Nursing Home

Avantara Norton

3600 South Norton Avenue, Sioux Falls, SD 57105

Part of Legacy Healthcare see all 90 affiliated facilities

110 certified beds 98 residents per day on average

CMS Five-Star Quality Rating

CMS has not published an overall star rating for this facility. Ratings are withheld for some facilities — for example, those in the Special Focus program or newly certified homes.

Health inspections

Not rated

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Not rated

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Not rated

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Medicare Outcome Measures

Potentially preventable hospital readmissions

9.27% (lower is better)

No Different than the National Rate
Residents discharged back to the community

48.42% (higher is better)

No Different than the National Rate
Infections acquired during the stay requiring hospitalization

5.68% (lower is better)

No Different than the National Rate

Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.

Clinical Quality Measures

Long-stay residents with a urinary tract infection

6.1%

national median 0.9%

worse than the national median
Long-stay residents experiencing falls with major injury

3.2%

national median 2.8%

near the national median
Short-stay residents who newly received an antipsychotic medication

1.1%

national median 1.0%

near the national median
Long-stay residents whose ability to walk independently worsened

32.8%

national median 12.5%

worse than the national median
Long-stay residents with pressure ulcers

6.7%

national median 4.2%

worse than the national median
Long-stay residents who received an antipsychotic medication

12.6%

national median 13.4%

near the national median

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day: 3.9 hours
Registered nurse (RN) time per resident per day: 0.8 hours
Weekend nurse staffing per resident per day: 3.5 hours
Nursing staff turnover in the past year: 55.7%

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Penalties & Enforcement

7 fines totaling $215,483 in the recent inspection window (most recent: February 4, 2026).

Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.

Ownership

Ownership type: For profit - Limited Liability company
Chain: Legacy Healthcare

Who owns this facility — 19 entries in CMS's ownership records expand ↓

Doros Generation Trust U/a/d 1/3/12 Organization

Direct owner (≥5%) 43% ownership since 10/02/2019
Gpn Family Trust U/a/d 4/28/08 Organization

Direct owner (≥5%) 43% ownership since 10/02/2019
Oakway Operations LLC Organization

Direct owner (≥5%) 15% ownership since 10/02/2019
Bokf,na Organization

Security interest (≥5%) since 03/04/2024
Norton Sd Property Holdings, LLC Organization

Security interest (≥5%) since 10/02/2019
Shabat, Menachem Individual

Managing control (governing body) since 10/02/2019
Bokf,na Organization

Operational/managerial control since 03/04/2024
Legacy Healthcare Financial Services LLC Organization

Operational/managerial control since 10/02/2019
Nickel, Ashley Individual

Operational/managerial control since 08/28/2022
Rees, Joseph Individual

Operational/managerial control since 10/02/2019

…and 9 more entries in CMS's ownership records for this facility.

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 21 health (SD avg 6.9) · 1 fire (SD avg 1.4) · ⚠ 19 serious Details

75 deficiencies cited across recent inspection cycles, including ⚠ 19 serious (actual harm or immediate jeopardy). Most recent survey: March 31, 2026.

Most recent inspection cycle: 21 health deficiencies · SD average: 6.9 · National: 9.3

1 fire-safety deficiency cited — most often emergency preparedness (1).

Most recent fire-safety inspection (2025-03-05): 1 deficiency · SD average: 1.4 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

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Nearby Nursing Homes

Detailed peer comparisons appear where at least five comparable facilities nearby publish the same CMS measures — their absence reflects geography and data availability, never this facility's quality.

Avera Prince Of Peace Sioux Falls, SD 2.5 mi away
Tuff Memorial Home Hills, MN 17.8 mi away
Fellowship Village Inwood, IA 20.1 mi away
Dells Nursing And Rehab Center Inc Dell Rapids, SD 23.2 mi away
Bethany Home Sioux Falls Sioux Falls, SD same ZIP area

Distances are approximate, measured between ZIP-code centers.