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Nursing HomeMedicaid Investigative

Avantara Groton

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1106 North Second Street, Groton, SD 5744537 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 26 Google reviews

5
4
3
2
1
Avantara Groton Nursing Home in Groton, SD — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (9 vs median 5.0)

Below average in SD · Below recommended RN staffing · Below chain average · $22,251 in fines

Source: Medicare data

What this means for your family

The facility has seen a significant shift in sentiment, with recent reviews highlighting a warm, professional, and clean environment. While older reports of staffing issues exist, the current trend suggests a highly satisfied community; however, families should always conduct an in-person tour to observe current staffing interactions firsthand.

Google Reviews

Google Reviews

26 reviews on Google
Avantara Groton receives high praise in recent reviews for its clean, welcoming environment and compassionate, attentive staff. While older reviews from 2018 raised concerns about management and staffing levels, the overwhelming majority of recent feedback highlights a positive, family-like atmosphere and high-quality care.

Quality Themes

Tap a score for details
Food9.0Staff9.0Clean10.0Activities9.0MedsN/AMemoryN/AComms6.0ValueN/A

Strengths

  • Warm, compassionate nursing and support staff
  • Clean, well-maintained facility
  • Engaging activities and community atmosphere
  • Professional and respectful care for residents

Concerns

  • Inadequate staffing levels (mentioned by 2 reviewers)
  • Poor management and communication (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02014(2)5.02016(1)1.02018(3)5.02019(1)5.02020(1)5.02022(1)5.02025(18)

Distribution · 27 analyzed

5
24
4
0
3
0
2
0
1
3

How They Respond to Reviews

73%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that you are very active in responding to feedback online; how do you use that family input to improve the day-to-day experience for residents?
  • 2With a smaller community of 37 residents, how does your team ensure that every resident receives consistent, personalized attention throughout the day?
  • 3I see that maintaining a clean and welcoming environment is a strength here; could you walk me through your process for ensuring consistent care and cleanliness during busy shifts?
  • 4What specific steps are you taking to address recent feedback regarding communication, and how can we expect to stay updated on our loved one's care?
  • 5Given the current CMS ratings for health inspections, what specific quality improvement initiatives are currently your top priority?
  • 6What does a typical afternoon look like in terms of social engagement and activities for residents who enjoy staying active?

Personalized based on this facility's data


Key Review Excerpts

The nurses, aides, and therapists were not only skilled and attentive but also incredibly kind and compassionate — it made all the difference during her recovery.

Memory care family member · 2025★★★★★

I am a retired RN who worked my last 9 years in Geriatrics!! I would highly recommend Avantara. They are kind and compassionate, have a wonderful activity Director and the residents have a great time.

Long-term resident's family · 2025★★★★★

Every employee is professional, gentle, kind and fun. The residents are treated with respect and dignity. The staff treats each one as an individual.

Long-term resident's family · 2025★★★★★
Source: 26 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.65hrs
87%
Registered nurses for medical care
Total Nursing
3.69hrs
90%
All nurses + aides combined
Staff Turnover
41%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
1/ 5
Better Than Avg

7

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility24.0%
Worse than Avg
Here
24.0%
US
12.1%
SD
5.3%
Brown
7.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility32.9%
Worse than Avg
Here
32.9%
US
15.5%
SD
24.5%
Brown
15.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility26.7%
Worse than Avg
Here
26.7%
US
14.4%
SD
21.4%
Brown
15.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility31.7%
Worse than Avg
Here
31.7%
US
19.4%
SD
25.6%
Brown
19.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility24.2%
Worse than Avg
Here
24.2%
US
15.3%
SD
20.2%
Brown
14.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
SD
95.2%
Brown
98.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.3%
Better than Avg
Here
96.3%
US
81.8%
SD
82.7%
Brown
94.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
SD
1.9%
Brown
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
1penalties
Above state avg (6.8)
1 complaint-triggered
$22,251 in fines

Avantara Groton has a pattern of recurring deficiencies across four surveys, with one complaint filed by families regarding resident rights. The most frequent problem areas involve resident assessment and care planning, medication management, and infection control. While all deficiencies show correction dates, the same issues persistently reappear in subsequent inspections, suggesting ongoing challenges in maintaining consistent compliance standards.

Dec 11, 2025Routine
11
0655Potential for harm · WidespreadCorrected

Resident Assessment and Care Planning Deficiencies

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

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Nov 26, 2024Complaint
1
0578Actual harm · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

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.

Jul 31, 2024Routine
5
0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

Apr 14, 2023Routine
11
0636Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0655Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0559Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Federal Penalties

Fine

Nov 26, 2024

$6,168

Ownership & Operations

Who Operates This Facility

Owner / Operator

Avantara Groton

Organization Type

for profit

Chain Affiliation

Chain Name

Legacy Healthcare

Chain Size

89 facilities nationwide

Chain avg rating: 3.0/5 · Rank 72 of 89

Ownership & Management

Owners

Doros Generation Trust U/a/d 1/3/12

Owner · Organization

43%

Gpn Family Trust U/a/d 4/28/08

Owner · Organization

43%

Oakway Operations LLC

Owner · Organization

15%

Key personnel

Bokf,na5% or Greater Security InterestGroton Sd Property Holdings, LLC5% or Greater Security InterestShabat, MenachemManaging Control - Governing BodyBokf,naManagerLegacy Healthcare Financial Services LLCManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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