Quick answers
- Where is Avantara Groton?
- 1106 North Second Street, Groton, SD 57445, in Brown County, South Dakota.
- What is the phone number of Avantara Groton?
- (605) 397-2365, as listed by Medicare (CMS).
- What is the Medicare star rating of Avantara Groton?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Avantara Groton been fined?
- Medicare lists 1 fine totaling $6,168.
- What did inspectors find at Avantara Groton?
- In its last three inspection cycles (April 14, 2023 to December 11, 2025), Medicare lists 22 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (April 14, 2023 to December 11, 2025), Avantara Groton had 22 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $6,168 in total (1 fine, the latest on November 26, 2024). Nurse staffing is 3.70 hours per resident per day; the South Dakota average is 3.86 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: December 11, 2025 — 9 health citations
Inspections in this cycle: December 11, 2025 (standard health inspection).
Show 9 citations (levels A to F, no actual harm)
F0655 Level F
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0641 Level E
“Ensure each resident receives an accurate assessment.”
F0761 Level E
“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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0578 Level D
“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.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0700 Level D
“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.”
F0803 Level D
“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.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
Previous cycle: July 31, 2024 — 4 health citations
Inspections in this cycle: July 31, 2024 (standard health inspection); November 26, 2024 (complaint investigation).
F0578 Level G
“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.”
actual harm to residents; isolated (a few residents) · Resident Rights Deficiencies
Show 3 less serious citations (levels A to F)
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0759 Level E
“Ensure medication error rates are not 5 percent or greater.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
Earlier cycle: April 14, 2023 — 9 health citations
Inspections in this cycle: April 14, 2023 (standard health inspection).
Show 9 citations (levels A to F, no actual harm)
F0636 Level E
“Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.”
F0655 Level E
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0761 Level E
“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.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0559 Level D
“Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.”
F0561 Level D
“Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (6)
K0222 Level D
“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.”
K0918 Level D
“Have generator or other power source capable of supplying service within 10 seconds.”
K0355 Level E
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0351 Level D
“Install an approved automatic sprinkler system.”
K0222 Level D
“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.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
Fines and payment denials
Total fines over about the last three years: $6,168 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| November 26, 2024 | Fine | $6,168 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | South Dakota | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.62 | 0.78 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.44 | 0.50 | 0.86 |
| Nurse aide hours per resident per day | 2.64 | 2.58 | 2.35 |
| Total nurse staff hours per resident per day | 3.70 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.24 | 3.28 | 3.43 |
| RN hours per resident per day on the weekend | 0.35 | 0.49 | 0.48 |
| Nursing staff turnover (per year) | 42.4% | 48.6% | 45.3% |
| RN turnover (per year) | 50.0% | 37.5% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.3 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 96 nursing homes: Legacy Healthcare.
Legal business name: Groton SD Skilled Nursing Facility LLC.
Owners and managers Medicare lists (5)
| Name | Role | Share | Since |
|---|---|---|---|
| Doros Generation Trust U/A/D 1/3/12 | Direct owner | 43% | July 1, 2019 |
| GPN Family Trust U/A/D 4/28/08 | Direct owner | 43% | July 1, 2019 |
| Oakway Operations LLC | Direct owner | 15% | July 1, 2019 |
| Bokf,na | Management company (operational or managerial control) | NOT APPLICABLE | March 4, 2024 |
| Legacy Healthcare Financial Services LLC | Management company (operational or managerial control) | NOT APPLICABLE | July 1, 2019 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 37 |
| Average residents per day | 42.5 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Legacy Healthcare |
| Legal business name | Groton SD Skilled Nursing Facility LLC |
| First approved by Medicare/Medicaid | 1991-01-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1106 North Second Street, Groton, SD 57445 |
| County | Brown County |
| State | South Dakota |
| Phone | (605) 397‑2365 |
| CMS Certification Number | 435048 |
| Name in Medicare records | AVANTARA GROTON |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Bethesda Home of Aberdeen18 mi · Aberdeen, SD · 3 of 5 stars
- Sun Dial Manor19 mi · Bristol, SD · 2 of 5 stars
- Avera Mother Joseph Manor Retirement Community19 mi · Aberdeen, SD · 3 of 5 stars
- Prairie Heights Healthcare19 mi · Aberdeen, SD · 4 of 5 stars
- Aberdeen Health and Rehab20 mi · Aberdeen, SD · 2 of 5 stars
Nearest hospital emergency rooms
- Sanford Medical Center Aberdeen17 mi · Aberdeen, SD · Acute Care Hospital
- Avera St Lukes18 mi · Aberdeen, SD · Acute Care Hospital
- Marshall County Healthcare Center - CAH29 mi · Britton, SD · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13