Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (60% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Avantara Groton
Nursing Home, Hospice Care & Skilled Nursing · Groton, SD
CMS overall rating
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Avantara Groton
Nursing Home, Hospice Care & Skilled Nursing · Groton, SD
CMS overall rating
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Avantara Groton accepts Medicare, Medicaid, and private pay.
Overview of Avantara Groton
Avantara Groton, located in a rural portion of Brown County in Groton, South Dakota, is a 45-bed skilled nursing facility owned by Joshua Pete and directed by administrator Chloe Brand. The home operates at approximately 65 percent occupancy, with an average length of stay of 152 days. Financial accommodations accept Medicare and Medicaid programs alongside standard private pay options.
The clinical model emphasizes short-term rehabilitation, orthopedic recovery, and post-acute medical tracking following surgeries, strokes, or cardiac events. Medical staffing delivers an average of 3 hours and 10 minutes of daily nursing time per resident, coordinating registered nurses, licensed practical nurses, and certified nurse aides.
Specialized care tracks span orthopedic, cardiac, neurological, pulmonary, oncology, and professional wound care services. Avantara Groton’s neighborhood has a walkability score of 41 out of 100, reflecting a somewhat walkable rural layout where selected destinations are accessible, but most standard errands rely on motor transportation.
Prospective residents and family representatives evaluating local post-acute recovery options can contact the Groton administrative office to confirm room availability.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 52nd out of 65 homes in South Dakota for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 52nd out of 65 homes in South Dakota for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 10m per day
Rank #52 / 65Nurse hours — State benchmarkedThis home is ranked 52nd out of 65 homes in South Dakota for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 65 South Dakota facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs South Dakota avg
-27%
Standout metric
Physical Therapist is +45% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 39m per day | ▼ 21% State avg: 49m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 34m per day | ▲ 19% State avg: 29m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 28m per day | ▼ 4% State avg: 2h 34m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 13m per day | ▼ 5% State avg: 3h 23m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▲ 45% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 25m per day | ▼ 19% State avg: 31m per day · National avg: 29m per day |
Capacity and availability
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
152 days
45-bed community Rank #82 / 117Bed count — State benchmarkedThis home is ranked 82nd out of 117 homes in South Dakota for bed count. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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: 41 / 100 Rank #73 / 158Walk Score — State benchmarkedThis home is ranked 73rd out of 158 homes in South Dakota for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across South Dakota facilities. Higher scores benefit residents, families, and staff.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Facility TypeNursing Home
IssuanceJuly 24, 2025
CountyBrown
License Number10626
CMS Certification Number435048
Avantara Groton is administered by Chloe Brand.
Rehabilitation Services
Short-Term Rehab
Pets not allowed
Specific ProgramsHealthcare Services, Orthopedic Care, Suites & Accommodations
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Breakdown by payment type
Medicare
60% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
26% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
14% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
For-profit
Operated by a single business entity.
Net patient revenue
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.6M
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$267.6K
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
For-profit
Operated by a single business entity.
Net patient revenue
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.6M Rank #46 / 63Revenue — State benchmarkedThis home is ranked 46th out of 63 homes in South Dakota for revenue. Shows this facility's annual revenue compared to the South Dakota average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$267.6K
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Other income
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$77
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Payroll costs
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #52 / 63Payroll — State benchmarkedThis home is ranked 52nd out of 63 homes in South Dakota for payroll. Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.0M
55% of net patient revenue
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #52 / 63Payroll — State benchmarkedThis home is ranked 52nd out of 63 homes in South Dakota for payroll. Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #44 / 63Payroll % — State benchmarkedThis home is ranked 44th out of 63 homes in South Dakota for payroll %. Shows payroll as a percentage of revenue versus the South Dakota average. Well-run South Dakota facilities typically land around 64–73% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.9M
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
Total costs
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$3.9M
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Who this home usually serves
TYPE OF STAY
Admissions
77 totalCoverage residents most often arrive under.
Medicare
60%
Private pay
26%
Medicaid
14%
Discharges
77 totalCoverage residents most often leave under.
Medicare
36%
Private pay
22%
Medicaid
42%
Places of interest near Avantara Groton
0.0 miles from city center
Estimated distance in miles from Groton's city center to Avantara Groton's address, calculated via Google Maps.
