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Avantara Groton
Nursing Home & Hospice Care · Groton, SD
CMS overall rating Info 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.
Sign displaying Avantara Groton facility name Common area with seating and decor in a senior living facility Comfortable private resident room with a view

Avantara Groton

Nursing Home & Hospice Care · Groton, SD
CMS overall rating Info 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.
1106 N 2Nd St, Groton, SD 57445 View map Calculator: See prices in your area
Avantara Groton accepts Medicare, Medicaid, and private pay.
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Avantara Groton accepts Medicare, Medicaid, and private pay.

Overview of Avantara Groton

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Avantara Groton is a privately owned nursing home in Groton, South Dakota, that offers short-term rehabilitation and specialized clinical care services. The 45-bed community operates under an active CMS certification and accepts Medicare, Medicaid, and private pay. Occupancy remains below the state average at 65%, which suggests availability for families seeking placement.

The resident mix is heavily oriented toward Medicare-supported short-term rehabilitation, with Medicare admissions accounting for approximately 60% of incoming residents. Average stays generally range from one to two months, reflecting the community’s strong focus on post-acute recovery rather than long-term custodial care. Meanwhile, its specialized clinical offerings include cardiac, neurological, pulmonary, orthopedic, oncology, and wound care services. This is relatively extensive for a rural South Dakota nursing community, suggesting a meaningful investment in specialized rehabilitation programming.

The community maintains a 3-star overall CMS rating, performing above the South Dakota average in health inspections while falling below state benchmarks in staffing and quality measures. Health inspection scores indicate stronger regulatory compliance compared to many peer communities, though staffing levels remain lighter than the statewide average. Nursing care is provided daily at an average of 3 hours and 10 minutes, which is below the South Dakota average, with weekend nursing coverage averaging just over three hours per day. Payroll allocation also trends lower than many higher-staffed nursing communities across the state, aligning with the staffing metrics reported through CMS data.

Avantara Groton is a good option for older adults who need short-term rehabilitation or specialized recovery support after hospitalization, surgery, stroke, cardiac events, or other complex medical conditions in the Groton and Brown County region.

Facility Direct Line (605) 397-2365
Facility Direct Line (605) 397-2365
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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. 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.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 avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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
LPN / LVN Info 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
Nurse Aide Info 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
Weekend Total Nursing Info 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
Physical Therapist Info 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
Weekend RN Info 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

Capacity and availability

Avg. Length of Stay
152 days
Bed community size
45-bed community Rank #82 / 117Bed count — State benchmarkedThis home is ranked 82nd out of 117 homes in South Dakota. 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.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.
Walk Score
Walk Score: 41 / 100 Rank #74 / 159Walk Score — State benchmarkedThis home is ranked 74th out of 159 homes in South Dakota. 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.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

Occupancy

Occupancy rate
65%
Rank #52 / 62Occupancy rate — State benchmarkedThis home is ranked 52nd out of 62 homes in South Dakota. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 62. Higher occupancy signals strong local demand and financial stability.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.
Lower than the South Dakota average: 79.9%
Occupied beds
29 / 45
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
StatusActive
IssuanceJuly 24, 2025
ExpirationJune 30, 2026 Expires in 2 days
CountyBrown
License Number10626
CMS Certification Number435048

Ownership & Operating Entity

Avantara Groton is administered by Chloe Brand.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Amenities & Lifestyle

Specific ProgramsHealthcare Services, Orthopedic Care, Suites & Accommodations

Contact Avantara Groton

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 Info 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 income Info 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
For-profit Operated by a single business entity.
Net patient revenue Info 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 #44 / 63Revenue — State benchmarkedThis home is ranked 44th out of 63 homes in South Dakota. 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 %.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 income Info 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
Other income Info 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
Payroll costs Info 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 #50 / 63Payroll — State benchmarkedThis home is ranked 50th out of 63 homes in South Dakota. 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.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 Info 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 #46 / 63Payroll % — State benchmarkedThis home is ranked 46th out of 63 homes in South Dakota. 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.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 Info 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
Total costs Info 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
How we calculate these figures

This home is administered by Chloe Brand.

This home is owned by Joshua Pete

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 435048

Show certification details

Who this home usually serves

TYPE OF STAY

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.

Admissions
77 total

Coverage residents most often arrive under.

Medicare 60%
Private pay 26%
Medicaid 14%
Discharges
77 total

Coverage residents most often leave under.

Medicare 36%
Private pay 22%
Medicaid 42%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Avantara Groton

Address 0.0 miles from city center Info Estimated distance in miles from Groton's city center to Avantara Groton's address, calculated via Google Maps.

Calculate Travel Distance to Avantara Groton

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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.

When does Avantara Groton's license expire?

According to SD state health department records, Avantara Groton's license expires on June 30, 2026.

What is the occupancy rate at Avantara Groton?

Avantara Groton's occupancy is 65%.

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.

How many beds does Avantara Groton have?

Avantara Groton has 45 beds.

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