facebook tracking Avantara Groton, Groton SD: CMS Ratings & Inspections
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Avantara Groton

All states › South Dakota › Groton › Avantara Groton

1106 North Second Street Groton, SD 57445 · Brown County

(605) 397-2365

Accepts Medicare Accepts Medicaid 37 certified beds For profit

CMS certification number 435048 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Avantara Groton a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avantara Groton as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the South Dakota average of 3.0. Inspectors issued 22 citations in the last three years. CMS imposed 1 penalty, including $6,168 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 1 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.70 hours per resident per day at Avantara Groton, about the same as the South Dakota median of 3.69 (US median: 3.72). About 0.62 of those hours are from registered nurses. On weekends it falls to 3.24 hours, 13% below its all-week average. 42.4% of nursing staff left within a year (South Dakota median 46.5%).

Nursing care per resident per day 3.70 hours
About the South Dakota median Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.62 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.24 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 42.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 50% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds37
Residents per day 43 About 115% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 1991
Part of a chainLegacy Healthcare
Legal business nameGROTON SD SKILLED NURSING FACILITY LLC

Paying for care at Avantara Groton: Medicare and Medicaid

Avantara Groton is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet South Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on December 11, 2025 and found 9 deficiencies. In total, inspectors issued 22 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 22 citations at Avantara Groton across 4 inspection dates, 1 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on November 26, 2024. The most common areas cited were resident assessment and care planning (7) and resident rights (5). The most serious was cited under the CMS rule to "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" (tag F0578, level G, November 26, 2024).

December 11, 2025 · 9 citations

FCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Jan 25, 2026)

EEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Jan 25, 2026)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jan 25, 2026)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jan 25, 2026)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Jan 25, 2026)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Jan 25, 2026)

DTry 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0700 · Deficient, Provider has date of correction (Jan 25, 2026)

DEnsure 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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Jan 25, 2026)

DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jan 25, 2026)

November 26, 2024 · 1 citation, includes actual harm · includes complaint inspection

GHonor 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 · Resident Rights Deficiencies · Tag F0578 · Complaint inspection · Past Non-Compliance (Oct 24, 2024)

July 31, 2024 · 3 citations

EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Aug 27, 2024)

EEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Aug 27, 2024)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 27, 2024)

April 14, 2023 · 9 citations

EAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Deficient, Provider has date of correction (May 29, 2023)

ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (May 29, 2023)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (May 29, 2023)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (May 29, 2023)

DHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0559 · Deficient, Provider has date of correction (May 29, 2023)

DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0561 · Deficient, Provider has date of correction (May 29, 2023)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (May 29, 2023)

DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (May 29, 2023)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (May 29, 2023)

Questions to ask on a tour of Avantara Groton

  1. Inspectors cited the home at the actual-harm level on November 26, 2024 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $6,168 in fines.

DateTypeAmount or length
Nov 26, 2024 Fine $6,168

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 3/5 3/5 2/5
August 2026 2/5 3/5 3/5 1/5
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Location

Hospitals near Avantara Groton

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 16.8 mi
    Sanford Medical Center Aberdeen Aberdeen
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 0m for patients treated and sent home
  • 18.3 mi
    Avera St Lukes Aberdeen
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 6m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Bethesda Home of Aberdeen Aberdeen · 17.7 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 86 beds · Medicaid
Sun Dial Manor Bristol · 18.6 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 37 beds · Medicaid
Avera Mother Joseph Manor Retirement Community Aberdeen · 18.7 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 81 beds · Medicaid
Prairie Heights Healthcare Aberdeen · 19.1 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 99 beds · Medicaid
Aberdeen Health and Rehab Aberdeen · 20.0 mi away ★★☆☆☆ Inspection 1/5 · Staffing 5/5 78 beds · Medicaid

More nursing homes near Avantara Groton ›   All nursing homes in Groton ›

Compare Avantara Groton with the 3 closest homes side by side ›

Other Legacy Healthcare nursing homes in South Dakota

Affiliation comes from CMS's affiliated-entity data, October 2026. All 96 Legacy Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/south-dakota/groton/avantara-groton/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.