nursing home in Lake Norden, SD
Avantara Lake Norden
803 Park Street, Lake Norden, SD 57248 · (605) 785-3654
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★4
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avantara Lake Norden at a glance
Avantara Lake Norden is a 50-bed for-profit nursing home in Lake Norden, South Dakota (Hamlin County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the South Dakota average of 2.9.
Residents receive about 3.2 hours of nursing care per day (0.8 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (July 9, 2026) found 4 health citations. The South Dakota average is 6.7.
It has not received a federal fine in the past three years.
Nursing staff turnover is 32.6% per year (state average 48.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 50
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Legacy Healthcare
- Medicare-certified since
- May 1, 1991
- Resident/family council
- Resident
- County
- Hamlin County
- CMS Certification Number
- 435059
Ratings
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.9 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.5 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 2.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 2.6 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.23 hrs | 3.79 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.78 hrs | 0.80 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.14 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.91 hrs | 3.26 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 32.6% | 48.2% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 12.5% | 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) | 4 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 27 | 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) | 0 | 2 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $40,815 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 50 | 61 | 107 | |
| Average residents per day | 47 | 52 | 86 | |
| Occupancy | 93.6% | 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) | 2.8% | 5.5% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.4% | 4.6% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 21% | 24.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 2.9% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 2.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 33.1% | 21.3% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 9% | 19.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.6% | 5.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 16.9% | 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) | 29.8% | 17.4% | 19.5% | Worse |
| 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) | 97.6% | 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 flu vaccine (higher is better) | 97% | 78.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 83.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 7 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 9, 2026 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 August 23, 2026 |
| July 9, 2026 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected August 23, 2026 |
| July 9, 2026 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected August 23, 2026 |
| July 9, 2026 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected August 23, 2026 |
| February 19, 2026 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. Nutrition and Dietary Deficiencies · Tag F0803 | J Immediate jeopardy, isolated | Corrected February 11, 2026 |
| February 19, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected April 1, 2026 |
| March 20, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected April 30, 2025 |
| March 20, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected September 18, 2025 |
| March 20, 2025 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 | B No harm, pattern | Corrected April 25, 2025 |
| November 16, 2023 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | C No harm, widespread | Corrected December 31, 2023 |
| November 16, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 28, 2023 |
| November 16, 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 December 28, 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 no federal fines or payment denials in the past three years.
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 |
| LAKE NORDEN SD PROPERTY HOLDINGS, LLC Organization | 5% or greater security interest | NOT APPLICABLE | 07/01/2019 |
| TRUIST BANK Organization | 5% or greater security interest | NOT APPLICABLE | 04/01/2022 |
| DEVINE, WILLIAM Individual | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| 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 |
| GRIMM, MARGARET Individual | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| LAKE NORDEN 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 | 07/01/2019 |
| RAJCHENBACH, CHAIM Individual | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| RSM US LLP Organization | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| SHABAT, MENACHEM Individual | adp of the snf | NOT APPLICABLE | 07/01/2019 |
| RAJCHENBACH, CHAIM Individual | managing control - governing body | NOT APPLICABLE | 07/01/2019 |
| SHABAT, MENACHEM Individual | managing control - governing body | NOT APPLICABLE | 07/01/2019 |
| DEVINE, WILLIAM Individual | operational/managerial control | NOT APPLICABLE | 07/01/2019 |
| GRIMM, MARGARET Individual | operational/managerial control | NOT APPLICABLE | 07/01/2019 |
| RAJCHENBACH, CHAIM Individual | operational/managerial control | NOT APPLICABLE | 07/01/2019 |
| SHABAT, MENACHEM Individual | operational/managerial control | NOT APPLICABLE | 07/01/2019 |
| TRUIST BANK Organization | operational/managerial control | NOT APPLICABLE | 04/01/2022 |
Other nursing homes near Avantara Lake Norden
Estelline Nursing and Care Center
205 Fjerestad Avenue East, Estelline, SD 57234 · 12.7 mi
Government · 60 beds
★★★★★4Above averageGood Samaritan Society de Smet
411 Calumet Avenue NW, De Smet, SD 57231 · 21.6 mi
Non-profit · 46 beds · Part of Good Samaritan Society
★★★★★1Much below average- ★★★★★3Average
Avantara Watertown
415 Fourth Ave NE, Watertown, SD 57201 · 22.9 mi
For-profit · 51 beds · Part of Legacy Healthcare
- Special Focus candidate
- Abuse citation
★★★★★1Much below averageUnited Living Community
405 First Ave, Brookings, SD 57006 · 27.6 mi
Non-profit · 67 beds
- Abuse citation
★★★★★2Below averageThe Neighborhoods at Brookview
2421 Yorkshire Dr, Brookings, SD 57006 · 29.2 mi
Government · 79 beds
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Avantara Lake Norden's rating?
Avantara Lake Norden has 5 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 Lake Norden receive?
Its most recent standard health inspection found 4 citations, compared with a South Dakota average of 6.7. Every citation is listed on this page with its severity.
Does Avantara Lake Norden 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 Lake Norden?
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 Lake Norden and how do I contact it?
Avantara Lake Norden is at 803 Park Street, Lake Norden, SD 57248. Phone: (605) 785-3654.
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.