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HomeSouth DakotaAvantara Groton

Avantara Groton

1106 North Second Street, Groton, SD 574456053972365WebsiteGoogle Maps
4.5on Google(26 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
3/5
Staffing
3/5
Quality
1/5
Beds
37
certified
1 fine(s) totaling $6,168

How Avantara Groton Compares in South Dakota

Facility results compared with averages for CMS-certified nursing homes in South Dakota. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
SD average
2.9/5
Below state average
Health inspection rating
3/5
SD average
2.8/5
Close to state average
Staffing rating
3/5
SD average
3.6/5
Below state average
Nursing hours per resident
3.72 hrs/day
SD average
3.81 hrs/day
Close to state average
RN hours per resident
0.62 hrs/day
SD average
0.80 hrs/day
Below state average
Staff turnover
37.0%
SD average
48.2%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the South Dakota average of 2.9/5.
Reported RN time is 0.62 hours per resident per day, below the state average of 0.80.
Staff turnover is 37.0%, lower than the South Dakota average of 48.2%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
4
deficiency citations
Inspected Jul 31, 2024
Most recent cycle
9
deficiency citations
Inspected Dec 11, 2025
The most recent cycle recorded 5 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$8,122/mo
South Dakota median
Private Room
$9,429/mo
South Dakota median
Brown County 65+
6,759
17.7% of county
County Population
38,278
Brown County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

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. Its overall CMS rating is 2 out of 5.

Beds
37
Avg Residents/Day
40.5
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)

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
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

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
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 11, 2025Corrected: NoCycle: 1
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
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
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
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
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
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
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
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
F0883Potential for Harm

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

Survey: Apr 14, 2023Corrected: NoCycle: 3
Total Fines
$6,168
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineNov 26, 2024
$6,168

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

Nurse Aide2.51 hrs
National avg: 2.32 hrs
LPN0.59 hrs
National avg: 0.86 hrs
RN0.62 hrs
National avg: 0.69 hrs
Total Nursing3.72 hrs
National avg: 3.86 hrs
Weekend Total3.27 hrs
National avg: 0.00 hrs
Physical Therapist0.09 hrs
National avg: 0.07 hrs
Total Turnover
37.0%
RN Turnover
33.3%
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 (19)

NameRoleTypeOwnership %Since
DOROS GENERATION TRUST U/A/D 1/3/125% OR GREATER DIRECT OWNERSHIP INTERESTOrganization43%Jul 1, 2019
GPN FAMILY TRUST U/A/D 4/28/085% OR GREATER DIRECT OWNERSHIP INTERESTOrganization43%Jul 1, 2019
OAKWAY OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization15%Jul 1, 2019
BOKF,NA5% OR GREATER SECURITY INTERESTOrganizationN/AMar 4, 2024
GROTON SD PROPERTY HOLDINGS, LLC5% OR GREATER SECURITY INTERESTOrganizationN/AJul 1, 2019
SHABAT, MENACHEMMANAGING CONTROL - GOVERNING BODYIndividualN/AJul 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
DOROS GENERATION TRUST U/A/D 1/3/12ADP OF THE SNFOrganizationN/AJul 1, 2019
GPN FAMILY TRUST U/A/D 4/28/08ADP OF THE SNFOrganizationN/AJul 1, 2019
GROTON SD PROPERTY HOLDINGS, LLCADP OF THE SNFOrganizationN/AJul 1, 2019
LEGACY HEALTHCARE FINANCIAL SERVICES LLCADP OF THE SNFOrganizationN/ANov 21, 2025
ROTH & CO, LLPADP OF THE SNFOrganizationN/AJan 1, 2024
CARDA, BRENDAADP OF THE SNFIndividualN/ASep 16, 2022
SHABAT, MENACHEMADP OF THE SNFIndividualN/AJul 1, 2019
STEGER, BRANDONADP OF THE SNFIndividualN/AJul 1, 2019

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Avantara Groton and nearby alternatives.

All South Dakota facilities
Avantara Groton
Groton, SDCurrent facility
CMS
2/5
Health
3/5
Staffing
3/5
Recorded fines: $6,168
Bethesda Home of Aberdeen
Aberdeen, SD17.7 mi
CMS
3/5
Health
3/5
Staffing
4/5
Recorded fines: None
Sun Dial Manor
Bristol, SD18.6 mi
CMS
3/5
Health
2/5
Staffing
5/5
Recorded fines: $24,528
Avera Mother Joseph Manor Retirement Community
Aberdeen, SD18.7 mi
CMS
1/5
Health
2/5
Staffing
4/5
Recorded fines: $8,824
Prairie Heights Healthcare
Aberdeen, SD19.1 mi
CMS
4/5
Health
4/5
Staffing
1/5
Recorded fines: None
Aberdeen Health and Rehab
Aberdeen, SD20.0 mi
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: $64,270
Wheatcrest Hills Healthcare Center
Britton, SD28.4 mi
CMS
3/5
Health
3/5
Staffing
4/5
Recorded fines: $37,553
FacilityDistanceCMSHealthStaffingRecorded fines
Avantara Groton
Groton, SD · Current facility
—2/53/53/5$6,168
Bethesda Home of Aberdeen
Aberdeen, SD
17.7 mi3/53/54/5None recorded
Sun Dial Manor
Bristol, SD
18.6 mi3/52/55/5$24,528
Avera Mother Joseph Manor Retirement Community
Aberdeen, SD
18.7 mi1/52/54/5$8,824
Prairie Heights Healthcare
Aberdeen, SD
19.1 mi4/54/51/5None recorded
Aberdeen Health and Rehab
Aberdeen, SD
20.0 mi1/51/54/5$64,270
Wheatcrest Hills Healthcare Center
Britton, SD
28.4 mi3/53/54/5$37,553

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

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.
How much does Avantara Groton cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in South Dakota is $8,122/month for a semi-private room and $9,429/month for a private room (Genworth/CareScout 2024). Avantara Groton participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Avantara Groton had any health inspection violations?▾
Avantara Groton had 9 deficiency citations in its most recent health inspection (Dec 11, 2025). The current CMS dataset records 1 fine(s) totaling $6,168.
What are the staffing levels at Avantara Groton?▾
Avantara Groton provides 3.72 total nursing staff hours per resident per day, including 0.62 RN hours, 0.59 LPN hours, and 2.51 nurse aide hours. The total staff turnover rate is 37.0%.
How many beds does Avantara Groton have?▾
Avantara Groton has 37 certified beds with an average of 40.5 residents per day, resulting in approximately 109% occupancy. The facility is For profit - Limited Liability company owned and is part of the Legacy Healthcare chain.
Are there other nursing homes near Avantara Groton?▾
Yes. This page lists 6 nearby nursing homes in South Dakota. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Avantara Groton?▾
On Google Maps, Avantara Groton has a rating of 4.5 out of 5 based on 26 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of Legacy Healthcare

This chain operates 89 facilities. View all →