All states › South Dakota › Sioux Falls › Avantara Norton
3600 South Norton Avenue Sioux Falls, SD 57105 · Minnehaha County
All 7 nursing homes in Sioux Falls, SD (7 take Medicaid)
CMS certification number 435039 · See this home on Medicare Care Compare
Is Avantara Norton 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 Norton as of October 2026.
CMS has not given it an overall rating yet.
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 4.02 hours per resident per day at Avantara Norton, above the South Dakota median of 3.69 (US median: 3.72). About 0.74 of those hours are from registered nurses. On weekends it falls to 3.42 hours, 15% below its all-week average. 60.7% of nursing staff left within a year (South Dakota median 46.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Avantara Norton: Medicare and Medicaid
Avantara Norton 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 March 31, 2026 and found 7 deficiencies, plus 14 from complaint inspections in the same period. In total, inspectors issued 75 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 75 citations at Avantara Norton across 19 inspection dates, 44 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on November 9, 2023 (complaint inspection). The most common areas cited were quality of life and care (22) and resident rights (13). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level K, November 9, 2023). 5 citations were under CMS's abuse, neglect and exploitation rules.
March 31, 2026 · 15 citations · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GProvide safe, appropriate pain management for a resident who requires such services.
GEnsure that residents are free from significant medication errors.
EHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
EEnsure each resident receives an accurate assessment.
ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
EProvide 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.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide and implement an infection prevention and control program.
February 4, 2026 · 3 citations, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 30, 2025 · 2 citations · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
November 14, 2025 · 1 citation · includes complaint inspection
EProvide and implement an infection prevention and control program.
July 10, 2025 · 4 citations, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 10, 2025 · 3 citations · includes complaint inspection
EEnsure services provided by the nursing facility meet professional standards of quality.
DProtect each resident from the wrongful use of the resident's belongings or money.
DPrepare residents for a safe transfer or discharge from the nursing home.
March 5, 2025 · 9 citations, includes actual harm · includes complaint inspection
HHonor each resident's preferences, choices, values and beliefs.
EGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
EProvide safe and appropriate respiratory care for a resident when needed.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
EEstablish 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.
EProvide and implement an infection prevention and control program.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
December 27, 2024 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
November 14, 2024 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
October 29, 2024 · 2 citations, includes actual harm · includes complaint inspection
GEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
September 26, 2024 · 1 citation · includes complaint inspection
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
August 21, 2024 · 3 citations, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EEnsure that residents are free from significant medication errors.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
July 17, 2024 · 1 citation · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
June 20, 2024 · 2 citations, includes actual harm · includes complaint inspection
GHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
April 16, 2024 · 1 citation · includes complaint inspection
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
March 13, 2024 · 3 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GProvide safe, appropriate pain management for a resident who requires such services.
DEnsure services provided by the nursing facility meet professional standards of quality.
December 14, 2023 · 2 citations · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor 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.
November 9, 2023 · 19 citations, includes immediate jeopardy · includes complaint inspection
KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
HProvide appropriate pressure ulcer care and prevent new ulcers from developing.
HProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
HEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
FEstablish 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.
EHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
ENotify 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.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EProvide enough food/fluids to maintain a resident's health.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
EImplement 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.
EProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
EEnsure 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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide and implement an infection prevention and control program.
October 4, 2023 · 2 citations · includes complaint inspection
EHonor 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.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
Questions to ask on a tour of Avantara Norton
- Inspectors cited the home at the immediate-jeopardy level on November 9, 2023 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 31, 2026. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 60.7% a year. How many of the staff come from agencies?
- 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
7 penalties in the last three years, including $283,633 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Mar 31, 2026 | Fine | $96,750 |
| Feb 4, 2026 | Fine | $61,845 |
| Mar 5, 2025 | Fine | $51,376 |
| Sep 26, 2024 | Fine | $12,035 |
| Jul 17, 2024 | Fine | $12,035 |
| Jun 20, 2024 | Fine | $12,035 |
| Mar 13, 2024 | Fine | $37,557 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | — | — | — | — |
| August 2026 | — | — | — | — |
Location
Hospitals near Avantara Norton
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 1.5 mi
-
1.6 mi
Sanford Usd Medical Center Sioux FallsEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 3h 27m for patients treated and sent home
- 1.6 mi
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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Compare Avantara Norton with the 3 closest homes side by side ›
Other Legacy Healthcare nursing homes in South Dakota
- Avantara Lake Norden · Lake Norden · 5 stars
- 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
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.