)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 8, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (May 8, 2026)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (May 8, 2026)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 8, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Dec 10, 2025)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (May 8, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (May 8, 2026)
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Jan 16, 2026)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 6, 2026)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 6, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Past Non-Compliance
-
DPotential for more than minimal harm, isolated
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Complaint investigation · Nutrition and Dietary · Past Non-Compliance
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Dec 12, 2025)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (May 1, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (May 28, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 4, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Jun 7, 2025)
-
EPotential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction
-
DPotential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Apr 9, 2025)
-
DPotential for more than minimal harm, isolated
Prepare residents for a safe transfer or discharge from the nursing home.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction
-
HActual harm, pattern
Honor each resident's preferences, choices, values and beliefs.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 4, 2025)
-
EPotential for more than minimal harm, pattern
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (Apr 4, 2025)
Showing the 30 most recent of 75.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Mar 31, 2026 | Fine | $96,750 |
| Feb 4, 2026 | Fine | $61,845 |
| Mar 5, 2025 | Fine | $51,376 |
| Sep 26, 2024 | Fine | $12,035 |
| Jul 17, 2024 | Fine | $12,035 |
| Jun 20, 2024 | Fine | $12,035 |
| Mar 13, 2024 | Fine | $37,557 |
| Oct 4, 2023 | Fine | $28,600 |
South Dakota homes averaged 1.9 fines and $40,815 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within South Dakota
- Size7 of 96 by certified beds
- South Dakota average residents per day52.1
- ChainLegacy Healthcare
- Chain average overall rating2.9 of 5
- Resident or family councilResident
- Homes in Sioux Falls7
- Homes in Minnehaha County10
Common questions
What is the CMS star rating for Avantara Norton?
CMS has not published an overall star rating for Avantara Norton as of Sep 2026.
How many beds does Avantara Norton have?
Avantara Norton has 110 certified beds. It averages 97.8 residents per day, about 88.9% of its certified beds.
How much nursing care do residents get at Avantara Norton?
The home reports 3.86 hours of nurse staffing per resident per day, including 0.77 hours from registered nurses. The South Dakota average is 3.79 hours and 0.80 hours from registered nurses.
Has Avantara Norton been fined?
Yes. CMS lists 8 fines totaling $312,233 in the past three years.
Does Avantara Norton accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Good Samaritan Society Luther Manor 92beds 93.5%in use 3.94nurse hours a day
- 3 of 5 Bethany Home Sioux Falls 54beds 78.3%in use –nurse hours a day
- 4 of 5 Avera Prince of Peace 126beds 95.6%in use 5.74nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Minnehaha County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 435039. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.