Calculate Travel Distance to Avantara Groton
Add your location
Compare Nursing Homes around the area
Info below is compiled from CMS reports & the SD Dept. of Health (DOH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Avera Maryhouse | NH AL HOS | Pierre | 67
Facility
67
SD AVG
69
Rank
#49 / 117 | - | - | 5.30
Facility
5.30
SD AVG
4.34
Rank
#7 / 65 | +18% | +22% | $0
Facility
$0
SD AVG
$38.5k
Rank
#1 / 67 | 9
Facility
9
SD AVG
14.8
Rank
#17 / 65 | 2.3
Facility
2.3
SD AVG
3.3
Rank
#19 / 65 | - | 59 | - |
60
Facility
60
SD AVG
39
Rank
#38 / 158 | - | - | - | - | 435034 | ||||
| Prairie Heights Healthcare | NH HOS SNF | Nw Aberdeen | 99
Facility
99
SD AVG
69
Rank
#21 / 117 |
62.9%
Facility
62.9%
SD AVG
82.2
Rank
#31 / 34 | -23% | 3.86
Facility
3.86
SD AVG
4.34
Rank
#28 / 65 | -39% | -11% | $0
Facility
$0
SD AVG
$38.5k
Rank
#1 / 67 | 5
Facility
5
SD AVG
14.8
Rank
#4 / 65 | 1.7
Facility
1.7
SD AVG
3.3
Rank
#12 / 65 | - | 62 | - |
85
Facility
85
SD AVG
39
Rank
#1 / 158 | - | $11.3MFiscal year ending 12/2023
Facility
$11.3MFiscal year ending 12/2023
SD AVG
$6.7M
Rank
#13 / 63 | $6.1MFiscal year ending 12/2023
Facility
$6.1MFiscal year ending 12/2023
SD AVG
$2.6M
Rank
#15 / 63 | 54.4%Fiscal year ending 12/2023
Facility
54.4%Fiscal year ending 12/2023
SD AVG
40.8%
Rank
#31 / 63 | 435004 | ||||
| Bethesda Home of Aberdeen | NH AL HC RC SNF | Aberdeen (Aberdeen Township) | 86
Facility
86
SD AVG
69
Rank
#27 / 117 | - | - | 5.08
Facility
5.08
SD AVG
4.34
Rank
#11 / 65 | +1% | +17% | $0
Facility
$0
SD AVG
$38.5k
Rank
#1 / 67 | 6
Facility
6
SD AVG
14.8
Rank
#8 / 65 | 2.0
Facility
2.0
SD AVG
3.3
Rank
#15 / 65 | - | 45 | - |
85
Facility
85
SD AVG
39
Rank
#1 / 158 | Christian Retirement Center Of Northern California | $4.5MFiscal year ending 12/2023
Facility
$4.5MFiscal year ending 12/2023
SD AVG
$6.7M
Rank
#50 / 63 | $3.3MFiscal year ending 12/2023
Facility
$3.3MFiscal year ending 12/2023
SD AVG
$2.6M
Rank
#37 / 63 | 73%Fiscal year ending 12/2023
Facility
73%Fiscal year ending 12/2023
SD AVG
40.8%
Rank
#17 / 63 | 435071 | ||||
| Bethany Home Sioux Falls/Bethany Home-Brandon | NH AL IL MC SNF | Sioux Falls | 112
Facility
112
SD AVG
69
Rank
#11 / 117 | - | - | 5.47
Facility
5.47
SD AVG
4.34
Rank
#5 / 65 | -15% | +26% | $0
Facility
$0
SD AVG
$38.5k
Rank
#1 / 67 | 13
Facility
13
SD AVG
14.8
Rank
#27 / 65 | 3.3
Facility
3.3
SD AVG
3.3
Rank
#35 / 65 | 1 | 43 | - |
65
Facility
65
SD AVG
39
Rank
#24 / 158 | Augustana Lutheran Church | $5.9MFiscal year ending 06/2024
Facility
$5.9MFiscal year ending 06/2024
SD AVG
$6.7M
Rank
#41 / 63 | $4.1MFiscal year ending 06/2024
Facility
$4.1MFiscal year ending 06/2024
SD AVG
$2.6M
Rank
#23 / 63 | 68.6%Fiscal year ending 06/2024
Facility
68.6%Fiscal year ending 06/2024
SD AVG
40.8%
Rank
#12 / 63 | 435096 |
Frequently Asked Questions about Avantara Groton
Is Avantara Groton in a walkable area?
Avantara Groton has a walk score of 41. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of Avantara Groton?
According to SD state health department records, Avantara Groton's license number is 10626.
What is the occupancy rate at Avantara Groton?
Avantara Groton's occupancy is 65.4%.
How long has Avantara Groton been in business?
Avantara Groton has been operating for approximately 1 year, based on available licensing and registration records.
Are pets allowed at Avantara Groton?
No, Avantara Groton has a no-pet policy.
Does Avantara Groton operate as a for-profit or non-profit?
Avantara Groton is registered as a for-profit in SD.
Who is the administrator of Avantara Groton?
Chloe Brand is the administrator of Avantara Groton.
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
Updated on
