Nursing HomeInspections

Avantara Lake Norden

Nursing home in Lake Norden, SD

Medicare & Medicaid certified5★ overall (CMS)

Call (605) 785-3654Send a messageMap ↗

Public-record details

Address
803 Park Street, Lake Norden, SD 57248
Phone
(605) 785-3654
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
435059
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
50
Average residents per day
47
Ownership
For-profit, limited Liability company
Legal business name
Lake Norden Sd Skilled Nursing Facility, LLC
Chain
Legacy Healthcare (89 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 1, 1991
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 435059. 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 20, 2025. CMS lists 6 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 19, 2023 to Feb 19, 2026): 2 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Feb 19, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 19, 2026Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary · complaint inspection		J
Immediate jeopardy, isolated
Mar 20, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		B
Potential for minimal harm, pattern
Nov 16, 2023Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Nov 16, 2023Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Jan 19, 2023Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		G
Actual harm, isolated

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 no fines or payment denials for this facility in the last three years.

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
3.23 hours
Registered nurse (RN) time per resident per day
0.78 hours
Nurse aide time per resident per day
2.14 hours
Total nurse staffing on weekends
2.91 hours
Nursing staff turnover (yearly)
33%
RN turnover (yearly)
13%
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.