Avantara Groton

Nursing Home & Hospice Care · Groton, SD

CMS overall rating

1106 North 2Nd St, Groton, SD 57445 View map

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Avantara Groton accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Avantara Groton accepts Medicare, Medicaid, and private pay.

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.

Facility Direct Line (605) 397-2365

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 10m per day

vs avg

4 of 6 metrics below state avg

Standout metric Physical Therapist is +49% 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	▼ 19% State avg: 48m 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	▲ 17% 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	▼ 5% State avg: 2h 37m per day · National avg: 2h 21m 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	▼ 3% State avg: 3h 19m per day · National avg: 3h 26m 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	▲ 49% 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	▼ 18% State avg: 31m per day · National avg: 29m per day

Capacity and availability

152 days

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

Occupancy

Occupancy rate

65%

Lower than the South Dakota average: 79.9%

Occupied beds

29 / 45

Average occupied beds in South Dakota homes 51 beds

Facility TypeNursing Home

StatusActive

IssuanceJuly 24, 2025

ExpirationJune 30, 2026 Expires in 6 days

CountyBrown

License Number10626

Avantara Groton is administered by Chloe Brand.

Rehabilitation Services

Short-Term Rehab

Since 2023 · 3 years of data 24 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the South Dakota state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2023 vs. South Dakota state average

Overall vs. SD average

Latest Inspection December 11, 2025 Routine

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	SD Average	vs. SD Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	24	19	This facility has 26% more total deficiencies than a typical South Dakota assisted living residence (24 vs. SD avg 19).↑ 26% worse
Deficiencies per year Average deficiencies per year since 2023.	8	6.3	This facility has 27% more deficiencies per year than a typical South Dakota assisted living residence (8 vs. SD avg 6.3).↑ 27% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

December 11, 2025 inspection found nine deficiencies including documentation, infection control, medication labeling, and care planning, with no complaints reported.
November 26, 2024 complaint investigation substantiated a resident's right violation when staff administered a COVID-19 vaccine despite refusal, resulting in staff suspension and re-education.
July 31, 2024 routine inspection found five deficiencies mainly in infection control and medication administration, including a 9.68% insulin pen error rate and poor glove use.

Show Inspection Reports

Inspections since 2021

Total health inspections 4

State average N/A

Last Health inspection on Nov 2024

Total health citations

State average N/A

Citations per inspection

5.75

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

22 of 23 citations resulted from standard inspections; and 1 of 23 resulted from complaint investigations.

Breakdown of citation severity (last 5 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

2 serious citations State average: N/A

21 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 5 years)

Resident Rights serious citation Nov 26, 2024

Corrected

Infection Control moderate citation Jul 31, 2024

Corrected

Pharmacy moderate citation Jul 31, 2024

Corrected

Care Planning moderate citation Jul 31, 2024

Corrected

Total staff 65

Employees 55

Contractors 10

Staff to resident ratio 1.76 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 20

Average shift 8.6 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 15,750

Nursing staff breakdown

10.5 hours

10 hours

9.6 hours

Contractor staffing

1,234 contractor hours this quarter

Physical Therapy Assistant: 3 Licensed Practical Nurse: 2 Speech Language Pathologist: 2 Respiratory Therapy Technician: 1 Qualified Social Worker: 1 Physical Therapy Aide: 1

Staff by category


Certified Nursing Assistant	31	0	31	7,856	92	100%	9.6
Licensed Practical Nurse	4	2	6	2,053	92	100%	10
Medication Aide/Technician	5	0	5	1,109	86	93%	9.6
Registered Nurse	5	0	5	973	71	77%	10.5
Clinical Nurse Specialist	2	0	2	891	64	70%	7.9
Dietitian	1	0	1	496	62	67%	8
Nurse Practitioner	1	0	1	488	61	66%	8
Mental Health Service Worker	1	0	1	480	60	65%	8
Administrator	1	0	1	360	45	49%	8
Other Dietary Services Staff	4	0	4	271	64	70%	3.9
Respiratory Therapy Technician	0	1	1	269	72	78%	3.7
Speech Language Pathologist	0	2	2	233	44	48%	5.2
Physical Therapy Assistant	0	3	3	101	37	40%	2.7
Qualified Social Worker	0	1	1	90	26	28%	3.5
Physical Therapy Aide	0	1	1	80	31	34%	2.6

