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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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.
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.
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.
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.
This home is ranked 46th out of 62 homes in South Dakota.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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 44m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
40% of new residents, usually for short-term rehab.
39% of new residents, often for short stays.
21% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #37 / 59Payroll — state benchmarkedThis home is ranked 37th out of 59 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the South Dakota average: 79.9%Avantara Lake Norden is administrated by Margaret Grimm.
In South Dakota, the Department of Health, Office of Health Care Facilities Licensure is the state agency responsible for conducting unannounced surveys and monitoring facility quality.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsSouth Dakota average 4.5
Last Health inspection on Mar 2025
South Dakota average 14.8
South Dakota 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.
100% better than South Dakota averageSouth Dakota average: 0.3
1
44% better than South Dakota averageSouth Dakota average: 1.8
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 20, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Nov 16, 2023
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Nov 16, 2023
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 19, 2023
Corrected
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.
Avantara Lake Norden is located in Lake Norden, South Dakota.
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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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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
16% better than South Dakota averageSouth Dakota average ratio: 1.91:1
10% worse than South Dakota averageSouth Dakota average: 7.7 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursThis role is partially covered by contractors.
Total hours from contractors
1,779 contractor hours this quarter
| Certified Nursing Assistant | 37 | 23 | 60 | 8,397 | 91 | 100% | 6.8 |
| Registered Nurse | 8 | 4 | 12 | 1,573 | 90 | 99% | 9.2 |
| Licensed Practical Nurse | 5 | 4 | 9 | 1,555 | 85 | 93% | 8.7 |
| Dietitian | 2 | 0 | 2 | 976 | 64 | 70% | 7.9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 972 | 64 | 70% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 485 | 61 | 67% | 8 |
| Administrator | 1 | 0 | 1 | 479 | 61 | 67% | 7.8 |
| Nurse Practitioner | 3 | 0 | 3 | 466 | 61 | 67% | 7.5 |
| Physical Therapy Aide | 0 | 2 | 2 | 357 | 66 | 73% | 5.1 |
| Speech Language Pathologist | 0 | 3 | 3 | 191 | 51 | 56% | 3.2 |
| Qualified Social Worker | 0 | 2 | 2 | 78 | 30 | 33% | 2.6 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 57 | 36 | 40% | 1.5 |
| Medication Aide/Technician | 1 | 0 | 1 | 46 | 15 | 16% | 3 |
| Physical Therapy Assistant | 0 | 1 | 1 | 23 | 19 | 21% | 1.2 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
46Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageSouth Dakota average: 12.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.7
20% worse than South Dakota averageSouth Dakota average: 23.9
Percent of long-stay residents whose need for help with daily activities has increased
28.4%
27% worse than South Dakota averageSouth Dakota average: 22.3%
Percent of long-stay residents whose ability to move independently worsened
27.7%
21% worse than South Dakota averageSouth Dakota average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.9%
12% worse than South Dakota averageSouth Dakota average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
In line with South Dakota averageSouth Dakota average: 5.0%
Percent of long-stay high risk residents with pressure ulcers
2.0%
57% better than South Dakota averageSouth Dakota average: 4.5%
Percent of long-stay residents with a urinary tract infection
1.3%
63% better than South Dakota averageSouth Dakota average: 3.5%
Percent of long-stay residents who lose too much weight
2.0%
63% better than South Dakota averageSouth Dakota average: 5.5%
Percent of long-stay residents who have depressive symptoms
4.6%
11% worse than South Dakota averageSouth Dakota average: 4.1%
Percent of long-stay residents who received an antipsychotic medication
18.7%
23% better than South Dakota averageSouth Dakota average: 24.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
In line with South Dakota averageSouth Dakota average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
In line with South Dakota averageSouth Dakota average: 96.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.0%
13% better than South Dakota averageSouth Dakota average: 84.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than South Dakota averageSouth Dakota average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.0%
24% better than South Dakota averageSouth Dakota average: 78.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
73% lower than South Dakota averageSouth Dakota average: $40K
51% fewer fines than South Dakota averageSouth Dakota average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
In line with South Dakota averageSouth Dakota average: 0.0
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
| Avantara Lake Norden |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lake Norden | 50 | 92.1% | +15% | 3.33 | +8% | -23% | 1 | 4 | 1.3 | 1 | 47 | 11 | Margaret Grimm | $7.1M | $2.1M | 30% | 435059 | ||||
| Alcester Care and Rehab Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Alcester (Alcester Township) | 41 | 94.9% | +19% | 3.72 | +30% | -14% | 2 | 11 | 2.2 | 1 | 37 | 14 | Stroschein Properties III LLC | $3.0M | $1.5M | 50.6% | 435062 | ||||
| Avantara Clark City |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Clark | 35 | 79.4% | -1% | 3.15 | -22% | -27% | 1 | 5 | 1.3 | 1 | 31 | 31 | Tiffany Schlomer | $6.0M | $1.5M | 25.5% | 435058 | ||||
| Aurora Brule Nursing Home Inc. |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | White Lake (White Lake Township) | 50 | 61.7% | -23% | 3.45 | +29% | -20% | 2 | 16 | 3.2 | 1 | 40 | 17 | Aurora-Brule Nursing Home | $2.9M | $1.5M | 51.8% | 435132 | ||||
| Avantara Arrowhead |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Rapid City (Broadmoor Subdivision) | 68 | 75.2% | -6% | 2.80 | +52% | -36% | 5 | 34 | 3.8 | 9 | 61 | 12 | Philip Preston | $10.7M | $2.9M | 27.3% | 435051 |
Historical financial and operational data for Avantara Lake Norden based on CMS SNF Cost Reports.
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Avantara Lake Norden has a walk score of 11. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to SD state health department records, Avantara Lake Norden's license number is 10639.
According to SD state health department records, Avantara Lake Norden's license expires on June 30, 2026.
Avantara Lake Norden's occupancy is 92%.
Margaret Grimm is the administrator of Avantara Lake Norden.
Avantara Lake Norden has 50 beds.
Yes — there are 5 photos of Avantara Lake Norden in the photo gallery on this page.
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