Nursing homes › South Dakota › Sioux Falls › Avantara Norton
3600 South Norton Avenue, Sioux Falls, SD 57105 · (605) 338-9891 · 110 certified beds
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Per CMS filings, this facility is affiliated with Legacy Healthcare, a group operating 89 facilities in 3 states. Group record: average rating 2.9/5, 12 abuse citation icons, 4 facilities on the Special Focus list, $3,742,782 in federal fines.
Total nurse staffing: 3.86 (South Dakota median: 3.62). RN hours: 0.77. Weekend total: 3.45. Nursing staff turnover: 56%.
In the downloaded CMS dataset: 75 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-31 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2026-05-08 |
| 2026-03-31 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | 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. | G | complaint | corrected 2026-05-08 |
| 2026-03-31 | Provide safe, appropriate pain management for a resident who requires such services. | G | Health | corrected 2026-05-08 |
| 2026-03-31 | Ensure that residents are free from significant medication errors. | G | Health | 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. | E | complaint | corrected 2026-05-08 |
| 2026-03-31 | Ensure each resident receives an accurate assessment. | E | Health | 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 | E | Health | 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. | E | complaint | 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. | D | complaint | 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. | D | Health | 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. | D | complaint | corrected 2026-05-08 |
| 2026-03-31 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | complaint | 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. | D | Health | corrected 2026-05-08 |
| 2026-03-31 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-05-08 |
| 2026-02-04 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2026-01-16 |
| 2026-02-04 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | 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. | G | complaint | 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. | D | complaint | Past Non-Compliance |
| 2025-12-30 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | complaint | Past Non-Compliance |
| 2025-11-14 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2025-12-12 |
| 2025-07-10 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | 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. | D | complaint | corrected 2025-05-28 |
| 2025-07-10 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | 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. | D | complaint | corrected 2025-06-07 |
| 2025-04-10 | Ensure services provided by the nursing facility meet professional standards of quality. | E | complaint | Deficient, Provider has date of correction |
| 2025-04-10 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2025-04-09 |
| 2025-04-10 | Prepare residents for a safe transfer or discharge from the nursing home. | D | complaint | Deficient, Provider has date of correction |
| 2025-03-05 | Honor each resident's preferences, choices, values and beliefs. | H | complaint | corrected 2025-04-04 |
| 2025-03-05 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Health | corrected 2025-04-04 |
| 2025-03-05 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | 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. | E | Health | corrected 2025-04-04 |
| 2025-03-05 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Health | 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. | E | Health | corrected 2025-04-04 |
| 2025-03-05 | Provide and implement an infection prevention and control program. | E | Health | 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. | D | Health | corrected 2025-04-04 |
| 2025-03-05 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-04-04 |
| 2024-12-27 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | 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. | D | complaint | 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. | G | complaint | corrected 2024-11-27 |
| 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 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 | 5% Or Greater Direct Ownership Interest | Organization | 43% | since 10/02/2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 | 5% Or Greater Direct Ownership Interest | Organization | 43% | since 10/02/2019 |
| OAKWAY OPERATIONS LLC | 5% Or Greater Direct Ownership Interest | Organization | 15% | since 10/02/2019 |
| SHABAT, MENACHEM | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/02/2019 |
| BOKF,NA | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/04/2024 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 10/02/2019 |
| NICKEL, ASHLEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/28/2022 |
| REES, JOSEPH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/02/2019 |
| SHABAT, MENACHEM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/02/2019 |
How to cite this page: CareRecords, “Avantara Norton — compliance, penalty and ownership record” (CCN 435039), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/avantara-norton-sioux-falls-sd/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 435039. Corrections: data@carerecords.org.