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Nursing homeFAID #11669

Avantara Groton

1106 NORTH SECOND STREET, GROTON, SD, 57445

(605) 397-2365

37 licensed beds

★★★★★2/5CMS Five-Star overall3/5 health inspections3/5 staffing1/5 quality measuresSource: CMS Care Compare

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Address

1106 North Second Street

Groton, SD 57445

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

435048

Care type

Nursing home

County

Brown

Facility name

Avantara Groton

Street address

1106 NORTH SECOND STREET

City / state / ZIP

Groton, SD 57445

Phone

(605) 397-2365

About this facility — Avantara Groton

Avantara Groton is a Medicare/Medicaid-certified skilled nursing facility in Groton, South Dakota. It is licensed for 37 beds — below the median for skilled nursing facilities in South Dakota (52 beds).

It is one of 1 senior care facility in Groton and 96 skilled nursing facilities across South Dakota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Avantara Groton 28 times across 7 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $6,168 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Legacy Healthcare

Ownership type

For profit - Limited Liability company

Registered owners & officers

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

Direct owner · Additional disclosable party — 43% stake — since 2019

Gpn Family Trust U/a/d 4/28/08

Direct owner · Additional disclosable party — 43% stake — since 2019

Oakway Operations Llc

Direct owner — 15% stake — since 2019

Bokf,na

Security-interest holder · Operational control — since 2024

Carda, Brenda

Operational control · Additional disclosable party — since 2022

Groton Sd Property Holdings, Llc

Security-interest holder · Additional disclosable party — since 2019

Legacy Healthcare Financial Services Llc

Operational control · Additional disclosable party — since 2019

Roth & Co, Llp

Additional disclosable party — since 2024

Shabat, Menachem

Governing body · Operational control · Additional disclosable party — since 2019

Steger, Brandon

Operational control · Additional disclosable party — since 2019

Regulatory standing

Federal court records

20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1991-01-01

CMS overall rating

2 of 5 stars

Health deficiencies

9 at the last standard inspection

Federal fines

$6,168 total

Last standard inspection

2025-12-11

Nurse staffing

3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$531 per day (≈ $16,140/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

61% Medicaid · 18% Medicare · 21% private/other

Occupancy

65% (fiscal year 2023)

Vs. state median

29% above the SD median of $412/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2025-12-11Health inspection9 citations

F-0578

D · No harm found

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.

Corrected 2026-01-25

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-01-25

F-0655

F · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2026-01-25

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-01-25

F-0700

D · No harm found

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2026-01-25

F-0761

E · No harm found

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2026-01-25

F-0803

D · No harm foundFood safety

Ensure 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.

Corrected 2026-01-25

F-0812

D · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-01-25

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-01-25

2024-11-26Health inspectionComplaint-triggered1 citation

F-0578

G · Actual harmFrom a complaint

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.

Corrected 2024-10-24

5 earlier / fire-safety inspections (18 citations)

2024-07-31Health inspection3 citations

F-0657

E · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-08-27

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-08-27

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-08-27

2023-04-14Health inspection9 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-05-29

F-0559

D · No harm found

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Corrected 2023-05-29

F-0561

D · No harm found

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2023-05-29

F-0636

E · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2023-05-29

F-0655

E · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-05-29

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-05-29

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-05-29

F-0761

E · No harm found

Corrected 2023-05-29

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2023-05-29

2025-12-11Fire-safety inspection2 citations

K-0222

D · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2026-01-29

K-0918

D · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-01-29

2024-07-31Fire-safety inspection2 citations

K-0351

D · No harm found

Install an approved automatic sprinkler system.

Corrected 2024-08-01

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-08-27

2023-04-14Fire-safety inspection2 citations

K-0222

D · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-05-23

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-04-15

Federal penalties

2024-11-26Fine$6,168

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 435048.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 28 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered