Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Avantara Groton
Avantara Groton is a Nursing Home in South Dakota
Avantara Groton is a Nursing Home in South Dakota
Avantara Groton
Avantara Groton is a Nursing Home in South Dakota
Avantara Groton is a Nursing Home in South Dakota
Overview of Avantara Groton
Avantara Groton takes pride in being a community that is a serene and nurturing environment that is ideal for comfort and security for a distinct living focused on relaxation and recovery. As one of the city’s most trusted nursing homes, 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 Groton 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 community spaces, Wi-Fi all throughout, and an on-site full service salon; rehabilitation services include cardiac care, bariatric care, G-tube, IV therapy, orthopedic care, oncology care, stroke recovery, wound care, and memory care.
Brenda serves as the Administrator at Avantara Groton, where she is recognized for her excellent leadership and dedication. She plays a vital role in creating a supportive and nurturing community environment, ensuring residents and their families feel valued and cared for. Her efforts have earned heartfelt gratitude from families who appreciate the compassionate and attentive care provided under her guidance.
Quality ratings
Based on health inspections, staffing and quality measures.
Based on deficiencies found during state health inspections.
Based on nurse staffing hours per resident per day.
Based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
45
This home is often near full
That suggests steady demand, but availability may be limited.
Occupancy rate
99.2%
Residents per day (avg)
36
Occupancy rate
99.2%
Residents per day (avg)
36
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
47% of new residents, usually for short-term rehab.
Typical stay
11 - 12 months
Private pay
25% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
28% of new residents, often for long-term daily care.
Typical stay
2 - 3 months
Finances and operations
Proprietary home
Individual
Home revenue
$5.4M
Loss
-$116.4K
Proprietary home
Individual
Home revenue
$5,391,879.00
Loss
$-116,425.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.4M
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.
$1.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.1M
45-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 32 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
License Status
ActiveFacility Type
Nursing Home
License Date
July 24, 2025
License Expiration
June 30, 2026
Additional licensing details
License number:
10626
County:
Brown
Ownership & operating entity
Avantara Groton is administrated by Brand, Chloe.
Comparison Chart
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.Compare Nursing Homes around South Dakota
Avantara Lake Norden
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
No
6
GRIMM, MARGARET
89.8%
$6,387,397.00
$1,879,235.00
29.4%
46.50
5/5
3.3290
5/5
3/5
4/5
1
Avantara Clark City
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Clark
35
No
31
SCHLOMER, TIFFANY
92.9%
$5,795,941.00
$1,384,748.00
23.9%
30.60
3/5
3.1510
4/5
3/5
1/5
1
Avantara Groton
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57445
37
No
32
PETE, JOSHUA
99.2%
$5,391,879.00
$1,403,567.00
26%
35.50
3/5
3.1645
3/5
2/5
2/5
5
Avantara Huron
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57350
119
No
27
SOLEM, LAURIE
58.3%
$12,770,546.00
$3,381,366.00
26.5%
64.90
2/5
3.5190
2/5
3/5
2/5
1
Avantara Arrowhead
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57702
65
No
12
PRESTON, PHILIP
85.9%
$11,497,189.00
$2,845,271.00
24.7%
60.50
1/5
2.7955
1/5
1/5
3/5
5
Places of interest near Avantara Groton
0.7 miles from city center
1106 North 2nd St. Groton, SD 57445
Calculate Travel Distance to Avantara Groton
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
51
Total Staff
43
Employees
8
Contractors
13,786
Total Hours (Quarter)
19
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 6 | 8.7 | No |
| Licensed Practical Nurse | 4 | 10.6 | Yes |
| Certified Nursing Assistant | 21 | 9.4 | No |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
34 staff
9.6hs shift avg
Physicians & Practitioners ⓘ
4 staff
8.3hs shift avg
Therapy Services ⓘ
5 staff
2.5hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
4.5hs shift avg
Dietary Services ⓘ
4 staff
5.9hs shift avg
Other Services ⓘ
1 staff
8hs shift avg
Contractor Analysis
5.2%
of total hours from contractors
717 contractor hours this quarter
Licensed Practical Nurse: 1
Respiratory Therapy Technician: 1
Physical Therapy Aide: 2
Qualified Social Worker: 2
Physical Therapy Assistant: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 21 | 0 | 21 | 6,434 | 91 | 100% | 9.4 |
| Licensed Practical Nurse | 3 | 1 | 4 | 1,511 | 87 | 96% | 10.6 |
| Registered Nurse | 6 | 0 | 6 | 1,155 | 83 | 91% | 8.7 |
| Medication Aide/Technician | 3 | 0 | 3 | 781 | 69 | 76% | 11 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 612 | 63 | 69% | 8.4 |
| Nurse Practitioner | 2 | 0 | 2 | 577 | 65 | 71% | 8.2 |
| Other Dietary Services Staff | 3 | 0 | 3 | 527 | 76 | 84% | 4.8 |
| Dietitian | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 250 | 53 | 58% | 4.5 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 242 | 89 | 98% | 2.7 |
| Physical Therapy Aide | 0 | 2 | 2 | 106 | 38 | 42% | 2.7 |
| Physical Therapy Assistant | 0 | 2 | 2 | 106 | 55 | 60% | 1.9 |
Health Inspection History
Source: CMS Health Citations (Nov 2021 – Nov 2024)
4
Inspections
23
Total Citations
0
Critical (J-L)
2
Serious (G-I)
5.75
Citations/Inspection
Nov 2024
Last Inspection
Citation Severity Distribution
What do these levels mean?
Top Deficiency Categories
Resident Rights
5
22% of total
Infection Control
4
17% of total
Pharmacy Services
4
17% of total
Quality of Life & Care
2
9% of total
Citation Sources
Standard Inspections
22
Complaint Investigations
1
State Comparison (SD)
Avg Citations (State)
14.8
This Facility: 23
Avg Critical (State)
0.3
This Facility: 0
Recent Citations (Last 3 Years)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Nov 26, 2024 | G | Resident Rights | F0578 | Corrected |
| Jul 31, 2024 | E | Infection Control | F0880 | Corrected |
| Jul 31, 2024 | E | Pharmacy | F0759 | Corrected |
| Jul 31, 2024 | E | Care Planning | F0657 | Corrected |
| Apr 14, 2023 | D | Infection Control | F0883 | Corrected |
| Apr 14, 2023 | D | Pharmacy | F0756 | Corrected |
| Apr 14, 2023 | E | Pharmacy | F0761 | Corrected |
| Apr 14, 2023 | E | Care Planning | F0636 | Corrected |
| Apr 14, 2023 | E | Care Planning | F0655 | Corrected |
| Apr 14, 2023 | D | Care Planning | F0658 | Corrected |
| Apr 14, 2023 | D | Resident Rights | F0550 | Corrected |
| Apr 14, 2023 | D | Resident Rights | F0559 | Corrected |
| Apr 14, 2023 | D | Resident Rights | F0561 | Corrected |
| Nov 04, 2021 | D | Infection Control | F0880 | Corrected |
| Nov 04, 2021 | D | Infection Control | F0883 | Corrected |
| Nov 04, 2021 | D | Nutrition | F0801 | Corrected |
| Nov 04, 2021 | E | Nutrition | F0812 | Corrected |
| Nov 04, 2021 | D | Pharmacy | F0760 | Corrected |
| Nov 04, 2021 | G | Quality of Care | F0686 | Corrected |
| Nov 04, 2021 | D | Quality of Care | F0698 | Corrected |
| Nov 04, 2021 | D | Care Planning | F0657 | Corrected |
| Nov 04, 2021 | D | Care Planning | F0658 | Corrected |
| Nov 04, 2021 | D | Resident Rights | F0582 | Corrected |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Part of: Lagacy Healthcare LLC
Resident Census by Payment Source
37
Total Residents
Medicare
2
(5.4%)
ⓘ
Medicaid
26
(70.3%)
ⓘ
Private Pay/Other
9
(24.3%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality Measures
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
High-Risk Clinical Events
16.8
Score
39% worse than avg
State avg: 12.0
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Functional Decline
33.7
Score
41% worse than avg
State avg: 23.9
Composite score based on ADL decline, walking ability decline, and incontinence
Long-Stay Resident Measures
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Need for Help with Daily Activities Increased
40.8%
Lost Too Much Weight
1.7%
Urinary Tract Infection
3.2%
Depressive Symptoms
10.7%
Falls with Major Injury
0.8%
Pneumococcal Vaccine
97.0%
Antipsychotic Use
28.9%
Walking Ability Worsened
32.9%
Influenza Vaccine
97.1%
High Risk Residents with Pressure Ulcers
7.7%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
27.3%
Short-Stay Resident Measures
Measures for residents who stay 100 days or less (typically rehabilitation patients).
