Inspection Reports for
Avantara Lake Norden
803 Park St, Lake Norden, SD, 57248
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
39% better than South Dakota average
South Dakota average: 3.3 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Routine
Deficiencies: 1
Date: Mar 20, 2025
Visit Reason
The inspection was conducted to evaluate compliance with care plan requirements, specifically focusing on whether resident care plans were updated to accurately reflect residents' abilities to use call lights effectively in the memory care unit.
Findings
The provider failed to ensure that care plans accurately reflected the residents' abilities to use call lights. Observations and interviews revealed that call lights were often inaccessible or unused by residents with cognitive impairments in the memory care unit, and care plans did not reflect these realities.
Deficiencies (1)
F 0657: The provider failed to develop and revise care plans within 7 days of comprehensive assessment to accurately reflect residents' abilities to use call lights effectively for five residents with impaired cognition in the memory care unit.
Report Facts
Residents affected: 5
BIMS scores: 4
BIMS score: 9
BIMS score: 3
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Nov 16, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding failure to ensure a Foley catheter change was completed per physician's order and concerns about infection prevention and control practices in the facility.
Complaint Details
The investigation was triggered by a complaint regarding missed Foley catheter changes and infection control concerns. The missed catheter change was substantiated with documentation and staff interviews confirming the delay. Infection control lapses were observed and confirmed by staff interviews.
Findings
The facility failed to ensure a Foley catheter change was completed as ordered for one resident, with documentation missing for the scheduled November 1st change. Infection control deficiencies were found in one shower room, including unsanitary storage of towels, improper handling and transport of feces during showers, inadequate cleaning of foot soak basins, and unlabeled personal hygiene products posing cross-contamination risks.
Deficiencies (2)
F 0658: The provider failed to ensure a Foley catheter change was completed per physician's order for one resident. The scheduled catheter change on November 1st was not documented as completed and was delayed until November 16th.
F 0880: The provider failed to maintain infection prevention and control in a shower room, including unsanitary towel storage, lack of proper process for feces removal and transport, inadequate cleaning of multi-resident foot soak basins, and unlabeled personal hygiene products posing cross-contamination risks.
Report Facts
Residents Affected: 1
Residents Affected: Some
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Jan 19, 2023
Visit Reason
The inspection was conducted as a routine annual survey to assess compliance with regulatory requirements related to resident care and facility operations.
Findings
The provider failed to implement appropriate interventions to prevent a pressure ulcer from developing in one of two sampled residents. Documentation and care plan reviews revealed delays and gaps in addressing skin alterations and pressure ulcer prevention.
Deficiencies (1)
F 0686: The provider failed to provide appropriate pressure ulcer care and prevent new ulcers from developing for resident 289. Interventions were not initiated timely despite documented skin redness and pressure ulcer development.
Report Facts
Braden Scale score: 6
Braden Scale score: 17
Pressure ulcer measurement: 10
Pressure ulcer measurement: 5
Pressure ulcer measurement: 8.1
Pressure ulcer measurement: 3.6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DON B | Director of Nursing | Reported admission bed bath with no skin condition notation and documented change of condition notes regarding resident 289's heel. |
| RN F | Registered Nurse | Performed dressing changes and skin evaluations on resident 289's heel. |
| RN E | Registered Nurse | Completed nursing admission/readmission assessment and admission summary progress notes for resident 289. |
| LPN D | Licensed Practical Nurse | Conducted skin evaluation noting Braden Scale score and skin integrity for resident 289. |
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