Avantara Norton
3600 South Norton Avenue, Sioux Falls, SD, 57105
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
Special Focus Facility
CMS has designated this facility a Special Focus Facility — one of a small group nationwide with a persistent pattern of substandard care requiring more frequent federal oversight. SFFs are inspected roughly every six months. Ask for the most recent inspection summary and corrective-action plan before deciding.
Source: CMS Care Compare.
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Legacy Healthcare
- Certified beds
- 110 · avg 99 residents/day
- Total nursing staff turnover
- 58.7% — higher than most South Dakota nursing homesSouth Dakota avg: 49.0% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 54.5% — higher than most South Dakota nursing homesSouth Dakota avg: 37.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the South Dakota averageSouth Dakota avg: 0.3 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 6 fines · $153,638 total
Medicare certification
- CMS Certification Number
- 435039
- Certified beds
- 110 beds · avg 99 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Norton Sd Skilled Nursing Facility Llc
- Chain affiliation
- Legacy Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Legacy Healthcare chain — 89 facilities across 3 states. Chain-wide average overall rating 2.9 / 5.
Disclosed owners (15 on record)
- Legacy Healthcare Financial Services Llc
Adp of The Snf · since 2025
- Bokf,na
5% or Greater Security Interest · 100% · since 2024
- Roth & Co, Llp
Adp of The Snf · since 2024
- Ashley Nickel
Operational/managerial Control · since 2022
- Chaim Rajchenbach Descendants tr ua 04282008
5% or Greater Direct Ownership Interest · 43% · since 2019
- Doros Generation Trust U/a/d 1/3/12
5% or Greater Direct Ownership Interest · 43% · since 2019
+ 9 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 75)
- G0689·Mar 31, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0688·Mar 31, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- G0684·Mar 31, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E0561·Mar 31, 2026Complaint
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D0550·Mar 31, 2026Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D0880·Mar 31, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0812·Mar 31, 2026
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- G0760·Mar 31, 2026
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Federal penalties
By year
- 20251 fine · $51K
- 20244 fines · $74K
- 20231 fine · $29K
Most recent events
- Mar 5, 2025Fine · $51K
- Sep 26, 2024Fine · $12K
- Jul 17, 2024Fine · $12K
- Jun 20, 2024Fine · $12K
- Mar 13, 2024Fine · $38K
- Oct 4, 2023Fine · $29K
Largest single fine on record: $51K.
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Mar 5, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Avantara Nortoninto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.