Pneumococcal Vaccine
90.6%
7% better than avg
State: 84.4%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.0%
100% better than avg
State: 1.8%
Penalties & 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
$28K
State avg: $40K
29% better than avg
Number of Fines
5
State avg: 2.0
Compared to State Average
Facility: $28K |
State Avg: $40K
Penalty History
Showing all 5 penalties (Apr 2023 - Nov 2024)
Nov 26, 2024
Civil Money Penalty
$12K
May 30, 2023
Civil Money Penalty
$4K
May 15, 2023
Civil Money Penalty
$3K
May 8, 2023
Civil Money Penalty
$3K
Apr 17, 2023
Civil Money Penalty
$6K
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Claim What’s Yours: Financial Aid for South Dakota Seniors
Program
State Program Name
Eligibility
Benefits
Home and Community Based Services Waiver
SD Medicaid HCBS Waiver
Official government program page
- General: Age 65+ or disabled, South Dakota resident, Medicaid-eligible, nursing home-level care need.
- Income Limits (2025): ~$2,829/month (300% FBR, individual).
- Asset Limits: $2,000 (individual), $3,000 (couple).
- SD Specifics: Sparse population aids rural access; limited providers.
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
South Dakota Elderly Services Program
SD ESP
- General: Age 60+, South Dakota resident, at risk of decline.
- Income Limits: ~$1,732/month (individual, varies).
- Asset Limits: $5,000 (individual).
- SD Specifics: Limited funding; rural focus.
- Services: In-home care (2-4 hours/week), respite (up to 5 days/year), transportation (~5 trips/month).
Medicare Savings Program (MSP)
South Dakota Medicare Savings Program
- General: Age 65+ or disabled, SD resident, Medicare Part A/B.
- Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits: $9,430 (individual), $14,130 (couple).
- SD Specifics: Three tiers; includes Extra Help for Part D; no waitlist.
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Low-Income Home Energy Assistance Program (LIEAP)
South Dakota LIEAP
Official government program page
- General: Age 60+ prioritized, SD resident, low-income household.
- Income Limits (2025): ~$3,970/month (individual, 185% FPL).
- Asset Limits: Not assessed; income-focused.
- SD Specifics: Covers gas, electric, propane; weatherization add-on available.
- Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
Family Caregiver Support Program (FCSP)
South Dakota Family Caregiver Support Program
- General: Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).
- Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year).
- Asset Limits: Not assessed; need-based.
- SD Specifics: Rural emphasis; includes grandparent caregivers.
- Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
Senior Community Service Employment Program (SCSEP)
South Dakota SCSEP
Official government program page
- General: Age 55+, unemployed, low-income, SD resident.
- Income Limits (2025): ~$1,983/month (125% FPL).
- Asset Limits: Not specified; income-focused.
- SD Specifics: Priority for veterans, rural residents; AARP partnership.
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
South Dakota VA Aid and Attendance/Housebound
- General: Age 65+ or disabled veteran/spouse, SD resident, wartime service, need for ADL help (A&A) or homebound.
- Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits: ~$155,356 (net worth limit).
- SD Specifics: Supports rural veterans; high demand near Sioux Falls VA.
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
Property Tax Reduction Program
South Dakota Property Tax Reduction from Municipal Taxes
Official government program page
- General: Age 65+ (or disabled) by Jan 1, SD resident entire prior year, homeowner/renter.
- Income Limits (2025): ~$20,192/year (single), ~$24,679/year (multiple-member household).
- Asset Limits: Not assessed; income-focused.
- SD Specifics: Refunds up to $575; ~10,000 seniors benefit annually.
- Services: Tax refund (~$250-$575/year based on income).
Senior Farmers’ Market Nutrition Program (SFMNP)
South Dakota SFMNP
Official government program page
- General: Age 60+, SD resident, low-income.
- Income Limits (2025): ~$2,322/month (individual, 185% FPL).
- Asset Limits: Not assessed.
- SD Specifics: Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.
- Services: Vouchers (~$50/season) for fresh produce at approved markets.
Freeze on Assessments for Dwellings of Disabled and Senior Citizens
South Dakota Property Tax Freeze
Official government program page
- General: Age 65+ (or disabled), SD resident 200+ days prior year, homeowner.
- Income Limits (2025): ~$35,000/year (single), ~$45,000/year (multiple-member household).
- Asset Limits: Property value < $250,000 (single), $300,000 (multiple).
- SD Specifics: Saves ~$300-$600/year avg.; applies to primary residence.
- Services: Assessment freeze (~$300-$600/year savings).
Older Americans Act (OAA) Services
South Dakota OAA Services
- General: Age 60+, SD resident (or spouse of any age); no income/asset limits.
- Income Limits (2025): None; donations encouraged for some services.
- Asset Limits: Not assessed.
- SD Specifics: 6 AAAs; rural focus due to sparse population.
