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Nursing HomeMedicaid Top Rated

Avantara Lake Norden

Strong Medicare quality ratings; families often praise warm, attentive, and caring nursing staff. Still worth an in-person visit.

803 Park Street, Lake Norden, SD 5724848 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 16 Google reviews

5
4
3
2
1
Avantara Lake Norden Nursing Home in Lake Norden, SD — Street View
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What this means for your family

This facility is highly regarded for its compassionate staff and strong communication, making it an excellent choice for families seeking a supportive environment. Given the uniformly positive feedback, families should feel confident in the facility's ability to provide personalized care, though they should always conduct an in-person tour to ensure the environment aligns with their specific needs.

Google Reviews

Google Reviews

16 reviews on Google
Avantara Lake Norden receives consistently high praise from families and residents for its attentive, caring staff and clean, welcoming environment. Reviewers frequently highlight the facility's ability to make residents feel like family, with specific commendations for the activities director and the quality of rehabilitation services.

Quality Themes

Tap a score for details
Food10.0Staff10.0Clean10.0Activities10.0MedsN/AMemory10.0Comms10.0ValueN/A

Strengths

  • Warm, attentive, and caring nursing staff
  • Clean and well-maintained facility
  • Effective rehabilitation services
  • Strong, engaging activities program

Rating Trends

Tap a year to see what changed

2345.02024(5)5.02025(12)5.02026(2)

Distribution · 19 analyzed

5
19
4
0
3
0
2
0
1
0

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1Given your 5-star CMS rating and the positive feedback regarding your activities program, what are some of the most popular social events or outings that residents currently enjoy?
  • 2I noticed that your team is very responsive to online feedback; how do you typically incorporate family input or concerns into the daily care plan for a resident?
  • 3With your strong focus on rehabilitation services, how do you tailor therapy sessions to ensure residents maintain their independence and mobility?
  • 4Since you have a smaller capacity of 48 residents, how does this intimate setting help your staff provide more personalized attention compared to larger facilities?
  • 5Regarding your recent health inspection, could you walk us through the steps you took to address the single deficiency noted to ensure it doesn't recur?
  • 6How does your nursing team coordinate with local medical providers to handle urgent health changes or emergencies outside of standard business hours?

Personalized based on this facility's data


Key Review Excerpts

They were in constant and consistent contact with us from the beginning all the way to the very end of our mother's life.

Memory care family member · 2026★★★★★

Last time I was at a nursing home I couldn't wait to go. Now, I am sad to leave here and will miss everyone.

Rehab patient · 2024★★★★★

The staff at Advantara are attentive and caring. They get to know their clients, the caregiving needs and provide them with proper attention to individual situations.

Long-term resident's family · 2025★★★★★
Source: 16 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.79hrs
OK
Registered nurses for medical care
Total Nursing
3.19hrs
78%
All nurses + aides combined
Staff Turnover
39%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility29.2%
Worse than Avg
Here
29.2%
US
14.4%
SD
21.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility26.5%
Worse than Avg
Here
26.5%
US
19.5%
SD
17.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility28.4%
Worse than Avg
Here
28.4%
US
19.4%
SD
25.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility13.7%
Worse than Avg
Here
13.7%
US
12.1%
SD
5.3%

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

🚶

Residents whose walking got worse

↓ Lower is better
This Facility13.0%
Better than Avg
Here
13.0%
US
15.3%
SD
20.2%
💉

Residents vaccinated for pneumonia

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

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.0%
Better than Avg
Here
97.0%
US
79.8%
SD
78.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.8%
Better than Avg
Here
97.8%
US
81.8%
SD
82.7%
💊

Short-stay residents newly given antipsychotics

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

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (6.8)
2 complaint-triggered

Avantara Lake Norden has 10 federal deficiencies across three surveys, with no complaint-triggered issues, indicating families haven't filed formal reports. The main recurring problems involve fire safety procedures (repeated fire drill issues) and care planning deficiencies. Most deficiencies have been corrected by the facility, though some from the most recent March 2025 survey are still being addressed. Past issues included pressure ulcer care and infection control, which have been resolved.

Feb 19, 2026Complaint
2
0803Immediate jeopardy · IsolatedResolved (past non-compliance)

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.

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Mar 20, 2025Routine
3
0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0657Minimal · 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.

Nov 16, 2023Routine
3
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0916Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Jan 19, 2023Routine
4
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0211Minimal · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0522Minimal · WidespreadCorrected

Services Deficiencies

Have an externally vented heating system.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Avantara Lake Norden

Organization Type

for profit

Chain Affiliation

Chain Name

Legacy Healthcare

Chain Size

89 facilities nationwide

Chain avg rating: 3.0/5 · Rank 10 of 89 (Best)

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

Lake Norden Sd Property Holdings, LLC5% or Greater Security InterestTruist Bank5% or Greater Security InterestRajchenbach, ChaimManaging Control - Governing BodyShabat, MenachemManaging Control - Governing BodyTruist BankManager
Source: Medicare provider data

Contact

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References & Resources

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