Occupancy rate
92%
In line with South Dakota averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Nursing Home
Avantara Norton
Avantara Norton is a rehabilitation facility located in Sioux Falls, South Dakota. It offers a range of healthcare services including post-surgical care, short-term rehabilitation, cardiac care, and wound care. The facility is dedicated to providing quality, personalized medical care with a focus on enhancing mobility and independence for its guests.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
110
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
91.5%
Residents per day (avg)
95
Occupancy rate
91.5%
Residents per day (avg)
95
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
47% of new residents, usually for short-term rehab.
Typical stay
27 days
Private pay
29% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
24% of new residents, often for long-term daily care.
Typical stay
9 - 10 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$16.6M
Operating loss
-$588.2K
Privately-owned community
Operated by a business corporation.
Home revenue
$16,597,692.00
Operating loss
$-588,220.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$13.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$17.2M
110-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy
In line with South Dakota averageOccupied beds
101 / 110
Average residents
51 per day
License details
Facility type
Nursing Home
Status
Active
Issuance
July 1, 2025
Expiration
June 30, 2026
County:
Minnehaha
Additional licensing details
License number:
10682
CMS Certification Number:
435039
Ownership & operating entity
Avantara Norton is administrated by Nickel, Ashley.
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Licensed Nurses/CNAs
Short-Term Rehab
Programs & Activities
Specific Programs
Post-Surgical Care, Short-Term Rehabilitation, Stroke & Other Neurological Conditions, Cardiac Care, Oncology Recovery Care, Wound Care, Pulmonary Care, Orthopedic Rehabilitation
Health Inspection History
Inspections
Total health inspections
18
South Dakota average 4.5
Last Health inspection on Nov 2025
Total health citations
75
Citations per inspection
4.17
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
41 of 75 citations resulted from standard inspections; 30 of 75 resulted from complaint investigations; and 4 of 75 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
567% worse than South Dakota averageSouth Dakota average: 0.3
Serious Health citations
16
16
789% worse than South Dakota averageSouth Dakota average: 1.8
2 critical citations
16 serious citations
57 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Nov 14, 2025
Abuse/Neglect moderate citation
Jul 10, 2025
Corrected
Quality of Care serious citation
Jul 10, 2025
Corrected
Quality of Care moderate citation
Jul 10, 2025
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.
Compare Nursing Homes around Sioux Falls
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Dow Rummel Village
+2%
+20%
+17%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57104
50
-
HAHN, CHRISTOPHER
93.7%
$21,677,278.00
$11,329,272.00
52.3%
47
5.1971
1
7
3
+2%+20%+17%
Bethesda of Beresford
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-
-
39
BETHESDA OF BERESFORD
85.1%
$3,408,414.00
$1,318,389.00
38.7%
34
3.6669
1
-
-
-
-
Avantara Norton
+34%
-19%
+14%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57105
100
-
KLINKHAMMER, JEREMY
91.5%
$16,589,769.00
$3,749,956.00
22.6%
95
3.5336
7
75
18
+34%-19%+14%
Bethany Home Sioux Falls
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-
-
41
-
-
-
-
-
-
-
-
-
-
-
-
Bethany Home Sioux Falls/Bethany Home-Brandon
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57105
112
-
-
-
-
-
-
-
-
-
-
-
-
-
Dow Rummel Village
Type of care:
SNF
AL
Community:
SD 57104
Bed Count:
50
Operator:
HAHN, CHRISTOPHER
CCN:
435127
Occupancy:
93.7%
Home Revenue:
$21,677,278.00
Payroll Costs:
$11,329,272.00
Payroll %:
52.3%
Avg Residents/Day:
47
Overall Rating:
Adj Nurse Hours:
5.1971
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
7
Severe Citations:
3
RN share vs State Avg:
+2%
+2%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
+17%
+17%
Bethesda of Beresford
Type of care:
SNF
AL
Operator:
BETHESDA OF BERESFORD
CCN:
435080
Occupancy:
85.1%
Home Revenue:
$3,408,414.00
Payroll Costs:
$1,318,389.00
Payroll %:
38.7%
Avg Residents/Day:
34
Overall Rating:
Adj Nurse Hours:
3.6669
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Avantara Norton
Type of care:
SNF
AL
Community:
SD 57105
Bed Count:
100
Operator:
KLINKHAMMER, JEREMY
CCN:
435039
Occupancy:
91.5%
Home Revenue:
$16,589,769.00
Payroll Costs:
$3,749,956.00
Payroll %:
22.6%
Avg Residents/Day:
95
Overall Rating:
Adj Nurse Hours:
3.5336
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
7
Citations:
75
Severe Citations:
18
RN share vs State Avg:
+34%
+34%
Staffing vs State Avg:
-19%
-19%
Occupancy vs State Avg:
+14%
+14%
Places of interest near Avantara Norton
161.7 miles from city center
Sioux Falls, SD 57105
Calculate Travel Distance to Avantara Norton
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
137
Total Staff
106
Employees
31
Contractors
38,413
Total Hours (Quarter)
45
Avg Staff/Day
9.4
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 20 | 9.3 | Yes |
| Licensed Practical Nurse | 21 | 10.4 | Yes |
| Certified Nursing Assistant | 57 | 9.8 | Yes |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
