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Avantara Lake Norden
Nursing Home, Hospice Care, Memory Care & Skilled Nursing · Lake Norden, SD
CMS overall rating Info 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.
Exterior view of Avantara Lake Norden building Pathway leading to the front entrance of the facility Outdoor area with pink flamingo decorations A sign in a garden area with flamingo decorations Common area with comfortable seating and large windows A private resident room with bed and furniture Avantara Lake Norden, Nursing Home in Lake Norden, SD — Senior resident enjoying company with caregiver in communal area Avantara Lake Norden, Nursing Home in Lake Norden, SD — Elderly woman smiling with caregiver in a nursing home Avantara Lake Norden, Nursing Home in Lake Norden, SD — Caregiver assisting an elderly resident in a cozy living space Avantara Lake Norden, Nursing Home in Lake Norden, SD — Seniors engaging in physical therapy with support from staff Avantara Lake Norden, Nursing Home in Lake Norden, SD Residents relaxing in a common area filled with natural light

Avantara Lake Norden

Nursing Home, Hospice Care, Memory Care & Skilled Nursing · Lake Norden, SD
CMS overall rating Info 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.
803 Park St, Lake Norden, SD 57248 View map Calculator: See prices in your area
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

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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.

Facility Direct Line (605) 785-3654
Facility Direct Line (605) 785-3654
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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.
3h 20m per day
Rank #50 / 65Nurse hours — State benchmarkedThis home is ranked 50th out of 65 homes in South Dakota. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 65 South Dakota facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.
vs avg

5 of 6 metrics below state avg

Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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 Info 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 Info 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 Info 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 Info 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 Info 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

Capacity and availability

Avg. Length of Stay Info 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.
175 days
Bed community size
50-bed community Rank #68 / 117Bed count — State benchmarkedThis home is ranked 68th out of 117 homes in South Dakota. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
1 year in operation Rank #14 / 51Years in operation — State benchmarkedThis home is ranked 14th out of 51 homes in South Dakota. Shows how long this facility has been in operation compared to other South Dakota facilities. Longer operating histories may benefit residents, families, and staff.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.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 6 / 100 Rank #143 / 159Walk Score — State benchmarkedThis home is ranked 143rd out of 159 homes in South Dakota. Shows how walkable this facility's neighborhood is compared to the average Walk Score across South Dakota facilities. Higher scores benefit residents, families, and staff.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.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
92%
Rank #11 / 62Occupancy rate — State benchmarkedThis home is ranked 11th out of 62 homes in South Dakota. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 62. Higher occupancy signals strong local demand and financial stability.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.
Higher than the South Dakota average: 79.9%
Occupied beds
46 / 50
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
IssuanceJanuary 7, 2025
ExpirationJune 30, 2026 Expired
CountyHamlin
License Number10639

Ownership & Operating Entity

Avantara Lake Norden is administered by Margaret Grimm.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Amenities & Lifestyle

Specific ProgramsSecured Memory Care Unit, Stroke And Other Neurological Conditions, Cardiac Care, Oncology Recovery Care, Orthopedic Rehabilitation, Pulmonary Care

Contact Avantara Lake Norden

Penalties and fines

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.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Long-stay resident measures
Significantly above average State avg: 2.6 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.74
51% better than State average

State average: 1.51

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.28
85% better than State average

State average: 1.85

Short-stay resident measures
Above average State avg: 2.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 9.7%
55% better than State average

State average: 21.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.4%
28% better than State average

State average: 11.7%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 3.2%
319% worse than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 29.2%
46% worse than State average

State average: 53.7%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Finances and operations

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

For-profit
Operated by a single business entity.
Net patient revenue Info 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."
$4.5M
Net patient income Info 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."
$241.5K
For-profit Operated by a single business entity.
Net patient revenue Info 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."
$4.5M Rank #41 / 63Revenue — State benchmarkedThis home is ranked 41st out of 63 homes in South Dakota. Shows this facility's annual revenue compared to the South Dakota average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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.
Net patient income Info 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."
$241.5K
Other income Info 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.
$4.4K
Payroll costs Info 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 #42 / 63Payroll — State benchmarkedThis home is ranked 42nd out of 63 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.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.
$2.5M 56.2% of net patient revenue Info 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 #44 / 63Payroll % — State benchmarkedThis home is ranked 44th out of 63 homes in South Dakota. 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.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.
Other operating costs Info 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).
$1.7M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.3M
How we calculate these figures

This home is administered by Margaret Grimm.

This home is owned by Margaret Grimm

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 435059

Show certification details

Who this home usually serves

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.

Admissions
87 total

Coverage residents most often arrive under.

Medicare 40%
Private pay 39%
Medicaid 21%
Discharges
92 total

Coverage residents most often leave under.

Medicare 24%
Private pay 34%
Medicaid 42%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Avantara Lake Norden

Address 0.3 miles from city center Info Estimated distance in miles from Lake Norden's city center to Avantara Lake Norden's address, calculated via Google Maps.

Calculate Travel Distance to Avantara Lake Norden

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Frequently Asked Questions about Avantara Lake Norden

What neighborhood is Avantara Lake Norden in?

Avantara Lake Norden is in the Park Street neighborhood of Lake Norden.

Is Avantara Lake Norden in a walkable area?

Avantara Lake Norden has a walk score of 6. 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.

When does Avantara Lake Norden's license expire?

According to SD state health department records, Avantara Lake Norden's license expires on June 30, 2026.

What is the occupancy rate at Avantara Lake Norden?

Avantara Lake Norden's occupancy is 92%.

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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