Occupancy rate
92%
In line with South Dakota averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Nursing Home
Avantara Lake Norden
Overview of Avantara Lake Norden
Avantara Lake Norden boasts its one-of-a-kind superior care that creates an atmosphere of comfort and security for a distinct living focused on relaxation and recovery. There is a merit of an incomparable level of care that provokes quality service delivered by only the best team of professionals who offer tailored personal care plans for each unique individual. Avantara Lake Norden has the privilege of maximizing advanced medical services that lead to an enhanced caliber of life.
The areas of excellence are found in the range of an array of specialized services such as; cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care. The list of accommodations extends to the comprehensive care plan physical therapy equipment, a team of full-time therapists on-site, and a home assessment completed.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
50
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
92.1%
Residents per day (avg)
47
Occupancy rate
92.1%
Residents per day (avg)
47
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
40% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
39% of new residents, often for short stays.
Typical stay
4 - 5 months
Medicaid
21% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$7.1M
Profit
$245.9K
Privately-owned community
Operated by a business corporation.
Home revenue
$7,063,065.00
Profit
$245,878.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.8M
50-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score: 6 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Occupancy
In line with South Dakota averageOccupied beds
46 / 50
Average residents
51 per day
License details
Facility type
Nursing Home
Status
Active
Issuance
January 7, 2025
Expiration
June 30, 2026
County:
Hamlin
Additional licensing details
License number:
10639
Ownership & operating entity
Avantara Lake Norden is administrated by Grimm, Margaret.
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Licensed Nurses/CNAs
Short-Term Rehab
Programs & Activities
Specific Programs
Secured Memory Care Unit, Short-Term Rehabilitation, Stroke And Other Neurological Conditions, Cardiac Care, Oncology Recovery Care, Wound Care, Orthopedic Rehabilitation, Pulmonary Care
Health Inspection History
Inspections
Total health inspections
3
South Dakota average 4.5
Last Health inspection on Mar 2025
Total health citations
4
Citations per inspection
1.33
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 4 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than South Dakota averageSouth Dakota average: 0.3
Serious Health citations
1
1
44% better than South Dakota averageSouth Dakota average: 1.8
0 critical citations
1 serious citation
2 moderate citations
1 minor citation
Citations history (last 3 years)
Care Planning minor citation
Mar 20, 2025
Corrected
Infection Control moderate citation
Nov 16, 2023
Corrected
Care Planning moderate citation
Nov 16, 2023
Corrected
Quality of Care serious citation
Jan 19, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around South Dakota
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Avantara Lake Norden
+8%
-23%
+15%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57248
48
6
GRIMM, MARGARET
92.1%
$7,058,696.00
$2,117,765.00
30%
47
3.3290
1
4
1
+8%-23%+15%
Alcester Care and Rehab Center
+30%
-14%
+19%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57001
39
-
STROSCHEIN PROPERTIES III LLC
94.9%
$2,913,737.00
$1,508,672.00
51.8%
37.10
3.7156
2
11
1
+30%-14%+19%
Avantara Clark City
-22%
-27%
-1%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Clark
38
31
SCHLOMER, TIFFANY
79.4%
$5,951,228.00
$1,518,009.00
25.5%
31
3.1510
1
5
1
-22%-27%-1%
Aurora Brule Nursing Home Inc.
