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Medicare-certifiedSkilled Nursing

Avantara Norton

Sioux Falls, South DakotaMedicare inspection record
(605) 338-9891

About Avantara Norton

AVANTARA NORTON brings specialized skilled nursing and rehabilitation care to Sioux Falls, South Dakota families navigating recovery and healing. Our compassionate team delivers personalized medical support and therapeutic services designed to help residents regain independence and return home stronger.

Community at a glance

Capacity

110 residents

Location

Sioux Falls, SD

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

3600 SOUTH NORTON AVENUE, Sioux Falls, South Dakota 57105

(605) 338-9891

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Medicare lists Avantara Norton as a Special Focus Facility: a home with a history of serious quality problems that inspectors visit more often until it improves.
  • Medicare flags Avantara Norton for a citation related to abuse of residents in its recent inspections.

At its most recent standard inspection, on March 31, 2026, state inspectors cited 21 health deficiencies (the South Dakota average is 6.7).

Nurses and nurse aides spend 3 hours 51 minutes with each resident a day, about the same as the South Dakota average.

Medicare fined Avantara Norton 7 times in the last three years, $283,633 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 51 minutes
Registered nurse time per resident, per day46 minutes
Nursing staff who left in the past year56%Above the South Dakota average

Inspections

73 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

March 31, 2026 · Standard inspection · 12 citations

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected May 8, 2026
  • Ensure that residents are free from significant medication errors.

    Residents were harmed, a few residents (level G)Pharmacy ServiceCorrected May 8, 2026
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected May 8, 2026
  • Provide safe, appropriate pain management for a resident who requires such services.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected May 8, 2026
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected May 8, 2026
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected May 8, 2026
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected May 8, 2026
  • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected May 8, 2026
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected May 8, 2026
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 8, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 8, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected May 8, 2026

March 31, 2026 · Complaint investigation · 3 citations

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected May 8, 2026
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 8, 2026
  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintAlready fixed by Dec 10, 2025
February 4, 2026 · Complaint investigation · 3 citations+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Mar 6, 2026
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Mar 6, 2026
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintAlready fixed by Jan 16, 2026
December 30, 2025 · Complaint investigation · 2 citations+
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintAlready fixed before the inspection
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintAlready fixed before the inspection
November 14, 2025 · Complaint investigation · 1 citation+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Dec 12, 2025
July 10, 2025 · Complaint investigation · 4 citations+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintAlready fixed by May 1, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintAlready fixed by Jun 7, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 4, 2025
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by May 28, 2025
April 10, 2025 · Complaint investigation · 3 citations+
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected
  • Prepare residents for a safe transfer or discharge from the nursing home.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected
  • Protect each resident from the wrongful use of the resident's belongings or money.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Apr 9, 2025
March 5, 2025 · Standard inspection · 9 citations+
  • Honor each resident's preferences, choices, values and beliefs.

    Residents were harmed, a pattern (level H)Quality of Life and CareFrom a complaintCorrected Apr 4, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Apr 4, 2025
  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Apr 4, 2025
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 4, 2025
  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Apr 4, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Apr 4, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Apr 4, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 4, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 4, 2025
December 27, 2024 · Complaint investigation · 1 citation+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 10, 2025
November 14, 2024 · Complaint investigation · 1 citation+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Dec 11, 2024
October 29, 2024 · Complaint investigation · 2 citations+
  • 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.

    Residents were harmed, a few residents (level G)Nursing and Physician ServicesFrom a complaintCorrected Nov 27, 2024
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 27, 2024
September 26, 2024 · Complaint investigation · 1 citation+
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 10, 2024
August 21, 2024 · Complaint investigation · 3 citations+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Sep 20, 2024
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Sep 20, 2024
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Sep 20, 2024
July 17, 2024 · Complaint investigation · 1 citation+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Aug 26, 2024
June 20, 2024 · Complaint investigation · 2 citations+
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Residents were harmed, a few residents (level G)Resident RightsFrom a complaintAlready fixed by May 30, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by May 30, 2024
April 16, 2024 · Complaint investigation · 1 citation+
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintAlready fixed by Apr 14, 2024
March 13, 2024 · Complaint investigation · 3 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Apr 8, 2024
  • Provide safe, appropriate pain management for a resident who requires such services.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Apr 8, 2024
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Apr 8, 2024
December 14, 2023 · Complaint investigation · 2 citations+
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 11, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 11, 2024
November 9, 2023 · Standard inspection · 6 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintPlan to fix it accepted
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a pattern (level H)Quality of Life and CareCorrected Dec 14, 2023
  • 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.

    Residents were harmed, a pattern (level H)Nursing and Physician ServicesFrom a complaintPlan to fix it accepted
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Residents were harmed, a pattern (level H)Nursing and Physician ServicesPlan to fix it accepted
  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Dec 14, 2023
  • 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.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Dec 14, 2023

Showing the 60 most recent. The full list is on Medicare.gov.

Fines and payment denials

7 fines totaling $283,633 in the last three years.

  • March 31, 2026Fine: $96,750
  • February 4, 2026Fine: $61,845
  • March 5, 2025Fine: $51,376
  • September 26, 2024Fine: $12,035
  • July 17, 2024Fine: $12,035
  • June 20, 2024Fine: $12,035
  • March 13, 2024Fine: $37,557

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Norton Sd Skilled Nursing Facility LLC
Medicare-certified beds
110
Average residents per day
98
Accepts
Medicare and Medicaid
First certified
April 1, 1989
Part of a chain
Legacy Healthcare, 95 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
435039

Location

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3600 SOUTH NORTON AVENUESioux Falls, SD 57105

12 other communities within 10 miles

Senior living near Sioux Falls

Questions about Avantara Norton

How did Avantara Norton do on its last inspection?+

State inspectors visited on March 31, 2026 and cited 21 health deficiencies, 14 of them from complaint investigations. The South Dakota average is 6.7.

How much nursing care does each resident get at Avantara Norton?+

Nurses and aides spend 3 hours 51 minutes with each resident per day, including 46 minutes from registered nurses. 56% of nursing staff left over the past year.

Has Avantara Norton been fined by Medicare?+

Yes. Medicare fined Avantara Norton 7 times in the last three years, totaling $283,633.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Sioux Falls Skilled Nursing in South Dakota Skilled Nursing guide Information last updated October 2026