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Data / Nursing homes / South Dakota / Avantara Norton

Avantara Norton, Sioux Falls, SD: not rated, fined $283,633 across 7 fines

Avantara Norton in Sioux Falls, SD is owned by Oakway Operations LLC, has no overall star rating from Medicare, and was fined $283,633 across 7 fines in the three years to October 1, 2026. CMS lists 75 health citations from inspections in that time, the latest survey on March 31, 2026, and 19 of them found actual harm or immediate jeopardy.

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Address
3600 South Norton Avenue, Sioux Falls, SD 57105
Overall rating
Not rated
Certified beds
110
Residents per day
97 on average
Ownership type
For profit, limited liability company
Legal business name
Norton SD Skilled Nursing Facility LLC
Chain
Legacy Healthcare, 96 facilities
Special focus
Special focus facility
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$283,633 across 7 fines, three years to October 1, 2026
Payment denials
0
Health citations
75, of which 19 with actual harm or immediate jeopardy
Latest survey
March 31, 2026
CMS Certification Number
435039
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
March 31, 2026Fine$96,750Not listeddata.cms.gov
February 4, 2026Fine$61,845Not listeddata.cms.gov
March 5, 2025Fine$51,376Not listeddata.cms.gov
September 26, 2024Fine$12,035Not listeddata.cms.gov
July 17, 2024Fine$12,035Not listeddata.cms.gov
June 20, 2024Fine$12,035Not listeddata.cms.gov
March 13, 2024Fine$37,557Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
March 31, 2026F760Ensure that residents are free from significant medication errors.G: isolated, actual harmCorrectedMay 8, 2026data.cms.gov
March 31, 2026F697Provide safe, appropriate pain management for a resident who requires such services.G: isolated, actual harmCorrectedMay 8, 2026data.cms.gov
March 31, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedMay 8, 2026data.cms.gov
March 31, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedMay 8, 2026data.cms.gov
March 31, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedMay 8, 2026data.cms.gov
March 31, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 8, 2026data.cms.gov
March 31, 2026F812Procure 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 harmCorrectedMay 8, 2026data.cms.gov
March 31, 2026F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceDecember 10, 2025data.cms.gov
March 31, 2026F688Provide 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 8, 2026data.cms.gov
March 31, 2026F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE: pattern, no actual harm, potential for more than minimal harmCorrectedMay 8, 2026data.cms.gov
March 31, 2026F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 8, 2026data.cms.gov
March 31, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 8, 2026data.cms.gov
March 31, 2026F578Honor 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 harmCorrectedMay 8, 2026data.cms.gov
March 31, 2026F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 8, 2026data.cms.gov
March 31, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 8, 2026data.cms.gov
February 4, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedMarch 6, 2026data.cms.gov
February 4, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedMarch 6, 2026data.cms.gov
February 4, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmPast noncomplianceJanuary 16, 2026data.cms.gov
December 30, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D: isolated, no actual harm, potential for more than minimal harmPast noncompliancedata.cms.gov
December 30, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmPast noncompliancedata.cms.gov
November 14, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 12, 2025data.cms.gov
July 10, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmPast noncomplianceMay 1, 2025data.cms.gov
July 10, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceJune 7, 2025data.cms.gov
July 10, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 4, 2025data.cms.gov
July 10, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceMay 28, 2025data.cms.gov
April 10, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrecteddata.cms.gov
April 10, 2025F624Prepare residents for a safe transfer or discharge from the nursing home.D: isolated, no actual harm, potential for more than minimal harmCorrecteddata.cms.gov
April 10, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceApril 9, 2025data.cms.gov
March 5, 2025F675Honor each resident's preferences, choices, values and beliefs.H: pattern, actual harmCorrectedApril 4, 2025data.cms.gov
March 5, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 4, 2025data.cms.gov
March 5, 2025F837Establish 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 4, 2025data.cms.gov
March 5, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 4, 2025data.cms.gov
March 5, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 4, 2025data.cms.gov
March 5, 2025F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 4, 2025data.cms.gov
March 5, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 4, 2025data.cms.gov
March 5, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 4, 2025data.cms.gov
March 5, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 4, 2025data.cms.gov
December 27, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2025data.cms.gov
November 14, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 11, 2024data.cms.gov
October 29, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.G: isolated, actual harmCorrectedNovember 27, 2024data.cms.gov
October 29, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 27, 2024data.cms.gov
September 26, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 10, 2024data.cms.gov
August 21, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedSeptember 20, 2024data.cms.gov
August 21, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 20, 2024data.cms.gov
August 21, 2024F760Ensure that residents are free from significant medication errors.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 20, 2024data.cms.gov
July 17, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedAugust 26, 2024data.cms.gov
June 20, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.G: isolated, actual harmPast noncomplianceMay 30, 2024data.cms.gov
June 20, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceMay 30, 2024data.cms.gov
April 16, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceApril 14, 2024data.cms.gov
March 13, 2024F697Provide safe, appropriate pain management for a resident who requires such services.G: isolated, actual harmCorrectedApril 8, 2024data.cms.gov
March 13, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedApril 8, 2024data.cms.gov
March 13, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 8, 2024data.cms.gov
December 14, 2023F585Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 11, 2024data.cms.gov
December 14, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 11, 2024data.cms.gov
November 9, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.H: pattern, actual harmPlan of correctionDecember 7, 2023data.cms.gov
November 9, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.H: pattern, actual harmPlan of correctionDecember 7, 2023data.cms.gov
November 9, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K: pattern, immediate jeopardyPlan of correctionDecember 7, 2023data.cms.gov
November 9, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.H: pattern, actual harmCorrectedDecember 14, 2023data.cms.gov
November 9, 2023F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov
November 9, 2023F837Establish 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.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov
November 9, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov
November 9, 2023F809Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov
November 9, 2023F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov
November 9, 2023F758Implement 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov
November 9, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov
November 9, 2023F692Provide enough food/fluids to maintain a resident's health.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov
November 9, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov
November 9, 2023F657Develop 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 harmCorrectedDecember 14, 2023data.cms.gov
November 9, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov
November 9, 2023F625Notify 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov
November 9, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov
November 9, 2023F565Honor the resident's right to organize and participate in resident/family groups in the facility.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov
November 9, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov
October 4, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.cms.gov
October 4, 2023F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 14, 2023data.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%October 2, 2019data.cms.gov
Bokf,NaOperational or managerial controlNot listedMarch 4, 2024data.cms.gov
Legacy Healthcare Financial Services LLCOperational or managerial controlNot listedOctober 2, 2019data.cms.gov
Bokf,NaSecurity interestNot listedMarch 4, 2024data.cms.gov
Norton SD Property Holdings, LLCSecurity interestNot listedOctober 2, 2019data.cms.gov
Legacy Healthcare Financial Services LLCAdditional disclosable partyNot listedNovember 24, 2025data.cms.gov
Norton SD Property Holdings, LLCAdditional disclosable partyNot listedOctober 2, 2019data.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.