Nursing HomeInspections

Avantara Norton

Nursing home in Sioux Falls, SD

Medicare & Medicaid certifiedSpecial Focus Facility (CMS)CMS abuse icon

Call (605) 338-9891Send a messageMap ↗

Public-record details

Address
3600 South Norton Avenue, Sioux Falls, SD 57105
Phone
(605) 338-9891
Listed under
For-profit
Medicare CCN
435039
Overall star rating
Not rated by CMS
Certified beds
110
Average residents per day
98
Ownership
For-profit, limited Liability company
Legal business name
Norton Sd Skilled Nursing Facility LLC
Chain
Legacy Healthcare (89 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 1, 1989
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 435039. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 31, 2026. CMS lists 75 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 4, 2023 to Mar 31, 2026): 44 from complaint inspections, 19 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years. CMS has placed this facility in its Special Focus Facility program for nursing homes with a persistent record of serious inspection problems; it gets more frequent inspections.

InspectionCitationSeverity
Mar 31, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 31, 2026Honor 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…
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 31, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 31, 2026Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 31, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Mar 31, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Mar 31, 2026Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 31, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Mar 31, 2026Create 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		E
Potential for more than minimal harm, pattern
Mar 31, 2026Provide 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.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 31, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Mar 31, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated

Showing the 12 most recent of 75. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 7 fines totalling $215,483 in the last three years.

Feb 4, 2026Fine: $61,845
Mar 5, 2025Fine: $51,376
Sep 26, 2024Fine: $12,035
Jul 17, 2024Fine: $12,035
Jun 20, 2024Fine: $12,035
Mar 13, 2024Fine: $37,557
Oct 4, 2023Fine: $28,600

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.86 hours
Registered nurse (RN) time per resident per day
0.77 hours
Nurse aide time per resident per day
2.45 hours
Total nurse staffing on weekends
3.45 hours
Nursing staff turnover (yearly)
56%
RN turnover (yearly)
50%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Sioux Falls

Avera Prince of Peace4513 South Prince of Peace Place · Sioux Falls, SD 57103 · (605) 322-5600 · Nonprofit17 health citations in 3 inspection cycles · last standard inspection Aug 21, 2025 · $8,278 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)Bethany Home Sioux Falls1901 South Holly Avenue · Sioux Falls, SD 57105 · (605) 338-2351 · Nonprofit12 health citations in 3 inspection cycles · last standard inspection Dec 18, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)Dow Rummel Village1321 W Dow Rummel St · Sioux Falls, SD 57104 · (605) 336-1490 · Nonprofit10 health citations in 3 inspection cycles · last standard inspection Jan 8, 2026 · $71,373 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Good Samaritan Society Luther Manor1500 W 38th St · Sioux Falls, SD 57105 · (605) 336-1997 · For-profit22 health citations in 3 inspection cycles · last standard inspection Mar 5, 2026 · $92,066 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)Good Samaritan Society Sioux Falls Center401 West Second Street · Sioux Falls, SD 57104 · (605) 336-6252 · Nonprofit18 health citations in 3 inspection cycles · last standard inspection Sep 5, 2025 · $54,936 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)CMS abuse iconGood Samaritan Society Sioux Falls Village3901 S Marion Rd · Sioux Falls, SD 57106 · (605) 361-3311 · Nonprofit32 health citations in 3 inspection cycles · last standard inspection Jul 2, 2026 · $72,812 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

All 7 in Sioux Falls →