Avantara Lake Norden
803 Park Street, Lake Norden, SD 57248
Avantara Lake Norden is a nursing home in Lake Norden, South Dakota. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionJuly 9, 2026 (4 months ago)
- Health citations since November 16, 20237 (South Dakota average 18)
- Fines in the past three years1, $14,901 in total
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
Health inspection on July 9, 2026
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0744. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
CMS lists it as corrected on August 23, 2026.
Citation F0883. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on August 23, 2026.
Fire safety inspection on July 9, 2026
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0293. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on August 23, 2026.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on August 23, 2026.
CMS update of April 29, 2026
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Health inspection on February 19, 2026
2 citationsCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
5 of 96 South Dakota homes (5%) got a citation at the immediate jeopardy level in 2026.
CMS fine of $14,901 on February 19, 2026.
Show the 2 citations
Citation F0803. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on February 11, 2026.
Citation F0760. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on April 1, 2026.
CMS update of November 20, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of May 28, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 5 of 5.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Health inspection on March 20, 2025
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0657. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on April 25, 2025.
Fire safety inspection on March 20, 2025
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on September 18, 2025.
Citation K0712. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on April 30, 2025.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Health inspection on November 16, 2023
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on December 28, 2023.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on December 28, 2023.
Fire safety inspection on November 16, 2023
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0916. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have a battery powered remote alarm panel in a location accessible by operating personnel.
CMS lists it as corrected on December 31, 2023.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (605) 785-3654
- Last standard health inspection
- July 9, 2026 (4 months ago)
- Certified beds
- 50
- Residents per day, on average
- 45.3
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Lake Norden Sd Skilled Nursing Facility, LLC
- Chain
- Legacy Healthcare
- Takes part in
- Medicare and Medicaid
Fewer health citations than the South Dakota average (7 vs 18).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- DOROS GENERATION TRUST U/A/D 1/3/125% or greater direct ownership interest · 43% · since 07/01/2019
- GPN FAMILY TRUST U/A/D 4/28/085% or greater direct ownership interest · 43% · since 07/01/2019
- OAKWAY OPERATIONS LLC5% or greater direct ownership interest · 15% · since 07/01/2019
- TRUIST BANKOperational/managerial control · not applicable · since 04/01/2022
- DEVINE, WILLIAMOperational/managerial control · not applicable · since 07/01/2019
Show 3 more
- GRIMM, MARGARETOperational/managerial control · not applicable · since 07/01/2019
- RAJCHENBACH, CHAIMOperational/managerial control · not applicable · since 07/01/2019
- SHABAT, MENACHEMOperational/managerial control · not applicable · since 07/01/2019
Questions
When was Avantara Lake Norden last inspected?
CMS lists July 9, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Avantara Lake Norden have?
CMS lists 7 health citations since November 16, 2023. CMS also calls these deficiencies.
Has Avantara Lake Norden been fined?
CMS lists 1 fine in the past three years, $14,901 in total.
What is the CMS star rating of Avantara Lake Norden?
Its CMS overall star rating is 5 of 5.
Is Avantara Lake Norden a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.