31 Certified Nursing Assistant

% of Days 100%

6 Licensed Practical Nurse

% of Days 100%

5 Medication Aide/Technician

% of Days 93%

5 Registered Nurse

% of Days 77%

2 Clinical Nurse Specialist

% of Days 70%

1 Dietitian

% of Days 67%

1 Nurse Practitioner

% of Days 66%

1 Mental Health Service Worker

% of Days 65%

1 Administrator

% of Days 49%

4 Other Dietary Services Staff

% of Days 70%

1 Respiratory Therapy Technician

% of Days 78%

2 Speech Language Pathologist

% of Days 48%

3 Physical Therapy Assistant

% of Days 40%

1 Qualified Social Worker

% of Days 28%

1 Physical Therapy Aide

% of Days 34%

View All Staffing Data

Total fines amount $28K

29% lower than State average

State average: $40K

Number of fines 5

146% more fines than State average

State average: 2.0

Payment Denials 0

In line with State average

State average: 0.0

Fines amount comparison

This facility $28K

State average $40K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Nov 26, 2024 · $12K

Civil Money Penalty Nov 26, 2024

$12K

Last updated: Jan 2026

High-risk clinical events score 16.8

39% worse than State average

State average: 12.0

Functional decline score 33.7

41% worse than State average

State average: 23.9

Long-stay resident measures

Significantly below average State avg: 2.6

Need for Help with Daily Activities Increased 40.8%

83% worse than State average

State average: 22.3%

Walking Ability Worsened 32.9%

44% worse than State average

State average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence 27.3%

In line with State average

State average: 26.7%

Falls with Major Injury 0.8%

85% better than State average

State average: 5.0%

High Risk Residents with Pressure Ulcers 7.7%

73% worse than State average

State average: 4.5%

Urinary Tract Infection 3.2%

7% better than State average

State average: 3.5%

Lost Too Much Weight 1.7%

69% better than State average

State average: 5.5%

Depressive Symptoms 10.7%

161% worse than State average

State average: 4.1%

Antipsychotic Use 28.9%

19% worse than State average

State average: 24.4%

Pneumococcal Vaccine 97.0%

In line with State average

State average: 95.7%

Influenza Vaccine 97.1%

In line with State average

State average: 96.9%

Hospitalizations per 1,000 days 1.93

28% worse than State average

State average: 1.51

ED visits per 1,000 days 3.61

95% worse than State average

State average: 1.85

Short-stay resident measures

Below average State avg: 2.6

Pneumococcal Vaccine 90.6%

7% better than State average

State average: 84.4%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.8%

Re-hospitalized after SNF stay 27.1%

26% worse than State average

State average: 21.5%

Emergency department visits 14.5%

24% worse than State average

State average: 11.7%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 30.0%

44% worse than State average

State average: 53.7%

Successful return to home or community 48.5%

In line with State average

State average: 50.6%

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

Total residents 37

Medicare

5.4% of residents

Medicaid

70.3% of residents

Private pay or other

24.3% of residents

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.

Financial Trends

Historical financial and operational data for Avantara Groton from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 71.3% ↑ 7.5pp vs 2022

