NursingHomes.us
StatesRankingsCompare

Browse

  • All States
  • Rankings
  • Compare

Resources

  • About Us
  • Data Sources
  • Contact

About

  • About Us
  • Data Sources
  • Contact
  • Privacy Policy
  • Terms of Use

Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeSouth DakotaAvantara Groton

Avantara Groton

1106 North Second Street, Groton, SD 574456053972365
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
3/5
Quality
1/5
Beds
37
certified
5 fine(s) totaling $24,101

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 37 certified beds with an average of 38.2 residents per day (103% occupancy)

• Last health inspection found 9 deficiencies (inspected Dec 11, 2025)

• Has been fined a total of $24,101 across 5 fine(s)

• Total nursing staff: 3.81 hours per resident per day

• Staff turnover rate: 45.7%

• Part of the Legacy Healthcare chain (90 facilities)

Avantara Groton is a 2-star Medicare and Medicaid certified nursing home in Groton, South Dakota with 37 certified beds. It has been operating since 1991. The facility scored below average compared to South Dakota facilities.

Beds
37
Avg Residents/Day
38.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 1, 1991
Sprinklers
Yes
Council
Resident
County
Brown
Last Inspection
Dec 11, 2025
Deficiencies (Cycle 1)
9
Weighted Score
56.0
Infection Citations
0

Deficiency Citations (22)

F0578Potential for Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0700Potential for Harm

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0803Potential for Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 11, 2025Corrected: NoCycle: 1
F0578Actual Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey: Nov 26, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Apr 14, 2023Corrected: NoCycle: 3
F0559Potential for Harm

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Survey: Apr 14, 2023Corrected: NoCycle: 3
F0561Potential for Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey: Apr 14, 2023Corrected: NoCycle: 3
F0636Potential for Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey: Apr 14, 2023Corrected: NoCycle: 3
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Apr 14, 2023Corrected: NoCycle: 3
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Apr 14, 2023Corrected: NoCycle: 3
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Apr 14, 2023Corrected: NoCycle: 3
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: Apr 14, 2023Corrected: NoCycle: 3
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Apr 14, 2023Corrected: NoCycle: 3
Total Fines
$24,101
Number of Fines
5
Payment Denials
0
Total Penalties
5

Penalty History

FineMay 8, 2023
$2,797
FineMay 15, 2023
$3,147
FineMay 30, 2023
$3,846
FineApr 17, 2023
$6,293
FineNov 26, 2024
$8,018

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.61 hrs
National avg: 2.35 hrs
LPN0.56 hrs
National avg: 0.86 hrs
RN0.64 hrs
National avg: 0.68 hrs
Total Nursing3.81 hrs
National avg: 3.89 hrs
Weekend Total3.38 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
45.7%
RN Turnover
50.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (10)

NameRoleTypeOwnership %Since
DOROS GENERATION TRUST U/A/D 1/3/125% OR GREATER DIRECT OWNERSHIP INTERESTOrganization43%Jul 1, 2019
GPN FAM TR UA 042820085% OR GREATER DIRECT OWNERSHIP INTERESTOrganization43%Jul 1, 2019
OAKWAY OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization15%Jul 1, 2019
BOKF,NAOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMar 4, 2024
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJul 1, 2019
CARDA, BRENDAOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 16, 2022
SHABAT, MENACHEMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2019
STEGER, BRANDONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 1, 2019
BOKF,NA5% OR GREATER SECURITY INTERESTOrganizationN/AMar 4, 2024
GROTON SD PROPERTY HOLDINGS, LLC5% OR GREATER SECURITY INTERESTOrganizationN/AJul 1, 2019

Frequently Asked Questions

What is the CMS rating for Avantara Groton?▾
Avantara Groton has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 3/5, and quality measures rating of 1/5. This facility is rated below average.
Has Avantara Groton had any health inspection violations?▾
Avantara Groton had 9 deficiency citations in its most recent health inspection (Dec 11, 2025). The facility has been fined a total of $24,101 across 5 fine(s).
What are the staffing levels at Avantara Groton?▾
Avantara Groton provides 3.81 total nursing staff hours per resident per day, including 0.64 RN hours, 0.56 LPN hours, and 2.61 nurse aide hours. The total staff turnover rate is 45.7%.
How many beds does Avantara Groton have?▾
Avantara Groton has 37 certified beds with an average of 38.2 residents per day, resulting in approximately 103% occupancy. The facility is For profit - Limited Liability company owned and is part of the Legacy Healthcare chain.

Part of Legacy Healthcare

This chain operates 90 facilities. View all →