114 staff
9.8hs shift avg
Physicians & Practitioners ⓘ
5 staff
7.9hs shift avg
Therapy Services ⓘ
9 staff
7hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
7.1hs shift avg
Dietary Services ⓘ
4 staff
7.4hs shift avg
Other Services ⓘ
2 staff
8hs shift avg
Contractor Analysis
9.2%
of total hours from contractors
3,539 contractor hours this quarter
Certified Nursing Assistant: 1
Speech Language Pathologist: 2
Qualified Social Worker: 2
Physical Therapy Assistant: 3
Respiratory Therapy Technician: 2
Licensed Practical Nurse: 9
Registered Nurse: 10
Physical Therapy Aide: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 56 | 1 | 57 | 19,036 | 91 | 100% | 9.8 |
| Licensed Practical Nurse | 12 | 9 | 21 | 5,118 | 91 | 100% | 10.4 |
| Registered Nurse | 10 | 10 | 20 | 3,631 | 91 | 100% | 9.3 |
| Medication Aide/Technician | 13 | 0 | 13 | 2,264 | 91 | 100% | 11.4 |
| RN Director of Nursing | 3 | 0 | 3 | 1,297 | 64 | 70% | 7.9 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,228 | 64 | 70% | 7.9 |
| Speech Language Pathologist | 0 | 2 | 2 | 968 | 73 | 80% | 7.2 |
| Other Dietary Services Staff | 3 | 0 | 3 | 776 | 76 | 84% | 7 |
| Physical Therapy Assistant | 0 | 3 | 3 | 762 | 65 | 71% | 6.7 |
| Nurse Practitioner | 2 | 0 | 2 | 520 | 65 | 71% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 467 | 59 | 65% | 7.9 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 464 | 64 | 70% | 7.3 |
| Dietitian | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Administrator | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 423 | 60 | 66% | 7.1 |
| Physical Therapy Aide | 0 | 2 | 2 | 43 | 8 | 9% | 5.4 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
94 residents
Residents by payment source
Medicare
21 residents (22.3%)
Medicaid
54 residents (57.4%)
Private pay or other
19 residents (20.2%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.9
32% worse than South Dakota averageSouth Dakota average: 12.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.8
20% worse than South Dakota averageSouth Dakota average: 23.9
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
31.0%
Percent of long-stay residents whose need for help with daily activities has increased
31.0%
39% worse than South Dakota averageSouth Dakota average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
31.9%
Percent of long-stay residents whose ability to move independently worsened
31.9%
40% worse than South Dakota averageSouth Dakota average: 22.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.4%
12% better than South Dakota averageSouth Dakota average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
69% better than South Dakota averageSouth Dakota average: 5.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
10.7%
Percent of long-stay high risk residents with pressure ulcers
10.7%
138% worse than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
5.2%
Percent of long-stay residents with a urinary tract infection
5.2%
50% worse than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.4%
Percent of long-stay residents who lose too much weight
4.4%
19% better than South Dakota averageSouth Dakota average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
9.3%
Percent of long-stay residents who have depressive symptoms
9.3%
128% worse than South Dakota averageSouth Dakota average: 4.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.2%
Percent of long-stay residents who received an antipsychotic medication
15.2%
38% better than South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
90.3%
6% worse than South Dakota averageSouth Dakota average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
In line with South Dakota averageSouth Dakota average: 96.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
72.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
72.8%
14% worse than South Dakota averageSouth Dakota average: 84.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than South Dakota averageSouth Dakota average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
70.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
70.0%
10% worse 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.
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 (Data as of Jan 2026)
Total fines amount
$225K
463% higher than South Dakota averageSouth Dakota average: $40K
Number of fines
7
245% more fines than South Dakota averageSouth Dakota average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
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
Fines amount comparison
Fines amount comparison
This facility
$225K
South Dakota average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 5, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 5, 2025
$79K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 26, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 26, 2024
$19K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 17, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 17, 2024
$12K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 20, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 20, 2024
$12K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Avantara Norton based on CMS SNF Cost Reports.
Occupancy Rate
91.5%
↑ 21.7pp vs 2022
Net Income
-$588,220
↑ ~$588K vs 2022
Total Payroll
$7,364,762
↑ ~$1.2M vs 2022
Profit Margin
-3.6%
↑ 5.1pp vs 2022
Loading trend charts...
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