Avantara Norton, Sioux Falls, South Dakota
- 75
- Citations from health inspectionsSouth Dakota average: 17 a home
- 19
- Residents harmed or put in dangerSouth Dakota average: 2.5 a home
- $312,233
- Fines from the federal governmentSouth Dakota average: $40,815 a home
- No rating given
- Overall rating in starsSouth Dakota average: 2.9
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
19 inspection visits produced 75 citations. Residents were in immediate danger in one finding. Residents were found hurt in 18 cases. Federal fines came to $312,233 (eight fines).
This home is a Special Focus Facility. Homes that have done poorly on past inspections are put on this list by CMS, and they get extra attention.
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- No rating is given while the home stays on the Special Focus list
- Rating for health inspections
- No rating is given while the home stays on the Special Focus list
- Rating for staffing
- No rating is given while the home stays on the Special Focus list
- Rating for quality of care
- No rating is given while the home stays on the Special Focus list
- Nurse time for each resident
- 3.86 hours each dayThe South Dakota average is 3.79 hours
- Time from registered nurses
- 0.77 hours each dayThe South Dakota average is 0.80 hours
- Nursing staff who left during one year
- 55.7%against the South Dakota average of 48.2%
- Beds that are certified
- 110
- Ownership
- Limited Liability company (for profit)
- Chain
- Legacy Healthcare, with 95 homes
- Street address
- 3600 South Norton Avenue, Sioux Falls, South Dakota 57105
- County
- Minnehaha
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
15 citations dated March 31, 2026
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, one or a few residents.
- F760 Significant Medication Errors: residents were harmed, one or a few residents.
- F740 Behavioral Health Care and Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F697 Pain Management: residents were harmed, one or a few residents.
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
- F684 Quality of Care: residents were harmed, one or a few residents, found on a complaint visit.
- F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, a pattern, several residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, a pattern, several residents.
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
- F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated Feb. 4, 2026
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
- F684 Quality of Care: residents were harmed, one or a few residents, found on a complaint visit.
Two citations dated Dec. 30, 2025
One citation dated Nov. 14, 2025
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Four citations dated July 10, 2025
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated April 10, 2025
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F624 Prepare Residents for Safe Transfer or Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Nine citations dated March 5, 2025
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F837 Governing Body and Licensed Administrator: risk of harm, no one found hurt, a pattern, several residents.
- F835 Run the Facility Effectively: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, a pattern, several residents.
- F675 Honor Resident Preferences, Values, and Beliefs: residents were harmed, a pattern, several residents, found on a complaint visit.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, a pattern, several residents.
One citation dated Dec. 27, 2024
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Nov. 14, 2024
- F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Oct. 29, 2024
- F726 Nurses and Aides Have Needed Skills: residents were harmed, one or a few residents, found on a complaint visit.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Sept. 26, 2024
- F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated Aug. 21, 2024
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F760 Significant Medication Errors: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
One citation dated July 17, 2024
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread, found on a complaint visit.
Two citations dated June 20, 2024
One citation dated April 16, 2024
- F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated March 13, 2024
- F697 Pain Management: residents were harmed, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Dec. 14, 2023
- F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
19 citations dated Nov. 9, 2023
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F837 Governing Body and Licensed Administrator: risk of harm, no one found hurt, widespread.
- F835 Run the Facility Effectively: risk of harm, no one found hurt, widespread.
- F809 Meals and Snacks at Preferred Times: risk of harm, no one found hurt, a pattern, several residents.
- F802 Enough Kitchen Support Staff: risk of harm, no one found hurt, a pattern, several residents.
- F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, a pattern, several residents.
- F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, a pattern, several residents.
- F726 Nurses and Aides Have Needed Skills: residents were harmed, a pattern, several residents, found on a complaint visit.
- F725 Enough Nursing Staff: residents were harmed, a pattern, several residents.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, a pattern, several residents.
- F689 Accident Hazards and Supervision: immediate danger to residents, a pattern, several residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, a pattern, several residents.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F625 Written Notice of Bed Hold Policy: risk of harm, no one found hurt, a pattern, several residents.
- F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, a pattern, several residents.
- F565 Right to Resident and Family Groups: risk of harm, no one found hurt, a pattern, several residents.
- F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, a pattern, several residents.
Two citations dated Oct. 4, 2023
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| March 31, 2026 | Fine | $96,750 |
| Feb. 4, 2026 | Fine | $61,845 |
| March 5, 2025 | Fine | $51,376 |
| Sept. 26, 2024 | Fine | $12,035 |
| July 17, 2024 | Fine | $12,035 |
| June 20, 2024 | Fine | $12,035 |
| March 13, 2024 | Fine | $37,557 |
| Oct. 4, 2023 | Fine | $28,600 |
Ownership and Management of the Home
- The home is run by Bokf,na (operational or managerial control).
- The home is run by Legacy Healthcare Financial Services LLC (operational or managerial control).
- The direct 43% owner is Doros Generation Trust U/A/D 1/3/12.
- The direct 43% owner is Gpn Family Trust U/A/D 4/28/08.
- The direct 15% owner is Oakway Operations LLC.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 435039. Other homes in South Dakota.