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.
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.
Avantara Lake Norden is administered 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.
Deficiencies
| This Facility | SD Average | vs. SD Avg |
|---|---|---|---|
|
Total deficiencies
| 4 | 19 | This facility has 79% fewer total deficiencies than a typical South Dakota assisted living residence (4 vs. SD avg 19).↓ 79% better |
|
Deficiencies per year
| 1.3 | 6.3 | This facility has 79% fewer deficiencies per year than a typical South Dakota assisted living residence (1.3 vs. SD avg 6.3).↓ 79% better |
|
Deficiencies per inspection
| 1.3 | 3.2 | This facility has 59% fewer deficiencies per inspection than a typical South Dakota assisted living residence (1.3 vs. SD avg 3.2).↓ 59% better |
Inspections
| This Facility | SD Average | vs. SD Avg |
|---|---|---|---|
|
Total inspections
| 3 | 6 | This facility has 50% fewer total inspections than a typical South Dakota assisted living residence (3 vs. SD avg 6).↓ 50% better |
State average N/A
Last Health inspection on Mar 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 4 citations resulted from standard inspections.
State average: N/A
State average: N/A
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
1,679 contractor hours this quarter
| 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 |
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)
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents 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.
Historical financial and operational data for Avantara Lake Norden from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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.
Coverage residents most often leave under.
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.
Add your location
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
| Avantara Lake Norden | NH HC MC | Lake Norden | - | 50 | - | 11 | - |
| Avera Mother Joseph Manor Retirement Community | NH AL HC IL | Aberdeen | - | 81 | - | 31 | 1 Bed / 2 Bed |
| Avera Maryhouse | NH AL HC | Pierre | - | 67 | - | 60 | Private Rooms / Semi-Private Rooms |
| Fountain Springs Healthcare Center | NH AL IL | Rapid City | - | 10 | - | 16 | Private Rooms / Semi-Private Rooms |
| Bethesda Home of Aberdeen | NH AL HC NC RC | Aberdeen (Melrose Addition) | - | 86 | - | 12 | - |
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%.
Avantara Lake Norden is registered as a for-profit in SD.
Margaret Grimm is the administrator of Avantara Lake Norden.
Avantara Lake Norden has 50 beds.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance