Avantara Lake Norden

Nursing Home, Hospice Care, Memory Care & Skilled Nursing · Lake Norden, SD

CMS overall rating

803 Park St, Lake Norden, SD 57248 View map

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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

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

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to South Dakota state averages

Total nursing care / resident

3h 20m per day

This facility South Dakota avg (4h 20m per day)

vs South Dakota avg

-23%

6 of 6 metrics below 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.	47m per day	▼ 4% State avg: 49m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	18m per day	▼ 37% 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 6m per day	▼ 18% State avg: 2h 34m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 50m per day	▼ 16% State avg: 3h 23m per day · National avg: 3h 27m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	2m per day	▼ 22% 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.	27m per day	▼ 15% State avg: 31m per day · National avg: 29m per day

Capacity and availability

175 days

50-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 11 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

93%

Higher than the South Dakota average: 79.9%

Occupied beds

46 / 50

Average occupied beds in South Dakota homes 51 beds

Facility TypeNursing Home

IssuanceJuly 1, 2025

CountyHamlin

License Number10639

CMS Certification Number435059

Avantara Lake Norden is administered by Margaret Grimm.

Rehabilitation Services

Short-Term Rehab

Pets not allowed

Since 2023 · 3 years of data 4 deficiencies 3 inspections

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

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.	4	19	This facility has 79% fewer total deficiencies than a typical South Dakota nursing home (4 vs. SD avg 19).↓ 79% better
Deficiencies per inspection Average deficiencies per inspection.	1.3	3.8	This facility has 66% fewer deficiencies per inspection than a typical South Dakota nursing home (1.3 vs. SD avg 3.8).↓ 66% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	SD Average	vs. SD Avg
Total inspections Combined count of all inspections conducted at this facility.	3	5	This facility has had 40% fewer total inspections than the South Dakota average (3 vs. SD avg 5). More inspections can mean more regulatory scrutiny rather than worse care.↓ 40% fewer

Show Inspection Reports

Inspections since 2023

Total health inspections 3

State average 4.5

Last Health inspection on Mar 2025

Total health citations

State average 14.8

Citations per inspection

1.33

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

100% better than State average

State average: 0.3

Serious health citations

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

Total staff 94

Employees 59

Contractors 35

Staff to resident ratio 2.04 : 1

6% more staff per resident than South Dakota average

Avg staff/day 26

Average shift 6.7 hours

13% worse than South Dakota average

Total staff hours (quarter) 16,139

Nursing staff breakdown

9.1 hours

8.4 hours

6.8 hours

Contractor staffing

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


Certified Nursing Assistant	39	13	52	8,856	92	100%	6.8
Registered Nurse	5	3	8	1,956	92	100%	9.1
Licensed Practical Nurse	5	2	7	1,269	84	91%	8.4
Clinical Nurse Specialist	2	0	2	932	64	70%	7.8
Dietitian	2	0	2	848	61	66%	7.6
Administrator	1	0	1	494	63	68%	7.8
Nurse Practitioner	3	0	3	480	63	68%	7.6
Mental Health Service Worker	1	0	1	465	59	64%	7.9
Speech Language Pathologist	0	3	3	225	59	64%	3.7
Respiratory Therapy Technician	0	6	6	170	40	43%	4.2
Physical Therapy Aide	0	4	4	162	61	66%	2.6
Qualified Social Worker	0	2	2	140	44	48%	3.2
Medication Aide/Technician	1	0	1	77	30	33%	2.6
Physical Therapy Assistant	0	2	2	66	25	27%	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%

2 Dietitian

% of Days 66%

1 Administrator

% of Days 68%

3 Nurse Practitioner

% of Days 68%

1 Mental Health Service Worker

% of Days 64%

3 Speech Language Pathologist

% of Days 64%

6 Respiratory Therapy Technician

% of Days 43%

4 Physical Therapy Aide

% of Days 66%

2 Qualified Social Worker

% of Days 48%

1 Medication Aide/Technician

% of Days 33%

2 Physical Therapy Assistant

% of Days 27%

View All Staffing Data

Total fines amount $11K

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 0

In line with South Dakota average

South Dakota average: 0.0

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.

High-risk clinical events score 13.0

8% worse than South Dakota average

South Dakota average: 12.0

Functional decline score 28.7

20% worse than South Dakota average

South Dakota average: 23.9

Long-stay resident measures

Need for Help with Daily Activities Increased 28.4%

27% worse than South Dakota average

South Dakota average: 22.3%

Walking Ability Worsened 27.7%

21% worse than South Dakota average

South Dakota average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence 29.9%

12% worse than South Dakota average

South Dakota average: 26.7%

Falls with Major Injury 4.9%

In line with South Dakota average

South Dakota average: 5.0%

High Risk Residents with Pressure Ulcers 2.0%

57% better than South Dakota average

South Dakota average: 4.5%

Urinary Tract Infection 1.3%

63% better than South Dakota average

South Dakota average: 3.5%

Lost Too Much Weight 2.0%

63% better than South Dakota average

South Dakota average: 5.5%

Depressive Symptoms 4.6%

11% worse than South Dakota average

South Dakota average: 4.1%

Antipsychotic Use 18.7%

23% better than South Dakota average

South Dakota average: 24.4%

Pneumococcal Vaccine 98.8%

In line with South Dakota average

South Dakota average: 95.7%

Influenza Vaccine 97.6%

In line with South Dakota average

South Dakota average: 96.9%

Short-stay resident measures

Pneumococcal Vaccine 95.0%

13% better than South Dakota average

South Dakota average: 84.4%

Antipsychotic medication increase 0.0%

100% better than South Dakota average

South Dakota average: 1.8%

Influenza Vaccine 97.0%

24% better than South Dakota average

South Dakota average: 78.2%

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

Total residents 46

Medicare

10.9% of residents

Medicaid

58.7% of residents

Private pay or other

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.

