Quick answers
- Where is Avantara Norton?
- 3600 South Norton Avenue, Sioux Falls, SD 57105, in Minnehaha County, South Dakota.
- What is the phone number of Avantara Norton?
- (605) 338-9891, as listed by Medicare (CMS).
- What is the Medicare star rating of Avantara Norton?
- Medicare (CMS) does not show a star rating for Avantara Norton in the current data.
- Has Avantara Norton been fined?
- Medicare lists 7 fines totaling $283,633.
- What did inspectors find at Avantara Norton?
- In its last three inspection cycles (October 4, 2023 to March 31, 2026), Medicare lists 75 health citations; the most serious was level K. 19 were 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 (October 4, 2023 to March 31, 2026), Avantara Norton had 75 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 19 of them were level G or higher (actual harm or immediate jeopardy). It was fined $283,633 in total (7 fines, the latest on March 31, 2026). Nurse staffing is 4.02 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: March 31, 2026 — 21 health citations
Inspections in this cycle: November 14, 2025 (complaint investigation); December 30, 2025 (complaint investigation); February 4, 2026 (complaint investigation); March 31, 2026 (complaint investigation); March 31, 2026 (standard health inspection).
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0697 Level G
“Provide safe, appropriate pain management for a resident who requires such services.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0760 Level G
“Ensure that residents are free from significant medication errors.”
actual harm to residents; isolated (a few residents) · Pharmacy Service Deficiencies
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 13 less serious citations (levels A to F)
F0561 Level E
“Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”
F0641 Level E
“Ensure each resident receives an accurate assessment.”
F0655 Level E
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0688 Level E
“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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
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.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0740 Level D
“Ensure each resident must receive and the facility must provide necessary behavioral health care and services.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0804 Level D
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
Previous cycle: March 5, 2025 — 20 health citations
Inspections in this cycle: October 29, 2024 (complaint investigation); November 14, 2024 (complaint investigation); December 27, 2024 (complaint investigation); March 5, 2025 (complaint investigation); March 5, 2025 (standard health inspection); April 10, 2025 (complaint investigation); July 10, 2025 (complaint investigation).
F0675 Level H
“Honor each resident's preferences, choices, values and beliefs.”
actual harm to residents; pattern (some residents) · Quality of Life and Care Deficiencies
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0726 Level G
“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.”
actual harm to residents; isolated (a few residents) · Nursing and Physician Services Deficiencies
Show 17 less serious citations (levels A to F)
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0582 Level E
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
F0695 Level E
“Provide safe and appropriate respiratory care for a resident when needed.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0835 Level E
“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”
F0837 Level E
“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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0602 Level D
“Protect each resident from the wrongful use of the resident's belongings or money.”
F0624 Level D
“Prepare residents for a safe transfer or discharge from the nursing home.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
Earlier cycle: November 9, 2023 — 34 health citations
Inspections in this cycle: October 4, 2023 (complaint investigation); November 9, 2023 (complaint investigation); November 9, 2023 (standard health inspection); December 14, 2023 (complaint investigation); March 13, 2024 (complaint investigation); April 16, 2024 (complaint investigation); June 20, 2024 (complaint investigation); July 17, 2024 (complaint investigation); August 21, 2024 (complaint investigation); September 26, 2024 (complaint investigation).
F0689 Level K
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies
F0686 Level H
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; pattern (some residents) · Quality of Life and Care Deficiencies
F0725 Level H
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
actual harm to residents; pattern (some residents) · Nursing and Physician Services Deficiencies
F0726 Level H
“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.”
actual harm to residents; pattern (some residents) · Nursing and Physician Services Deficiencies
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0550 Level G
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
actual harm to residents; isolated (a few residents) · Resident Rights Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0697 Level G
“Provide safe, appropriate pain management for a resident who requires such services.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 26 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0835 Level F
“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”
F0837 Level F
“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.”
F0760 Level E
“Ensure that residents are free from significant medication errors.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0561 Level E
“Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”
F0565 Level E
“Honor the resident's right to organize and participate in resident/family groups in the facility.”
F0623 Level E
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0625 Level E
“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.”
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.”
F0692 Level E
“Provide enough food/fluids to maintain a resident's health.”
F0756 Level E
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0758 Level E
“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.”
F0802 Level E
“Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.”
F0809 Level E
“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.”
F0584 Level E
“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.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0726 Level D
“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.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0585 Level D
“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.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
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 (1)
E0004 Level D
“Develop and maintain an Emergency Preparedness Program (EP).”
Fines and payment denials
Total fines over about the last three years: $283,633 (7 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| March 31, 2026 | Fine | $96,750 |
| February 4, 2026 | Fine | $61,845 |
| March 5, 2025 | Fine | $51,376 |
| September 26, 2024 | Fine | $12,035 |
| July 17, 2024 | Fine | $12,035 |
| June 20, 2024 | Fine | $12,035 |
| March 13, 2024 | Fine | $37,557 |
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 | 0.74 | 0.78 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.66 | 0.50 | 0.86 |
| Nurse aide hours per resident per day | 2.61 | 2.58 | 2.35 |
| Total nurse staff hours per resident per day | 4.02 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.42 | 3.28 | 3.43 |
| RN hours per resident per day on the weekend | 0.38 | 0.49 | 0.48 |
| Nursing staff turnover (per year) | 60.7% | 48.6% | 45.3% |
| RN turnover (per year) | 55.6% | 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: Norton 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% | October 2, 2019 |
| GPN Family Trust U/A/D 4/28/08 | Direct owner | 43% | October 2, 2019 |
| Oakway Operations LLC | Direct owner | 15% | October 2, 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 | October 2, 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 | 110 |
| Average residents per day | 97 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Legacy Healthcare |
| Legal business name | Norton SD Skilled Nursing Facility LLC |
| First approved by Medicare/Medicaid | 1989-04-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 3600 South Norton Avenue, Sioux Falls, SD 57105 |
| County | Minnehaha County |
| State | South Dakota |
| Phone | (605) 338‑9891 |
| CMS Certification Number | 435039 |
| Name in Medicare records | AVANTARA NORTON |
| 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).
- Good Samaritan Society Luther Manor0.6 mi · Sioux Falls, SD · 3 of 5 stars
- Bethany Home Sioux Falls1.5 mi · Sioux Falls, SD · 3 of 5 stars
- Avera Prince of Peace2.6 mi · Sioux Falls, SD · 4 of 5 stars
- Good Samaritan Society Sioux Falls Village2.8 mi · Sioux Falls, SD · 2 of 5 stars
- Good Samaritan Society Sioux Falls Center3.0 mi · Sioux Falls, SD · 2 of 5 stars
Nearest hospital emergency rooms
- Sanford Usd Medical Center1.7 mi · Sioux Falls, SD · Acute Care Hospital
- Sioux Falls VA Medical Center1.8 mi · Sioux Falls, SD · Federal/VA Acute Care Hospital
- Avera McKennan Hospital & University Health Center1.9 mi · Sioux Falls, SD · Acute Care 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