29.5/100
Poor
3600 South Norton Avenue, Sioux Falls, SD 57105
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
Abuse icon on record
CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.
Special Focus Facility
CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.
19 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$153,638 in federal fines
CMS has fined this facility across 6 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: March 31, 2026 (4 months ago).
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Actual harm to a resident
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Actual harm to a resident
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Actual harm to a resident
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Actual harm to a resident
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Actual harm to a resident
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
No actual harm, potential for more than minimal harm
Part of LEGACY HEALTHCARE, which operates 89 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| BOKF,NA | Organization | 5% OR GREATER SECURITY INTEREST | — |
| NORTON SD PROPERTY HOLDINGS, LLC | Organization | 5% OR GREATER SECURITY INTEREST | — |
| SHABAT, MENACHEM | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| BOKF,NA | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| NICKEL, ASHLEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| REES, JOSEPH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| SHABAT, MENACHEM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| DOROS GENERATION TRUST U/A/D 1/3/12 | Organization | ADP OF THE SNF | — |
| GPN FAMILY TRUST U/A/D 4/28/08 | Organization | ADP OF THE SNF | — |
| LEGACY HEALTHCARE FINANCIAL SERVICES LLC | Organization | ADP OF THE SNF | — |
| NORTON SD PROPERTY HOLDINGS, LLC | Organization | ADP OF THE SNF | — |
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Avantara Norton holds an ElderGrade of F (29.5 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.86 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 19 of the 75 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Avantara Norton is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.