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Data / Nursing homes / South Dakota / Avantara Groton

Avantara Groton, Groton, SD: 3 star rating, fined $6,168 across 1 fine

Avantara Groton in Groton, SD is owned by Oakway Operations LLC, is rated 3 of 5 stars by Medicare, and was fined $6,168 across 1 fine in the three years to October 1, 2026. CMS lists 13 health citations from inspections in that time, the latest survey on December 11, 2025, and 1 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in South Dakota
Address
1106 North Second Street, Groton, SD 57445
Overall rating
3 of 5 stars
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measure rating
2 of 5
Certified beds
37
Residents per day
42 on average
Ownership type
For profit, limited liability company
Legal business name
Groton SD Skilled Nursing Facility LLC
Chain
Legacy Healthcare, 96 facilities
Fines
$6,168 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
13, of which 1 with actual harm or immediate jeopardy
Latest survey
December 11, 2025
CMS Certification Number
435048
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
November 26, 2024Fine$6,168Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
December 11, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 25, 2026data.cms.gov
December 11, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 25, 2026data.cms.gov
December 11, 2025F803Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 25, 2026data.cms.gov
December 11, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 25, 2026data.cms.gov
December 11, 2025F700Try 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 25, 2026data.cms.gov
December 11, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 25, 2026data.cms.gov
December 11, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedF: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 25, 2026data.cms.gov
December 11, 2025F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 25, 2026data.cms.gov
December 11, 2025F578Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 25, 2026data.cms.gov
November 26, 2024F578Honor 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.G: isolated, actual harmPast noncomplianceOctober 24, 2024data.cms.gov
July 31, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 27, 2024data.cms.gov
July 31, 2024F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 27, 2024data.cms.gov
July 31, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 27, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 11 individual or personal trusts (2 owners, 4 managers, 5 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Oakway Operations LLCDirect owner15%July 1, 2019data.cms.gov
Bokf,NaOperational or managerial controlNot listedMarch 4, 2024data.cms.gov
Legacy Healthcare Financial Services LLCOperational or managerial controlNot listedJuly 1, 2019data.cms.gov
Bokf,NaSecurity interestNot listedMarch 4, 2024data.cms.gov
Groton SD Property Holdings, LLCSecurity interestNot listedJuly 1, 2019data.cms.gov
Groton SD Property Holdings, LLCAdditional disclosable partyNot listedJuly 1, 2019data.cms.gov
Legacy Healthcare Financial Services LLCAdditional disclosable partyNot listedNovember 21, 2025data.cms.gov
Roth & Co, LLPAdditional disclosable partyNot listedJanuary 1, 2024data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.