+29%
-20%
-23%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57383
44
-
AURORA-BRULE NURSING HOME
61.7%
$2,847,378.00
$1,491,258.00
52.4%
39.60
3.4495
2
16
1
+29%-20%-23%
Avantara Arrowhead
+52%
-36%
-6%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57702
74
12
PRESTON, PHILIP
75.2%
$10,728,053.00
$2,930,677.00
27.3%
61
2.7955
5
34
9
+52%-36%-6%
Avantara Lake Norden
Type of care:
SNF
AL
Community:
SD 57248
Bed Count:
48
Operator:
GRIMM, MARGARET
CCN:
435059
Occupancy:
92.1%
Home Revenue:
$7,058,696.00
Payroll Costs:
$2,117,765.00
Payroll %:
30%
Avg Residents/Day:
47
Overall Rating:
Adj Nurse Hours:
3.3290
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
4
Severe Citations:
1
RN share vs State Avg:
+8%
+8%
Staffing vs State Avg:
-23%
-23%
Occupancy vs State Avg:
+15%
+15%
Alcester Care and Rehab Center
Type of care:
SNF
AL
Community:
SD 57001
Bed Count:
39
Operator:
STROSCHEIN PROPERTIES III LLC
CCN:
435062
Occupancy:
94.9%
Home Revenue:
$2,913,737.00
Payroll Costs:
$1,508,672.00
Payroll %:
51.8%
Avg Residents/Day:
37.10
Overall Rating:
Adj Nurse Hours:
3.7156
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
11
Severe Citations:
1
RN share vs State Avg:
+30%
+30%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
+19%
+19%
Avantara Clark City
Type of care:
SNF
AL
Community:
Clark
Bed Count:
38
Operator:
SCHLOMER, TIFFANY
CCN:
435058
Occupancy:
79.4%
Home Revenue:
$5,951,228.00
Payroll Costs:
$1,518,009.00
Payroll %:
25.5%
Avg Residents/Day:
31
Overall Rating:
Adj Nurse Hours:
3.1510
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
5
Severe Citations:
1
RN share vs State Avg:
-22%
-22%
Staffing vs State Avg:
-27%
-27%
Occupancy vs State Avg:
-1%
-1%
Aurora Brule Nursing Home Inc.
Type of care:
SNF
AL
Community:
SD 57383
Bed Count:
44
Operator:
AURORA-BRULE NURSING HOME
CCN:
435132
Occupancy:
61.7%
Home Revenue:
$2,847,378.00
Payroll Costs:
$1,491,258.00
Payroll %:
52.4%
Avg Residents/Day:
39.60
Overall Rating:
Adj Nurse Hours:
3.4495
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
16
Severe Citations:
1
RN share vs State Avg:
+29%
+29%
Staffing vs State Avg:
-20%
-20%
Occupancy vs State Avg:
-23%
-23%
Avantara Arrowhead
Type of care:
SNF
AL
Community:
SD 57702
Bed Count:
74
Operator:
PRESTON, PHILIP
CCN:
435051
Occupancy:
75.2%
Home Revenue:
$10,728,053.00
Payroll Costs:
$2,930,677.00
Payroll %:
27.3%
Avg Residents/Day:
61
Overall Rating:
Adj Nurse Hours:
2.7955
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
5
Citations:
34
Severe Citations:
9
RN share vs State Avg:
+52%
+52%
Staffing vs State Avg:
-36%
-36%
Occupancy vs State Avg:
-6%
-6%Places of interest near Avantara Lake Norden
0.3 miles from city center — 21.86 miles to nearest hospital (Hy-Vee Pharmacy)
803 Park St. Lake Norden, SD 57248
Calculate Travel Distance to Avantara Lake Norden
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
102
Total Staff
60
Employees
42
Contractors
15,655
Total Hours (Quarter)
25
Avg Staff/Day
6.9
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 12 | 9.2 | Yes |
| Licensed Practical Nurse | 9 | 8.7 | Yes |
| Certified Nursing Assistant | 60 | 6.8 | Yes |
Staff by Category
Administration ⓘ
1 staff
7.8hs shift avg
Nursing Staff ⓘ
82 staff
7.2hs shift avg
Physicians & Practitioners ⓘ
5 staff
7.8hs shift avg
Therapy Services ⓘ
9 staff
3.3hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
2.6hs shift avg
Dietary Services ⓘ
2 staff
7.9hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
11.4%
of total hours from contractors
1,779 contractor hours this quarter
Physical Therapy Aide: 2
Qualified Social Worker: 2
Certified Nursing Assistant: 23
Respiratory Therapy Technician: 3
Licensed Practical Nurse: 4
Registered Nurse: 4
Physical Therapy Assistant: 1
Speech Language Pathologist: 3
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 37 | 23 | 60 | 8,397 | 91 | 100% | 6.8 |
| Registered Nurse | 8 | 4 | 12 | 1,573 | 90 | 99% | 9.2 |
| Licensed Practical Nurse | 5 | 4 | 9 | 1,555 | 85 | 93% | 8.7 |
| Dietitian | 2 | 0 | 2 | 976 | 64 | 70% | 7.9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 972 | 64 | 70% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 485 | 61 | 67% | 8 |
| Administrator | 1 | 0 | 1 | 479 | 61 | 67% | 7.8 |
| Nurse Practitioner | 3 | 0 | 3 | 466 | 61 | 67% | 7.5 |
| Physical Therapy Aide | 0 | 2 | 2 | 357 | 66 | 73% | 5.1 |
| Speech Language Pathologist | 0 | 3 | 3 | 191 | 51 | 56% | 3.2 |
| Qualified Social Worker | 0 | 2 | 2 | 78 | 30 | 33% | 2.6 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 57 | 36 | 40% | 1.5 |
| Medication Aide/Technician | 1 | 0 | 1 | 46 | 15 | 16% | 3 |
