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Nursing HomeMedicaid Investigative

Avantara Norton

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

3600 South Norton Avenue, Sioux Falls, SD 57105110 bedsLicensed & Active
Google rating
2.9/5

based on 45 Google reviews

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

While the rehabilitation therapy team at Avantara Norton is frequently praised for helping patients regain strength, the facility has a recurring pattern of serious complaints regarding hygiene and staffing levels. If you are considering this facility, we strongly recommend visiting in person during evening or weekend hours to observe the actual staffing ratios and cleanliness for yourself.

Google Reviews

Google Reviews

45 reviews on Google
Avantara Norton receives highly polarized feedback, with some families praising the rehabilitation therapy team, while many others report serious concerns regarding neglect and poor facility conditions. Multiple reviewers have cited issues with chronic understaffing, slow response times to call lights, and a persistent odor of urine throughout the building. Potential families should be aware of significant inconsistencies in the quality of care and hygiene reported by residents and their loved ones.

Quality Themes

Tap a score for details
Food3.0Staff4.0Clean2.0Activities3.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Effective physical and occupational therapy
  • Some staff members described as kind and attentive
  • Successful rehabilitation outcomes for some patients

Concerns

  • Chronic understaffing leading to slow response times (mentioned by 6 reviewers)
  • Unsanitary facility conditions and persistent urine odor (mentioned by 5 reviewers)
  • Poor quality, cold, or incorrect food service (mentioned by 5 reviewers)
  • Inattentive or rude nursing and care staff (mentioned by 7 reviewers)
  • Medication management errors or delays (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'19(3)'21(7)'23(7)'25(7)'26(5)

Distribution · 43 analyzed

5
19
4
3
3
1
2
1
1
19

How They Respond to Reviews

57%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the feedback regarding response times, what is your current protocol for ensuring call lights are answered promptly, especially during shift changes?
  • 2I noticed that maintaining a fresh environment is a priority for many families; what is your daily schedule for housekeeping and deep-cleaning resident rooms?
  • 3Since rehabilitation is a noted strength here, how do you ensure that the same level of attentive care is provided once a resident transitions from therapy to long-term nursing?
  • 4Could you walk me through your process for medication management and how you verify that doses are administered accurately and on time?
  • 5I appreciate that you actively engage with online feedback; how do you use that input to improve the dining experience and food quality for residents?
  • 6What specific social or recreational activities are currently being offered to keep residents engaged throughout the week?

Personalized based on this facility's data


Key Review Excerpts

My wife and I very happy with the rehab staff who did a great job getting her strong enough to be able to go home. The nurses were great for being so busy.

Rehab patient's spouse · 2024★★★★

My dad went there for a short-term rehab stay (the only one with available space) and instead of improving his health, it declined. Medication was not given on time, catheter was not cleaned, no riser for the toilet, inattentive staff, and a loud and disruptive environment.

Rehab patient's child · 2025☆☆☆☆

There were times my mom would have to wait which seemed like forever to just get an aide in her room for help and she did push the call button.

Resident's child · 2023☆☆☆☆
Source: 45 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.64hrs
86%
Registered nurses for medical care
Total Nursing
3.73hrs
91%
All nurses + aides combined
Staff Turnover
59%
Lower is better (< 30% = good)
RN Turnover
55%
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 · 17 measures

Better Than Avg

6

measures

Worse Than Avg

11

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility33.0%
Worse than Avg
Here
33.0%
US
15.3%
SD
20.2%
Minnehaha
23.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility32.1%
Worse than Avg
Here
32.1%
US
14.4%
SD
21.4%
Minnehaha
20.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility15.4%
Worse than Avg
Here
15.4%
US
12.1%
SD
5.3%
Minnehaha
3.7%

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 Facility13.3%
Better than Avg
Here
13.3%
US
15.5%
SD
24.5%
Minnehaha
21.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility28.8%
Worse than Avg
Here
28.8%
US
19.4%
SD
25.6%
Minnehaha
28.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility91.4%
Worse than Avg
Here
91.4%
US
93.4%
SD
95.2%
Minnehaha
98.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility70.0%
Worse than Avg
Here
70.0%
US
79.8%
SD
78.2%
Minnehaha
89.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility75.0%
Worse than Avg
Here
75.0%
US
81.8%
SD
82.7%
Minnehaha
90.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
US
1.6%
SD
1.9%
Minnehaha
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

25deficiencies
6penalties
44 complaint-triggered
$153,638 in fines

Nearly half of the 78 deficiencies at Avantara Norton were triggered by family complaints, indicating recurring concerns about care quality. The most persistent issues involve care planning and quality standards, nursing staff competency and staffing levels, and safety hazards and accident prevention. Problems with abuse protection and medication management also appear repeatedly across recent surveys, suggesting ongoing challenges with fundamental care standards that families should carefully evaluate before choosing this facility.

Mar 31, 2026Complaint
8
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0561Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0688Potential for harm · PatternCorrected

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.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0740Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

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.

Mar 31, 2026Routine
7
0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0760Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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

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.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 4, 2026Complaint
3
0684Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Dec 30, 2025Complaint
2
0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0804Potential for harm · IsolatedResolved (past non-compliance)

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nov 14, 2025Complaint
1
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 10, 2025Complaint
4
0686Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

0600Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Federal Penalties

Fine

Mar 5, 2025

$51,376

Fine

Sep 26, 2024

$12,035

Fine

Jul 17, 2024

$12,035

Fine

Jun 20, 2024

$12,035

Fine

Mar 13, 2024

$37,557

Fine

Oct 4, 2023

$28,600

Ownership & Operations

Who Operates This Facility

Owner / Operator

Avantara Norton

Organization Type

for profit

Chain Affiliation

Chain Name

Legacy Healthcare

Chain Size

89 facilities nationwide

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 InterestNorton 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

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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