Financial Trends

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

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 92.1% ↑ 3.4pp vs 2022

Net Patient Income $241.5K ↓ ~$28.3K vs 2022

Payroll Costs $2.5M ↑ ~$331.1K vs 2022

Operating Margin 5.3% ↓ 1.1pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2020	2021	2022	2023
Occupancy %	82.4%	72.1%	74.0%	76.4%	77.1%	81.4%	87.8%	78.2%	88.2%	82.2%	88.7%	92.1%
Beds	61	61	61	61	61	61	53	53	48	48	48	48
Net Income	$81,268	-$174,267	-$250,972	-$81,077	-$274,302	-$321,157	$60,215	$182,848	$786,487	$496,310	$269,854	$245,878
Gross Revenue	$3,931,877	$3,324,510	$3,671,639	$3,955,622	$3,943,389	$4,216,807	$4,314,965	$3,138,683	$6,465,247	$6,211,234	$6,387,397	$7,058,696
Operating Expenses	$3,005,149	$2,743,526	$2,903,827	$3,057,727	$3,326,578	$3,558,454	$3,219,835	$2,779,108	$3,396,858	$3,404,477	$3,913,338	$4,296,100
Net Patient Income	$62,775	-$175,460	-$266,741	-$85,340	-$275,702	-$360,510	$60,185	$48,272	$123,025	-$61,555	$269,816	$241,509
Net Patient Revenue	$3,067,924	$2,568,066	$2,637,086	$2,972,387	$3,050,876	$3,197,944	$3,280,020	$2,827,380	$3,519,883	$3,342,922	$4,183,154	$4,537,609
Payroll Costs	$1,590,722	$1,436,741	$1,441,296	$1,525,054	$1,552,140	$1,844,059	$1,877,633	$1,736,507	$2,099,108	$1,970,282	$2,217,173	$2,548,256
Operating Margin %	2.1%	-6.8%	-10.1%	-2.9%	-9.0%	-11.3%	1.8%	1.7%	3.5%	-1.8%	6.5%	5.3%
Medicare %	6.7%	5.5%	5.7%	6.5%	6.2%	5.9%	5.8%	4.2%	9.8%	7.4%	4.9%	7.6%
Medicaid %	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	69.6%	0.0%	65.6%	69.6%	65.0%	62.0%
Private %	93.3%	94.5%	94.3%	93.5%	93.8%	94.1%	24.6%	95.8%	24.6%	23.0%	30.1%	30.3%
Net Patient Revenue/Day	$167	$159	$160	$175	$178	$176	$193	$187	$227	$232	$269	$281
Cost/Day	$164	$170	$176	$180	$194	$196	$190	$184	$219	$236	$252	$266
Avg Length of Stay	213.4 days	255.7 days	193.9 days	229.9 days	225.7 days	279.7 days	249.8 days	280.2 days	178.1 days	173.6 days	239.2 days	175.4 days

Finances and operations

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

Net patient revenue

$4.5M

Net patient income

$241.5K

For-profit Operated by a single business entity.

Net patient revenue

$4.5M

Net patient income

$241.5K

Other income

$4.4K

Payroll costs

$2.5M 56.2% of net patient revenue

Other operating costs

$1.7M

Total costs

$4.3M

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.

Coverage residents most often arrive under.

Medicare 40%

Private pay 39%

Medicaid 21%

Coverage residents most often leave under.

Medicare 24%

Private pay 34%

Medicaid 42%

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

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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.


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Avantara Lake Norden	NH HOS MC SNF	Lake Norden	50 Facility 50 SD AVG 69 Rank #68 / 117	92.6% Facility 92.6% SD AVG 82.2 Rank #8 / 34	+13%	3.33 Facility 3.33 SD AVG 4.34 Rank #50 / 65	-24%	-23%	$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	1	46	-	11 Facility 11 SD AVG 39 Rank #130 / 158	Margaret Grimm	$4.5MFiscal year ending 12/2023 Facility $4.5MFiscal year ending 12/2023 SD AVG $6.7M Rank #43 / 63	$2.5MFiscal year ending 12/2023 Facility $2.5MFiscal year ending 12/2023 SD AVG $2.6M Rank #44 / 63	56.2%Fiscal year ending 12/2023 Facility 56.2%Fiscal year ending 12/2023 SD AVG 40.8% Rank #42 / 63	435059

Nursing Home Explorer

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 93%.

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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Avantara Lake Norden

Overview of Avantara Lake Norden

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Additional Policies & Features

Amenities & Lifestyle

Contact Avantara Lake Norden

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.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

52 Certified Nursing Assistant

8 Registered Nurse

7 Licensed Practical Nurse

2 Clinical Nurse Specialist

2 Dietitian

1 Administrator

3 Nurse Practitioner

1 Mental Health Service Worker

3 Speech Language Pathologist

6 Respiratory Therapy Technician

4 Physical Therapy Aide

2 Qualified Social Worker

1 Medication Aide/Technician

2 Physical Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

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

Places of interest near Avantara Lake Norden

Calculate Travel Distance to Avantara Lake Norden

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