Avantara Lake Norden
803 Park Street · Lake Norden, SD · 57248 · 6057853654
50 certified beds For profit - Limited Liability company Chain: Legacy Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 70 points, but Recommended is gated: immediate-jeopardy citation in the current inspection cycle. 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
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.19 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.79 | 0.55–0.75 |
| Weekend hours / resident-day | 2.84 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (6 in the current record)
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Immediate jeopardy · J February 19, 2026 · found via complaint
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 February 11, 2026 · Nutrition and Dietary
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Potential for harm · E February 19, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 1, 2026 · Pharmacy Service
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No harm found · B March 20, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 16, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 28, 2023 · Resident Assessment and Care Planning
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Potential for harm · E November 16, 2023
Provide and implement an infection prevention and control program.
Corrected December 28, 2023 · Infection Control
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Actual harm · G January 19, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 14, 2023 · Quality of Life and Care
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435059 · certified since May 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.