Nursing homeFAID #11660
Avantara Norton
3600 SOUTH NORTON AVENUE, SIOUX FALLS, SD, 57105
(605) 338-9891
110 licensed beds
Photo via Google · Avantara Norton
Public record summary
What we can show you for free.
Bed capacity
110
CMS facility ID
435039
Care type
Nursing home
County
Minnehaha
Facility name
Avantara Norton
Street address
3600 SOUTH NORTON AVENUE
City / state / ZIP
Sioux Falls, SD 57105
Phone
(605) 338-9891
Website
About this facility — Avantara Norton
Avantara Norton is a Medicare/Medicaid-certified skilled nursing facility in Sioux Falls, South Dakota. It is licensed for 110 beds — well above the median for skilled nursing facilities in South Dakota (52 beds).
It is one of 41 senior care facilities in Sioux Falls 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 Norton 76 times across 25 inspections in the last three years, including 7 food-safety citations, and CMS has imposed $215,483 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
Legacy Healthcare Financial Services Llc
Operational control · Additional disclosable party — since 2019
Nickel, Ashley
Operational control · Additional disclosable party — since 2022
Norton Sd Property Holdings, Llc
Security-interest holder · Additional disclosable party — since 2019
Rees, Joseph
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
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
1989-04-01
Health deficiencies
21 at the last standard inspection
Federal fines
$215,483 total
Last standard inspection
2026-03-31
Nurse staffing
3.9 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$497 per day (≈ $15,110/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
66% Medicaid · 13% Medicare · 21% private/other
Occupancy
92% (fiscal year 2023)
Vs. state median
21% above the SD median of $412/day — full state cost breakdown
Services & coverage
Licensed beds
110
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · 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 7 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-31Health inspectionComplaint-triggered15 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-05-08
F-0561
E · No harm foundFrom a complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2026-05-08
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 2026-05-08
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-05-08
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-05-08
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 2026-05-08
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-05-08
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-05-08
F-0688
E · No harm foundFrom a complaint
Provide 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.
Corrected 2026-05-08
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-05-08
F-0697
G · Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2026-05-08
F-0740
D · No harm foundFrom a complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-12-10
F-0760
G · Actual harm
Ensure that residents are free from significant medication errors.
Corrected 2026-05-08
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 2026-05-08
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-05-08
2026-02-04Health inspectionComplaint-triggered3 citations
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-16
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-03-06
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-03-06
18 earlier / fire-safety inspections (58 citations)
2025-12-30Health inspectionComplaint-triggered2 citations
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0804
D · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
2025-11-14Health inspectionComplaint-triggered1 citation
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-12-12
2025-07-10Health inspectionComplaint-triggered4 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-05-28
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-08-04
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-01
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-07
2025-04-10Health inspectionComplaint-triggered3 citations
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-04-09
F-0624
D · No harm foundFrom a complaint
Prepare residents for a safe transfer or discharge from the nursing home.
F-0658
E · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
2025-03-05Health inspectionComplaint-triggered9 citations
F-0582
E · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-04-04
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-04
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-04
F-0675
H · Actual harmFrom a complaint
Honor each resident's preferences, choices, values and beliefs.
Corrected 2025-04-04
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-04
F-0812
E · 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 2025-04-04
F-0835
E · No harm found
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-04-04
F-0837
E · No harm found
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected 2025-04-04
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-04-04
2024-12-27Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-10
2024-11-14Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-11
2024-10-29Health inspectionComplaint-triggered2 citations
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-11-27
F-0726
G · Actual harmFrom a complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-11-27
2024-09-26Health inspectionComplaint-triggered1 citation
F-0655
D · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-11-10
2024-08-21Health inspectionComplaint-triggered3 citations
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-20
F-0760
E · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-09-20
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-09-20
2024-07-17Health inspectionComplaint-triggered1 citation
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-26
2024-06-20Health inspectionComplaint-triggered2 citations
F-0550
G · Actual harmFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-30
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-30
2024-04-16Health inspectionComplaint-triggered1 citation
F-0726
D · No harm foundFrom a complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-04-14
2024-03-13Health inspectionComplaint-triggered3 citations
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-08
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-08
F-0697
G · Actual harmFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-04-08
2023-12-14Health inspectionComplaint-triggered2 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-01-11
F-0585
D · No harm foundFrom a complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-01-11
2023-11-09Health inspectionComplaint-triggered19 citations
F-0561
E · 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 2023-12-14
F-0565
E · No harm found
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2023-12-14
F-0623
E · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-12-14
F-0625
E · No harm found
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-12-14
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-14
F-0657
E · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-12-14
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-14
F-0686
H · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-12-14
F-0689
K · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-07
F-0692
E · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-12-14
F-0725
H · Actual harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-12-07
F-0726
H · Actual harmFrom a complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-12-07
F-0756
E · 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 2023-12-14
F-0758
E · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-12-14
F-0802
E · No harm foundFood safety
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2023-12-14
F-0809
E · No harm foundFood safety
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2023-12-14
F-0835
F · No harm found
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-12-14
F-0837
F · No harm found
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected 2023-12-14
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-12-14
2023-10-04Health inspectionComplaint-triggered2 citations
F-0584
E · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-12-14
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-14
2025-03-05Fire-safety inspection1 citation
E-0004
D · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-02-26
Federal penalties
2026-02-04Fine$61,845
2025-03-05Fine$51,376
2024-09-26Fine$12,035
2024-07-17Fine$12,035
2024-06-20Fine$12,035
2024-03-13Fine$37,557
2023-10-04Fine$28,600
Total fines$215,483
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 435039.
Visitor reviews
What people say on Google.
3.0★★★★★48 ratings on Google
★★★★★brenda peterson · 2026-08-03 · via Google“I was there for almost a month. They were the best. Therapists were great and very focused as to strengthen my back and hips. Nursing and assisting staff are excellent. Very carring and also friendly. I can be a very needy person and they were always ready to help!!! I would recommend highly!!! Brenda Peterson”
★★★★★Amy · 2026-05-28 · via Google“The staff are incredibly friendly and always willing to help whenever you need something. Their positive attitudes and attentiveness really make a difference in the overall experience.”
★★★★★sarah garlock · 2025-08-20 · via Google“I was met with the friendliest staff, that care about the residents in the building and the other staff. The Administrator, Ashley and Director of Nursing, Samantha were both friendly, upbeat and eager to help me with any questions and concerns I had.”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 76 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 onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
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