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Nursing homeFAID #11674

Avantara Lake Norden

803 PARK STREET, LAKE NORDEN, SD, 57248
(605) 785-3654
50 licensed beds
★★★★★5/5CMS Five-Star overall4/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
50
CMS facility ID
435059
Care type
Nursing home
County
Hamlin
Facility name
Avantara Lake Norden
Street address
803 PARK STREET
City / state / ZIP
Lake Norden, SD 57248
Phone
(605) 785-3654

About this facility — Avantara Lake Norden

Avantara Lake Norden is a Medicare/Medicaid-certified skilled nursing facility in Lake Norden, South Dakota. It is licensed for 50 beds — close to the median for skilled nursing facilities in South Dakota (52 beds).

It is one of 2 senior care facilities in Lake Norden 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 Lake Norden 12 times across 7 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. 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
Devine, William
Operational control · Additional disclosable party — since 2019
Grimm, Margaret
Operational control · Additional disclosable party — since 2019
Lake Norden Sd Property Holdings, Llc
Security-interest holder · Additional disclosable party — since 2019
Legacy Healthcare Financial Services Llc
Additional disclosable party — since 2019
Rajchenbach, Chaim
Governing body · Operational control · Additional disclosable party — since 2019
Rsm Us Llp
Additional disclosable party — since 2024
Shabat, Menachem
Governing body · Operational control · Additional disclosable party — since 2019
Truist Bank
Security-interest holder · Operational control — since 2022

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
1991-05-01
CMS overall rating
5 of 5 stars
Health deficiencies
3 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-03-20
Nurse staffing
3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$438 per day (≈ $13,320/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
62% Medicaid · 8% Medicare · 30% private/other
Occupancy
92% (fiscal year 2023)
Vs. state median
6% above the SD median of $412/day — full state cost breakdown

Services & coverage

Licensed beds
50
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 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-02-19Health inspectionComplaint-triggered2 citations
F-0760
E · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2026-04-01
F-0803
J · Immediate jeopardyFood safetyFrom a complaint
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 2026-02-11
2025-03-20Health inspection1 citation
F-0657
B · 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 2025-04-25
5 earlier / fire-safety inspections (9 citations)
2023-11-16Health inspection2 citations
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-28
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-12-28
2023-01-19Health inspection1 citation
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-02-14
2025-03-20Fire-safety inspection2 citations
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-09-18
K-0712
D · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-04-30
2023-11-16Fire-safety inspection1 citation
K-0916
C · No harm found
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2023-12-31
2023-01-19Fire-safety inspection3 citations
K-0211
C · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-02-03
K-0522
C · No harm found
Have an externally vented heating system.
Corrected 2023-01-19
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-02-06
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 435059.

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 12 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