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Avantara Lake Norden
Nursing Home, Hospice Care, Memory Care & Skilled Nursing · Lake Norden, 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.

Avantara Lake Norden

Nursing Home, Hospice Care, Memory Care & Skilled Nursing · Lake Norden, 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.
803 Park St, Lake Norden, SD 57248 View map Calculator: See prices in your area
Avantara Lake Norden accepts Medicare, Medicaid, and private pay.
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Avantara Lake Norden accepts Medicare, Medicaid, and private pay.

Overview of Avantara Lake Norden

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Avantara Lake Norden is a privately owned nursing home in Lake Norden, South Dakota, that offers memory care, short-term rehabilitation, and specialized clinical support services. The 50-bed community is owned and administered by Margaret Grimm and operates under an active CMS certification. Medicare, Medicaid, and private-pay residents are accepted, providing flexibility for a variety of care needs and financial situations.

The community holds a 5-star overall CMS rating, the highest designation available, and performs substantially above South Dakota averages across multiple quality categories. Health inspection scores rank exceptionally high, while quality measures also exceed statewide benchmarks by a wide margin, reflecting strong regulatory performance and positive resident outcomes. Staffing ratings are modestly above average according to CMS methodology, although raw nursing hours per resident remain somewhat below state averages. Weekend nursing coverage also averages 2 hours and 44 minutes daily.

The community has an occupancy rate of 92%, reflecting sustained demand and local confidence in the community’s services. Medicare residents typically remain for one to two months, while private-pay residents often stay several months longer. The average overall length of stay is approximately 175 days.

Secured memory care services are a particularly important differentiator in the region, offering support for individuals living with Alzheimer’s disease or other forms of dementia in an area where specialized memory care options may be limited.

Avantara Lake Norden is ideal for older adults and families seeking a highly rated skilled nursing community with memory care capabilities, strong inspection outcomes, and a reputation supported by high occupancy and sustained community demand in Hamlin County and eastern South Dakota.

Facility Direct Line (605) 785-3654
Facility Direct Line (605) 785-3654
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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.
▲ 84.1% Above SD avg. ▲ 84.1% Above SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 47.9% Above SD avg. ▲ 47.9% Above SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 20.6% Above SD avg. ▲ 20.6% Above SD avg.SD average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 83.4% Above SD avg. ▲ 83.4% Above SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours 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 vs South Dakota averages

Rank #37 / 65Nurse hours — State benchmarkedThis home is ranked 37th out of 65 homes we track 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 37th out of 65 homes we track 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 37m

17% below state avg
Staff type
Hours / day / resident
vs 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.
52m
−7% State avg: 56m per day · National avg: 42m 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.
21m
−36% State avg: 32m per day · National avg: 52m 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 24m
−18% State avg: 2h 56m per day · National avg: 2h 24m 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 16m
−12% State avg: 3h 43m per day · National avg: 3h 30m 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.
6m
+87% State avg: 3m per day · National avg: 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.
26m
−18% State avg: 32m per day · National avg: 29m per day

5 of 6 metrics below state avg

Standout metric: Physical Therapist is +87% above South Dakota average

Capacity and availability

Residents per day (avg)
47
Avg. Length of Stay Info 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.
175 days
Bed community size
50-bed community Rank #68 / 116Bed count — State benchmarkedThis home is ranked 68th out of 116 homes we track 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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.
Years in operation
1 year in operation Rank #14 / 107Years in operation — State benchmarkedThis home is ranked 14th out of 107 homes we track in South Dakota for years in operation. Shows how long this facility has been in operation compared to other South Dakota facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 11 / 100 Rank #131 / 148Walk Score — State benchmarkedThis home is ranked 131st out of 148 homes we track 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
94%
Rank #6 / 33Occupancy rate — State benchmarkedThis home is ranked 6th out of 33 homes we track in South Dakota for occupancy. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 33. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the South Dakota average: 79.9%
Occupied beds
47 / 50
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
IssuanceJuly 1, 2025
CountyHamlin
License Number10639
CMS Certification Number435059

