Nursing home · Top rated by CMS
Avantara Lake Norden
803 Park Street, Lake Norden, SD 57248 · Map
For profit - Limited Liability company · Part of Legacy Healthcare (90 facilities) · 48 certified beds
Avantara Lake Norden is a Medicare-certified nursing home in Lake Norden, South Dakota. CMS rates it 5 out of 5 stars overall (4/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.21 hours per resident per day, below the South Dakota average of 3.89. Its most recent inspection on Mar 20, 2025 cited 1 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avantara Lake Norden compares
This facility vs. the South Dakota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | South Dakota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.21 | 3.89 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.78 | 0.80 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.11 | 2.61 | 2.34 | below avg |
| Nursing staff turnover | 40.8% | 49.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 1.0 | 6.8 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Avantara Lake Norden
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
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.
Nutrition and Dietary Deficiencies · Feb 19, 2026 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Feb 19, 2026 · Full report (PDF) - Minimal
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Mar 20, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 16, 2023 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Nov 16, 2023 · Full report (PDF)
Show all 6 deficiencies
- Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Jan 19, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 803 Park Street
Lake Norden, SD 57248 - CMS certification #
- 435059
- Ownership
- For profit - Limited Liability company
- Certified beds
- 48
- Avg residents/day
- 46.6
- Provider type
- Medicare and Medicaid
- First certified
- 1991-05-01
- Chain
- Legacy Healthcare (90 facilities)
- Setting
- Rural
Part of Legacy Healthcare
Legacy Healthcare operates 90 nursing facilities across the United States. View all Legacy Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Avantara Lake Norden using Google Maps.
Other public records
- Website says A memory care unit, respite stays, works with hospice, transportation
- Workplace safety 1 OSHA workplace safety inspection since 2019, 2 violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Avantara Lake Norden says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Has a separate memory care unit, wing or neighborhood.
Secured Memory Care Unit
(page, checked Oct 12, 2026) - Offers respite or short-term stays.
Yes, we offer short-term and respite stay options for individuals seeking temporary care and support.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
We also offer hospice care, ensuring compassionate support through every stage of treatment and recovery.
(page, checked Oct 12, 2026) - Provides transportation.
Our facility assists in arranging transportation for residents to see their doctors.
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
PRIVATE AND SEMI-PRIVATE SUITES
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Feb 22, 2019: programmed (planned) inspection, complete (health). Case closed Jul 15, 2019. 2 violations cited (2 other). Penalties: $632 proposed, $400 now. OSHA record. OSHA recorded the employer as Lake Norden Care and Rehabilitation, LLC.
Details
- Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(e)(1)(i)). Penalty $632 proposed, $400 now. To be fixed by Jul 15, 2019.
- Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(f)(6)). Penalty $0 proposed, $0 now. To be fixed by Jul 15, 2019.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Avera De Smet Memorial Hospital - Cah, De Smet. 22.0 miles away, straight line.
- Nearest Medicare nursing home
- Estelline Nursing and Care Center, Estelline. 12.7 miles away, straight line.
- Nearest home health agency office
- Prairie Lakes Home Health, Watertown. 23.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 21.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57248 as rural (rural area).
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 57248.
Prairie Lakes Hospice, office in Watertown, 23.1 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Hutchinson Health, Hutchinson. 140.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Lake Norden, SD, risk to homes is greater than 30% of communities in South Dakota and 50% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively moderate, wildfire relatively moderate, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Avantara Lake Norden a good nursing home?
CMS gives Avantara Lake Norden an overall rating of 5 out of 5 stars, including 4/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avantara Lake Norden staffed?
Avantara Lake Norden reports 3.21 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Avantara Lake Norden had inspection problems?
Its most recent CMS inspection cited 1 deficiencies.
How many beds does Avantara Lake Norden have?
Avantara Lake Norden is certified for 48 beds.