nursing home in Groton, SD
Avantara Groton
1106 North Second Street, Groton, SD 57445 · (605) 397-2365
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★3
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avantara Groton at a glance
Avantara Groton is a 37-bed for-profit nursing home in Groton, South Dakota (Brown County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the South Dakota average of 2.9.
Residents receive about 3.7 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (December 11, 2025) found 9 health citations. The South Dakota average is 6.7.
Federal regulators fined it 1 time in the past three years, totaling $6,168.
Nursing staff turnover is 37% per year (state average 48.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 37
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Legacy Healthcare
- Medicare-certified since
- January 1, 1991
- Resident/family council
- Resident
- County
- Brown County
- CMS Certification Number
- 435048
Ratings
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.9 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.5 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.6 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.72 hrs | 3.79 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.62 hrs | 0.80 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.51 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.27 hrs | 3.26 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 37% | 48.2% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 34.7% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 9 | 7 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 56 | 72.2 | 80.6 | Better |
Penalties
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $6,168 | $40,815 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 37 | 61 | 107 | |
| Average residents per day | 41 | 52 | 86 | |
| Occupancy | 100% | 85.2% | 80.9% |
Long-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.6% | 5.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.1% | 4.6% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 31.4% | 24.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 4.9% | 2.9% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.6% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 20.5% | 21.3% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 22.4% | 19.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.2% | 5.6% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 31% | 5.7% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 13.8% | 17.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 27.6% | 25.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 97.1% | 96.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 94.9% | 93.6% | Better |
Short-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2% | 1.6% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.7% | 83.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 22 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 11, 2025 Fire safety | 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. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected January 29, 2026 |
| December 11, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected January 29, 2026 |
| December 11, 2025 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | F Potential harm, widespread | Corrected January 25, 2026 |
| December 11, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected January 25, 2026 |
| December 11, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected January 25, 2026 |
| December 11, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected January 25, 2026 |
| December 11, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected January 25, 2026 |
| December 11, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected January 25, 2026 |
| December 11, 2025 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | D Potential harm, isolated | Corrected January 25, 2026 |
| December 11, 2025 Standard | 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. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected January 25, 2026 |
| December 11, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected January 25, 2026 |
| November 26, 2024 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. Resident Rights Deficiencies · Tag F0578 | G Actual harm, isolated | Corrected October 24, 2024 |
| July 31, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected August 27, 2024 |
| July 31, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected August 1, 2024 |
| July 31, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected August 27, 2024 |
| July 31, 2024 Standard | Develop 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 Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected August 27, 2024 |
| July 31, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 27, 2024 |
| April 14, 2023 Fire safety | 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. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected May 23, 2023 |
| April 14, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected April 15, 2023 |
| April 14, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected May 29, 2023 |
| April 14, 2023 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | E Potential harm, pattern | Corrected May 29, 2023 |
| April 14, 2023 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | E Potential harm, pattern | Corrected May 29, 2023 |
| April 14, 2023 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected May 29, 2023 |
| April 14, 2023 Standard | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Tag F0559 | D Potential harm, isolated | Corrected May 29, 2023 |
| April 14, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected May 29, 2023 |
| April 14, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected May 29, 2023 |
| April 14, 2023 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected May 29, 2023 |
| April 14, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected May 29, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $6,168 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 26, 2024 | Fine | $6,168 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| DOROS GENERATION TRUST U/A/D 1/3/12 Organization | 5% or greater direct ownership interest | 43% | 07/01/2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 Organization | 5% or greater direct ownership interest | 43% | 07/01/2019 |
| OAKWAY OPERATIONS LLC Organization | 5% or greater direct ownership interest | 15% | 07/01/2019 |
| BOKF,NA Organization | 5% or greater security interest | NOT APPLICABLE | 03/04/2024 |
| GROTON SD PROPERTY HOLDINGS, LLC Organization | 5% or greater security interest | NOT APPLICABLE | 07/01/2019 |
| CARDA, BRENDA Individual | adp of the snf | NOT APPLICABLE | 09/16/2022 |
| DOROS GENERATION TRUST U/A/D 1/3/12 Organization | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| GPN FAMILY TRUST U/A/D 4/28/08 Organization | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| GROTON SD PROPERTY HOLDINGS, LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 11/21/2025 |
| ROTH & CO, LLP Organization | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| SHABAT, MENACHEM Individual | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| STEGER, BRANDON Individual | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| SHABAT, MENACHEM Individual | managing control - governing body | NOT APPLICABLE | 07/01/2019 |
| BOKF,NA Organization | operational/managerial control | NOT APPLICABLE | 03/04/2024 |
| CARDA, BRENDA Individual | operational/managerial control | NOT APPLICABLE | 09/16/2022 |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 07/01/2019 |
| SHABAT, MENACHEM Individual | operational/managerial control | NOT APPLICABLE | 07/01/2019 |
| STEGER, BRANDON Individual | operational/managerial control | NOT APPLICABLE | 07/01/2019 |
Other nursing homes near Avantara Groton
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- ★★★★★3Average
Avera Mother Joseph Manor Retirement Community
1002 North Jay Street, Aberdeen, SD 57401 · 18.7 mi
Non-profit · 81 beds · Part of Avera Health
★★★★★2Below averagePrairie Heights Healthcare
400 8th Avenue NW, Aberdeen, SD 57401 · 19.1 mi
For-profit · 99 beds · Part of Eduro Healthcare
★★★★★4Above averageAberdeen Health and Rehab
1700 North Highway 281, Aberdeen, SD 57401 · 20 mi
For-profit · 78 beds · Part of Accura Healthcare
★★★★★1Much below averageWheatcrest Hills Healthcare Center
1311 Vander Horck St, Britton, SD 57430 · 28.4 mi
For-profit · 60 beds · Part of Evergreen Healthcare Group
★★★★★3Average
Frequently asked questions
What is Avantara Groton's rating?
Avantara Groton has 2 out of 5 stars on the CMS overall star rating. The average for South Dakota nursing homes is 2.9 stars.
How many inspection citations did Avantara Groton receive?
Its most recent standard health inspection found 9 citations, compared with a South Dakota average of 6.7. Every citation is listed on this page with its severity.
Does Avantara Groton accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Avantara Groton?
It is for profit - limited liability company and part of Legacy Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Avantara Groton and how do I contact it?
Avantara Groton is at 1106 North Second Street, Groton, SD 57445. Phone: (605) 397-2365.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.