Ownership & Operating Entity

Avantara Lake Norden is administered by Margaret Grimm.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsSecured Memory Care Unit, Stroke And Other Neurological Conditions, Cardiac Care, Oncology Recovery Care, Orthopedic Rehabilitation, Pulmonary Care

Contact Avantara Lake Norden

CMS Health Inspection History

Inspections Since 2023 · 3 years of data
Total health inspections 3

State average 4.5

Last Health inspection on Mar 2025

Total health citations
4 Rank #2 / 65Health citations — State benchmarkedThis home is ranked 2nd out of 65 homes we track in South Dakota for health citations. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 65 SD facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 14.8

Citations per inspection
1.33 Rank #5 / 65Citations per inspection — State benchmarkedThis home is ranked 5th out of 65 homes we track in South Dakota for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 65 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 3.34

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
100% better than State average

State average: 0.3

Serious health citations
1
44% better than State average

State average: 1.8

0 critical citations State average: 0.3
1 serious citation State average: 1.8
2 moderate citations State average: 12.6
1 minor citation State average: 0
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
Show Inspection Reports

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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 94
Employees 59
Contractors 35
Staff to resident ratio 2.04 : 1
6% more staff per resident than South Dakota average
South Dakota average ratio: 1.93 : 1 South Dakota average ratio: 1.93 : 1See full South Dakota ranking
Avg staff/day 26
Average shift 6.7 hours
13% worse than South Dakota average
South Dakota average: 7.7 hours South Dakota average shift: 7.7 hoursSee full South Dakota ranking
Total staff hours (quarter) 16,139

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 8 total: 5 full-time employees and 3 contractors. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 7 total: 5 full-time employees and 2 contractors. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 52 total: 39 full-time employees and 13 contractors. 52
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

10.4%

1,679 contractor hours this quarter

Certified Nursing Assistant: 13 Respiratory Therapy Technician: 6 Physical Therapy Aide: 4 Registered Nurse: 3 Speech Language Pathologist: 3 Physical Therapy Assistant: 2 Licensed Practical Nurse: 2 Qualified Social Worker: 2

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3913528,85692100%6.8
Registered Nurse5381,95692100%9.1
Licensed Practical Nurse5271,2698491%8.4
Clinical Nurse Specialist2029326470%7.8
Dietitian2028486166%7.6
Administrator1014946368%7.8
Nurse Practitioner3034806368%7.6
Mental Health Service Worker1014655964%7.9
Speech Language Pathologist0332255964%3.7
Respiratory Therapy Technician0661704043%4.2
Physical Therapy Aide0441626166%2.6
Qualified Social Worker0221404448%3.2
Medication Aide/Technician101773033%2.6
Physical Therapy Assistant022662527%2.6
52 Certified Nursing Assistant
% of Days 100%
8 Registered Nurse
% of Days 100%
7 Licensed Practical Nurse
% of Days 91%
2 Clinical Nurse Specialist
% of Days 70%
View All Staffing Data

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 Rank #1 / 67Federal fines — State benchmarkedThis home is ranked 1st out of 67 homes we track in South Dakota for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the South Dakota average among facilities with fines, and where it ranks among 67 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
73% lower than South Dakota average

South Dakota average: $40K

Number of fines 1
51% fewer fines than South Dakota average

South Dakota average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
In line with South Dakota average

South Dakota average: 0.0

Fines amount comparison
Fines amount comparison
This facility $11K
South Dakota average $40K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info 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 average

South Dakota average: 12.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 28.7
20% worse than South Dakota average

South Dakota average: 23.9

Long-stay resident measures
Significantly above average Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 28.4%
27% worse than South Dakota average

South Dakota average: 22.3%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 27.7%
21% worse than South Dakota average

South Dakota average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 29.9%
12% worse than South Dakota average

