Avantara Groton
1106 North Second Street · Groton, SD · 57445 · 6053972365
37 certified beds For profit - Limited Liability company Chain: Legacy Healthcare
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.69 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.65 | 0.55–0.75 |
| Weekend hours / resident-day | 3.22 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | 1 · $6,168 |
Inspection citations (22 in the current record)
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Potential for harm · D December 11, 2025
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.
Corrected January 25, 2026 · Resident Rights
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Potential for harm · E December 11, 2025
Ensure each resident receives an accurate assessment.
Corrected January 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · F December 11, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected January 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 11, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 11, 2025
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.
Corrected January 25, 2026 · Quality of Life and Care
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Potential for harm · E December 11, 2025
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.
Corrected January 25, 2026 · Pharmacy Service
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Potential for harm · D December 11, 2025
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.
Corrected January 25, 2026 · Nutrition and Dietary
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Potential for harm · D December 11, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 25, 2026 · Nutrition and Dietary
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Potential for harm · E December 11, 2025
Provide and implement an infection prevention and control program.
Corrected January 25, 2026 · Infection Control
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Actual harm · G November 26, 2024 · found via complaint
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.
Corrected October 24, 2024 · Resident Rights
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Potential for harm · E July 31, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 31, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected August 27, 2024 · Pharmacy Service
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Potential for harm · E July 31, 2024
Provide and implement an infection prevention and control program.
Corrected August 27, 2024 · Infection Control
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Potential for harm · D April 14, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 29, 2023 · Resident Rights
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Potential for harm · D April 14, 2023
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected May 29, 2023 · Resident Rights
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Potential for harm · D April 14, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 29, 2023 · Resident Rights
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Potential for harm · E April 14, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected May 29, 2023 · Resident Assessment and Care Planning
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Potential for harm · E April 14, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 29, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 14, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 29, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 14, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 29, 2023 · Pharmacy Service
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Potential for harm · E April 14, 2023
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.
Corrected May 29, 2023 · Pharmacy Service
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Potential for harm · D April 14, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 29, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 26, 2024 | Fine | $6,168 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435048 · certified since January 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.