Net Patient Income -$267.6K ↓ ~$72.2K vs 2022

Payroll Costs $2.0M ↑ ~$332.9K vs 2022

Operating Margin -7.4% ↓ 0.8pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	68.0%	70.5%	78.0%	73.3%	71.3%	78.8%	73.4%	66.5%	65.5%	65.6%	64.9%	63.7%	71.3%
Beds	61	61	53	53	53	53	53	49	53	49	49	49	45
Net Income	$157,195	-$240,385	-$324,370	-$517,675	-$598,079	-$389,738	-$307,306	-$157,534	-$325,040	$128,734	$375,495	-$116,425	-$267,482
Gross Revenue	$4,218,848	$4,022,755	$3,989,668	$3,666,769	$3,615,835	$3,714,558	$3,814,706	$2,946,001	$2,571,540	$5,064,208	$5,791,191	$5,391,879	$6,213,854
Operating Expenses	$2,891,399	$2,965,646	$3,075,076	$3,188,754	$3,255,091	$3,223,291	$3,169,159	$2,669,134	$1,762,970	$3,048,369	$3,060,015	$3,146,206	$3,868,890
Net Patient Income	$147,763	-$248,373	-$331,370	-$527,132	-$609,293	-$418,900	-$313,910	-$361,245	-$325,137	-$207,629	-$297,798	-$195,396	-$267,559
Net Patient Revenue	$3,039,162	$2,717,273	$2,743,706	$2,661,622	$2,645,798	$2,804,391	$2,855,249	$2,307,889	$1,437,833	$2,840,740	$2,762,217	$2,950,810	$3,601,331
Payroll Costs	$1,394,660	$1,438,607	$1,426,563	$1,350,807	$1,278,439	$1,373,091	$1,377,776	$1,208,694	$752,632	$1,829,368	$1,545,155	$1,646,375	$1,979,292
Operating Margin %	4.9%	-9.1%	-12.1%	-19.8%	-23.0%	-14.9%	-11.0%	-15.7%	-22.6%	-7.3%	-10.8%	-6.6%	-7.4%
Medicare %	16.1%	11.4%	8.6%	12.3%	11.8%	7.3%	7.6%	10.5%	4.5%	13.0%	14.0%	10.3%	18.1%
Medicaid %	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	54.1%	0.0%	51.9%	53.8%	69.1%	77.1%	61.4%
Private %	83.9%	88.6%	91.4%	87.7%	88.2%	92.7%	38.3%	89.5%	43.5%	33.2%	17.0%	12.6%	20.5%
Net Patient Revenue/Day	$201	$173	$169	$188	$192	$183	$201	$194	$225	$242	$238	$259	$308
Cost/Day	$191	$189	$190	$225	$236	$211	$223	$224	$276	$259	$264	$276	$331
Avg Length of Stay	216.3 days	257.9 days	242.1 days	191.7 days	197.0 days	224.8 days	194.4 days	156.5 days	193.5 days	245.1 days	236.8 days	219.2 days	152.0 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$3.6M

Net patient income

-$267.6K

For-profit Operated by a single business entity.

Net patient revenue

$3.6M

Net patient income

-$267.6K

Other income

$77

Payroll costs

$2.0M 55% of net patient revenue

Other operating costs

$1.9M

Total costs

$3.9M

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.

Coverage residents most often arrive under.

Medicare 60%

Private pay 26%

Medicaid 14%

Coverage residents most often leave under.

Medicare 36%

Private pay 22%

Medicaid 42%

Managed by Brenda

Administrator

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.

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The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.


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Nursing Home Explorer

What neighborhood is Avantara Groton in?

Avantara Groton is in the North 2nd Street neighborhood of Groton.

Is Avantara Groton in a walkable area?

Avantara Groton has a walk score of 32. 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.

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Avantara Groton

Overview of Avantara Groton

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Amenities & Lifestyle

Contact Avantara Groton

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the South Dakota state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2021

Breakdown of citation severity (last 5 years)

Citations history (last 5 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

31 Certified Nursing Assistant

6 Licensed Practical Nurse

5 Medication Aide/Technician

5 Registered Nurse

2 Clinical Nurse Specialist

1 Dietitian

1 Nurse Practitioner

1 Mental Health Service Worker

1 Administrator

4 Other Dietary Services Staff

1 Respiratory Therapy Technician

2 Speech Language Pathologist

3 Physical Therapy Assistant

1 Qualified Social Worker

1 Physical Therapy Aide

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Managed by Brenda

Places of interest near Avantara Groton

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