South Dakota average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.9%
In line with South Dakota average

South Dakota average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.0%
57% better than South Dakota average

South Dakota average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.3%
63% better than South Dakota average

South Dakota average: 3.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.0%
63% better than South Dakota average

South Dakota average: 5.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.6%
11% worse than South Dakota average

South Dakota average: 4.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.7%
23% better than South Dakota average

South Dakota average: 24.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.8%
In line with South Dakota average

South Dakota average: 95.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.6%
In line with South Dakota average

South Dakota average: 96.9%

Short-stay resident measures
Significantly above average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.0%
13% better than South Dakota average

South Dakota average: 84.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than South Dakota average

South Dakota average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 97.0%
24% better than South Dakota average

South Dakota average: 78.2%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 46
Medicare
5
10.9% of residents
Medicaid
27
58.7% of residents
Private pay or other
14
30.4% 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.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

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."
$4.5M
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."
$241.5K
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."
$4.5M Rank #38 / 58Net patient revenue — State benchmarkedThis home is ranked 38th out of 58 homes we track in South Dakota. Shows this facility's net patient revenue compared to the South Dakota average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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."
$241.5K
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.
$4.4K
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 #38 / 58Payroll costs — State benchmarkedThis home is ranked 38th out of 58 homes we track in South Dakota. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the South Dakota average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$2.5M 56.2% 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 #25 / 58Payroll % of net patient revenue — State benchmarkedThis home is ranked 25th out of 58 homes we track in South Dakota. Shows payroll as a percentage of net patient revenue versus the South Dakota average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in South Dakota that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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).
$1.7M
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).
$4.3M
How we calculate these figures

This home is administered by Margaret Grimm.

This home is owned by Margaret Grimm

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 435059

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.

New residents most often arrive under Medicare (40% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
87 total

Coverage residents most often arrive under.

Medicare 40%
Private pay 39%
Medicaid 21%
Discharges
92 total

Coverage residents most often leave under.

Medicare 24%
Private pay 34%
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 Lake Norden