- Services: Meals (home-delivered or congregate, ~$5-$7/meal value), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
Claim What’s Yours Financial Aid for South Dakota Seniors
SD Medicaid HCBS Waiver
Home and Community Based Services Waiver
Requirements:
General:Age 65+ or disabled, South Dakota resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025):~$2,829/month (300% FBR, individual).- Asset Limits:$2,000 (individual), $3,000 (couple).
SD Specifics:Sparse population aids rural access; limited providers.
Benefits without Contact:
- Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care (~$60/day), home aides.
SD ESP
South Dakota Elderly Services Program
Requirements:
- General:Age 60+, South Dakota resident, at risk of decline.
- Income Limits:~$1,732/month (individual, varies).
- Asset Limits:$5,000 (individual).
- SD Specifics:Limited funding; rural focus.
Benefits without Contact:
- Services: In-home care (2-4 hours/week), respite (up to 5 days/year), transportation (~5 trips/month).
South Dakota Medicare Savings Program
Medicare Savings Program (MSP)
Requirements:
- General:Age 65+ or disabled, SD resident, Medicare Part A/B.
- Income Limits (2025):~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
- Asset Limits:$9,430 (individual), $14,130 (couple).
- SD Specifics:Three tiers; includes Extra Help for Part D; no waitlist.
Benefits without Contact:
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
South Dakota LIEAP
Low-Income Home Energy Assistance Program (LIEAP)
Requirements:
- General:Age 60+ prioritized, SD resident, low-income household.
- Income Limits (2025):~$3,970/month (individual, 185% FPL).
- Asset Limits:Not assessed; income-focused.
- SD Specifics:Covers gas, electric, propane; weatherization add-on available.
Benefits without Contact:
- Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).
South Dakota Family Caregiver Support Program
Family Caregiver Support Program (FCSP)
Requirements:
- General:Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).
- Income Limits (2025):No strict cap; prioritizes low-income (~$24,980/year).
- Asset Limits:Not assessed; need-based.
- SD Specifics:Rural emphasis; includes grandparent caregivers.
Benefits without Contact:
- Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
South Dakota SCSEP
Senior Community Service Employment Program (SCSEP)
Requirements:
- General:Age 55+, unemployed, low-income, SD resident.
- Income Limits (2025):~$1,983/month (125% FPL).
- Asset Limits:Not specified; income-focused.
- SD Specifics:Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
South Dakota VA Aid and Attendance/Housebound
VA Aid and Attendance (A&A) and Housebound Benefits
Requirements:
- General:Age 65+ or disabled veteran/spouse, SD resident, wartime service, need for ADL help (A&A) or homebound.
- Income Limits (2025):Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits:~$155,356 (net worth limit).
- SD Specifics:Supports rural veterans; high demand near Sioux Falls VA.
Benefits without Contact:
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
South Dakota Property Tax Reduction from Municipal Taxes
Property Tax Reduction Program
Requirements:
- General:Age 65+ (or disabled) by Jan 1, SD resident entire prior year, homeowner/renter.
- Income Limits (2025):~$20,192/year (single), ~$24,679/year (multiple-member household).
- Asset Limits:Not assessed; income-focused.
- SD Specifics:Refunds up to $575; ~10,000 seniors benefit annually.
Benefits without Contact:
- Services: Tax refund (~$250-$575/year based on income).
South Dakota SFMNP
Senior Farmers’ Market Nutrition Program (SFMNP)
Requirements:
- General:Age 60+, SD resident, low-income.
- Income Limits (2025):~$2,322/month (individual, 185% FPL).
- Asset Limits:Not assessed.
- SD Specifics:Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.
Benefits without Contact:
- Services: Vouchers (~$50/season) for fresh produce at approved markets.
South Dakota Property Tax Freeze
Freeze on Assessments for Dwellings of Disabled and Senior Citizens
Requirements:
- General:Age 65+ (or disabled), SD resident 200+ days prior year, homeowner.
- Income Limits (2025):~$35,000/year (single), ~$45,000/year (multiple-member household).
- Asset Limits:Property value < $250,000 (single), $300,000 (multiple).
- SD Specifics:Saves ~$300-$600/year avg.; applies to primary residence.
Benefits without Contact:
- Services: Assessment freeze (~$300-$600/year savings).
South Dakota OAA Services
Older Americans Act (OAA) Services
Requirements:
- General:Age 60+, SD resident (or spouse of any age); no income/asset limits.
- Income Limits (2025):None; donations encouraged for some services.
- Asset Limits:Not assessed.
- SD Specifics:6 AAAs; rural focus due to sparse population.
Benefits without Contact:
- Services: Meals (home-delivered or congregate, ~$5-$7/meal value), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
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