All states › South Dakota › Lake Norden › Avantara Lake Norden
803 Park Street Lake Norden, SD 57248 · Hamlin County
CMS certification number 435059 · See this home on Medicare Care Compare
Is Avantara Lake Norden 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 Lake Norden as of October 2026.
CMS rates it 5 out of 5 stars overall, above the South Dakota average of 3.0.
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 3.35 hours per resident per day at Avantara Lake Norden, below the South Dakota median of 3.69 (US median: 3.72). About 0.72 of those hours are from registered nurses. On weekends it falls to 2.95 hours, 12% below its all-week average. 38.6% of nursing staff left within a year (South Dakota median 46.5%).
About this nursing home
Paying for care at Avantara Lake Norden: Medicare and Medicaid
Avantara Lake Norden 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 July 9, 2026 and found 2 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 7 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 7 citations at Avantara Lake Norden across 4 inspection dates, 2 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on February 19, 2026 (complaint inspection). The most common areas cited were infection control (2) and resident assessment and care planning (2). The most serious was cited under the CMS rule to "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" (tag F0803, level J, February 19, 2026).
July 9, 2026 · 2 citations
DProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
February 19, 2026 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure 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.
EEnsure that residents are free from significant medication errors.
March 20, 2025 · 1 citation
BDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
November 16, 2023 · 2 citations
EProvide and implement an infection prevention and control program.
DEnsure services provided by the nursing facility meet professional standards of quality.
Questions to ask on a tour of Avantara Lake Norden
- Inspectors cited the home at the immediate-jeopardy level on February 19, 2026 under the rule on nutrition and dietary. What changed afterwards, and can I see the plan of correction?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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 $14,901 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 19, 2026 | Fine | $14,901 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 4/5 | 4/5 | 5/5 |
| August 2026 | 5/5 | 4/5 | 4/5 | 5/5 |
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Location
Hospitals near Avantara Lake Norden
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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21.9 mi
Avera Desmet Memorial Hospital - CAH De SmetEmergency roomMedian ER visit 2h 0m for patients treated and sent home
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23.1 mi
Prairie Lakes Hosp & Care Ctr WatertownEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 1h 57m 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
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Other Legacy Healthcare nursing homes in South Dakota
- Avantara Clark City · Clark · 4 stars
- Avantara Groton · Groton · 3 stars
- Avantara Watertown · Watertown · 3 stars
- Avantara North · Rapid City · 3 stars
- Avantara Mountain View · Rapid City · 2 stars
- Avantara Redfield · Redfield · 2 stars
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.