5/5
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.
5/5
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 opened in early 2025 on Park St in Lake Norden, South Dakota, a small Hamlin County town where the nearest hospital sits about 22 miles out. That distance is worth naming plainly: the 50-bed community serves nursing home, memory care, and hospice populations, and families choosing a facility with that clinical range need a clear picture of the geography. The neighborhood scores a 6 on walkability, which in a rural South Dakota town is less a flaw than a given.
Occupancy is 92%, with 46 of the 50 beds currently filled. An average stay of 175 days puts it somewhere between a short-term rehab stop and a longer-term care home, and the program mix backs that up. The specialty tracks are clinically specific: a Secured Memory Care Unit, Cardiac Care, Orthopedic Rehabilitation, Pulmonary Care, Oncology Recovery Care, and Stroke and Other Neurological Conditions. Combined with general rehabilitation and short-term rehab services, they point to a facility built for medically complex residents rather than routine post-acute cases.
Nursing coverage totals 3 hours and 20 minutes per resident per day, with registered nurses providing 47 minutes of direct care within that. Medicare, Medicaid, and private pay are all accepted. Margaret Grimm is the administrator.
For families in rural South Dakota navigating the intersection of nursing care, memory care, and hospice needs, Avantara Lake Norden represents a newly built facility with a genuinely broad clinical program and high occupancy for its size and market.
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 50th out of 65 homes 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.
| 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 | ■ Avg State avg: 48m 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 | ▼ 38% 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 | ▼ 20% State avg: 2h 37m per day · National avg: 2h 21m 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 | ▼ 14% State avg: 3h 19m per day · National avg: 3h 26m 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 | ▼ 20% 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 | ▼ 14% State avg: 31m per day · National avg: 29m per day |
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.
Avantara Lake Norden is administered by Margaret Grimm.
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
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.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
0.74
51% better than South Dakota averageSouth Dakota average: 1.51
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.28
85% better than South Dakota averageSouth Dakota average: 1.85
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
9.7%
55% better than South Dakota averageSouth Dakota average: 21.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.4%
28% better than South Dakota averageSouth Dakota average: 11.7%
Percentage of SNF residents who experience falls with major injury during their stay.
3.2%
319% worse than South Dakota averageSouth Dakota average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
29.2%
46% worse than South Dakota averageSouth Dakota average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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."
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."
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."
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."
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.
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 #44 / 63Payroll — State benchmarkedThis home is ranked 44th out of 63 homes in South Dakota for payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #42 / 63Payroll % — State benchmarkedThis home is ranked 42nd out of 63 homes in South Dakota for payroll %. Shows payroll as a percentage of revenue versus the South Dakota average. Well-run South Dakota facilities typically land around 64–73% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
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.
0.3 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
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.
| Avera Maryhouse | NH AL HOS | Pierre | 67
Facility
67
SD AVG
69
Rank
#49 / 117 | - | - | 5.30
Facility
5.30
SD AVG
4.34
Rank
#7 / 65 | +18% | +22% | $0
Facility
$0
SD AVG
$38.5k
Rank
#1 / 67 | 9
Facility
9
SD AVG
14.8
Rank
#17 / 65 | 2.3
Facility
2.3
SD AVG
3.3
Rank
#19 / 65 | - | 59 | - |
60
Facility
60
SD AVG
39
Rank
#38 / 158 | - | - | - | - | 435034 | ||||
| Prairie Heights Healthcare | NH HOS SNF | Nw Aberdeen | 99
Facility
99
SD AVG
69
Rank
#21 / 117 |
62.9%
Facility
62.9%
SD AVG
82.2
Rank
#31 / 34 | -23% | 3.86
Facility
3.86
SD AVG
4.34
Rank
#28 / 65 | -39% | -11% | $0
Facility
$0
SD AVG
$38.5k
Rank
#1 / 67 | 5
Facility
5
SD AVG
14.8
Rank
#4 / 65 | 1.7
Facility
1.7
SD AVG
3.3
Rank
#12 / 65 | - | 62 | - |
85
Facility
85
SD AVG
39
Rank
#1 / 158 | - | $11.3MFiscal year ending 12/2023
Facility
$11.3MFiscal year ending 12/2023
SD AVG
$6.7M
Rank
#13 / 63 | $6.1MFiscal year ending 12/2023
Facility
$6.1MFiscal year ending 12/2023
SD AVG
$2.6M
Rank
#15 / 63 | 54.4%Fiscal year ending 12/2023
Facility
54.4%Fiscal year ending 12/2023
SD AVG
40.8%
Rank
#31 / 63 | 435004 | ||||
| Bethesda Home of Aberdeen | NH AL HC RC SNF | Aberdeen (Aberdeen Township) | 86
Facility
86
SD AVG
69
Rank
#27 / 117 | - | - | 5.08
Facility
5.08
SD AVG
4.34
Rank
#11 / 65 | +1% | +17% | $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 | - | 45 | - |
85
Facility
85
SD AVG
39
Rank
#1 / 158 | Christian Retirement Center Of Northern California | $4.5MFiscal year ending 12/2023
Facility
$4.5MFiscal year ending 12/2023
SD AVG
$6.7M
Rank
#50 / 63 | $3.3MFiscal year ending 12/2023
Facility
$3.3MFiscal year ending 12/2023
SD AVG
$2.6M
Rank
#37 / 63 | 73%Fiscal year ending 12/2023
Facility
73%Fiscal year ending 12/2023
SD AVG
40.8%
Rank
#17 / 63 | 435071 | ||||
| Bethany Home Sioux Falls/Bethany Home-Brandon | NH AL IL MC SNF | Sioux Falls | 112
Facility
112
SD AVG
69
Rank
#11 / 117 | - | - | 5.47
Facility
5.47
SD AVG
4.34
Rank
#5 / 65 | -15% | +26% | $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 | 1 | 43 | - |
65
Facility
65
SD AVG
39
Rank
#24 / 158 | Augustana Lutheran Church | $5.9MFiscal year ending 06/2024
Facility
$5.9MFiscal year ending 06/2024
SD AVG
$6.7M
Rank
#41 / 63 | $4.1MFiscal year ending 06/2024
Facility
$4.1MFiscal year ending 06/2024
SD AVG
$2.6M
Rank
#23 / 63 | 68.6%Fiscal year ending 06/2024
Facility
68.6%Fiscal year ending 06/2024
SD AVG
40.8%
Rank
#12 / 63 | 435096 |
Avantara Lake Norden is in the Park Street neighborhood of Lake Norden.
Avantara Lake Norden has a walk score of 6. 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.
Avantara Lake Norden's occupancy is 92.1%.
Avantara Lake Norden has been operating for approximately 1 year, based on available licensing and registration records.
No, Avantara Lake Norden has a no-pet policy.
Avantara Lake Norden is registered as a for-profit in SD.
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