| Physical Therapy Assistant | 0 | 1 | 1 | 23 | 19 | 21% | 1.2 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
46 residents
Residents by payment source
Medicare
5 residents (10.9%)
Medicaid
27 residents (58.7%)
Private pay or other
14 residents (30.4%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.0
8% worse than South Dakota averageSouth Dakota average: 12.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.7
20% worse than South Dakota averageSouth Dakota average: 23.9
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
28.4%
Percent of long-stay residents whose need for help with daily activities has increased
28.4%
27% worse than South Dakota averageSouth Dakota average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
27.7%
Percent of long-stay residents whose ability to move independently worsened
27.7%
21% worse than South Dakota averageSouth Dakota average: 22.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.9%
12% worse than South Dakota averageSouth Dakota average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
In line with South Dakota averageSouth Dakota average: 5.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.0%
Percent of long-stay high risk residents with pressure ulcers
2.0%
57% better than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.3%
Percent of long-stay residents with a urinary tract infection
1.3%
63% better than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.0%
Percent of long-stay residents who lose too much weight
2.0%
63% better than South Dakota averageSouth Dakota average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.6%
Percent of long-stay residents who have depressive symptoms
4.6%
11% worse than South Dakota averageSouth Dakota average: 4.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.7%
Percent of long-stay residents who received an antipsychotic medication
18.7%
23% better than South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
In line with South Dakota averageSouth Dakota average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
In line with South Dakota averageSouth Dakota average: 96.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.74
Number of hospitalizations per 1,000 long-stay resident days.
0.74
51% better than South Dakota averageSouth Dakota average: 1.51
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.28
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.28
85% better than South Dakota averageSouth Dakota average: 1.85
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.0%
13% better than South Dakota averageSouth Dakota average: 84.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than South Dakota averageSouth Dakota average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.0%
24% better than South Dakota averageSouth Dakota average: 78.2%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
9.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
9.7%
55% better than South Dakota averageSouth Dakota average: 21.5%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
8.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.4%
28% better than South Dakota averageSouth Dakota average: 11.7%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
3.2%
Percentage of SNF residents who experience falls with major injury during their stay.
3.2%
319% worse than South Dakota averageSouth Dakota average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
29.2%
Percentage of residents at or above expected ability to care for themselves at discharge.
29.2%
46% worse than South Dakota averageSouth Dakota average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$11K
73% lower than South Dakota averageSouth Dakota average: $40K
Number of fines
1
51% fewer fines than South Dakota averageSouth Dakota average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
In line with South Dakota averageSouth Dakota average: 0.0
Fines amount comparison
Fines amount comparison
This facility
$11K
South Dakota average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 19, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 19, 2023
$11K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Avantara Lake Norden based on CMS SNF Cost Reports.
Occupancy Rate
92.1%
↑ 3.4pp vs 2022
Net Income
$245,878
↓ ~$24K vs 2022
Total Payroll
$2,985,212
↑ ~$213K vs 2022
Profit Margin
3.5%
↓ 0.7pp vs 2022
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for South Dakota Seniors
Get financial aid guidanceContact Us
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at Avantara Lake Norden
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