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

Calculate Travel Distance to Avantara Lake Norden

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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.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The South Dakota average is: 58.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Bethany Home Sioux Falls/Bethany Home-Brandon ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
Sioux Falls
112
Facility 112
SD AVG 69
Rank #11 / 116
--
5.61
Facility 5.61
SD AVG 4.34
Rank #4 / 65
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ -15%+29%
$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
142-
65
Facility 65
SD AVG 42
Rank #25 / 148
Augustana Lutheran Church
$5.9MFiscal year ending 06/2024
Facility $5.9MFiscal year ending 06/2024
SD AVG $7.1M
Rank #30 / 58
$4.1MFiscal year ending 06/2024
Facility $4.1MFiscal year ending 06/2024
SD AVG $4.2M
Rank #21 / 58
68.6%Fiscal year ending 06/2024
Facility 68.6%Fiscal year ending 06/2024
SD AVG 58.6%
Rank #8 / 58
435096
Tieszen Memorial Home Inc ★ ★ ★ ★ ★
NH
AL
HOS
MC
SNF
Marion
64
Facility 64
SD AVG 69
Rank #53 / 116
91.1%
Facility 91.1%
SD AVG 84%
Rank #12 / 33
+8%
4.58
Facility 4.58
SD AVG 4.34
Rank #14 / 65
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ +21%+6%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 67
7
Facility 7
SD AVG 14.8
Rank #9 / 65
2.3
Facility 2.3
SD AVG 3.3
Rank #19 / 65
-58-
23
Facility 23
SD AVG 42
Rank #107 / 148
Tieszen Memorial Home Inc
$5.9MFiscal year ending 12/2023
Facility $5.9MFiscal year ending 12/2023
SD AVG $7.1M
Rank #32 / 58
$3.6MFiscal year ending 12/2023
Facility $3.6MFiscal year ending 12/2023
SD AVG $4.2M
Rank #26 / 58
61.1%Fiscal year ending 12/2023
Facility 61.1%Fiscal year ending 12/2023
SD AVG 58.6%
Rank #10 / 58
435069
Westhills Village ★ ★ ★ ★ ★
NH
AL
HC
IL
PC
SNF
Rapid City
44
Facility 44
SD AVG 69
Rank #89 / 116
93.4%
Facility 93.4%
SD AVG 84%
Rank #9 / 33
+11%
4.26
Facility 4.26
SD AVG 4.34
Rank #17 / 65
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +31%-2%
$13.5k
Facility $13.5k
SD AVG $38.5k
Rank #28 / 67
9
Facility 9
SD AVG 14.8
Rank #17 / 65
3.0
Facility 3.0
SD AVG 3.3
Rank #27 / 65
141-
21
Facility 21
SD AVG 42
Rank #111 / 148
Bradley Archer
$6.7MFiscal year ending 09/2023
Facility $6.7MFiscal year ending 09/2023
SD AVG $7.1M
Rank #27 / 58
$8.6MFiscal year ending 09/2023
Facility $8.6MFiscal year ending 09/2023
SD AVG $4.2M
Rank #5 / 58
128.7%Fiscal year ending 09/2023
Facility 128.7%Fiscal year ending 09/2023
SD AVG 58.6%
Rank #1 / 58
435033
Bethesda Home of Aberdeen ★ ★ ★ ★ ★
NH
AL
HC
RC
SNF
Aberdeen (Aberdeen Township)
86
Facility 86
SD AVG 69
Rank #27 / 116
--
5.41
Facility 5.41
SD AVG 4.34
Rank #11 / 65
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ +1%+25%
$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
-42-
85
Facility 85
SD AVG 42
Rank #1 / 148
Christian Retirement Center Of Northern California
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
SD AVG $7.1M
Rank #40 / 58
$3.3MFiscal year ending 12/2023
Facility $3.3MFiscal year ending 12/2023
SD AVG $4.2M
Rank #32 / 58
73%Fiscal year ending 12/2023
Facility 73%Fiscal year ending 12/2023
SD AVG 58.6%
Rank #6 / 58
435071
Avantara Lake Norden ★ ★ ★ ★ ★
NH
HOS
MC
SNF
Lake Norden
50
Facility 50
SD AVG 69
Rank #68 / 116
93.6%
Facility 93.6%
SD AVG 84%
Rank #6 / 33
+11%
3.62
Facility 3.62
SD AVG 4.34
Rank #37 / 65
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ -24%-17%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 67
4
Facility 4
SD AVG 14.8
Rank #2 / 65
1.3
Facility 1.3
SD AVG 3.3
Rank #5 / 65
147-
11
Facility 11
SD AVG 42
Rank #131 / 148
Margaret Grimm
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
SD AVG $7.1M
Rank #38 / 58
$2.5MFiscal year ending 12/2023
Facility $2.5MFiscal year ending 12/2023
SD AVG $4.2M
Rank #38 / 58
56.2%Fiscal year ending 12/2023
Facility 56.2%Fiscal year ending 12/2023
SD AVG 58.6%
Rank #25 / 58
435059
Nursing Home Explorer

Frequently Asked Questions about Avantara Lake Norden

Is Avantara Lake Norden in a walkable area?

Avantara Lake Norden has a walk score of 11. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Avantara Lake Norden?

According to SD state health department records, Avantara Lake Norden's license number is 10639.

What is the occupancy rate at Avantara Lake Norden?

Avantara Lake Norden's occupancy is 94%.

How long has Avantara Lake Norden been in business?

Avantara Lake Norden has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Avantara Lake Norden?

No, Avantara Lake Norden has a no-pet policy.

Does Avantara Lake Norden operate as a for-profit or non-profit?

Avantara Lake Norden is registered as a for-profit in SD.

Who is the administrator of Avantara Lake Norden?

Margaret Grimm is the administrator of Avantara Lake Norden.

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