Nursing home
Avantara Norton
3600 South Norton Avenue, Sioux Falls, SD 57105 · Map
For profit - Limited Liability company · Part of Legacy Healthcare (90 facilities) · 110 certified beds
Avantara Norton is a Medicare-certified nursing home in Sioux Falls, South Dakota. Nurse staffing is 3.77 hours per resident per day, below the South Dakota average of 3.89. Its most recent inspection on Mar 5, 2025 cited 19 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus FacilityCMS has identified this facility for enhanced oversight.
- 7 fines totaling $191,055In CMS records: 7 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avantara Norton 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) | 3.77 | 3.89 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.58 | 0.80 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.46 | 2.61 | 2.34 | below avg |
| Nursing staff turnover | 57.7% | 49.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 19.0 | 6.8 | 9.5 | above 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.
Penalties in CMS records: 7 fines totaling $191,055, 7 total penalties.
What inspectors found at Avantara Norton
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 31, 2026 · Full report (PDF) - Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Mar 31, 2026 · Full report (PDF) - Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 31, 2026 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · Mar 31, 2026 · Full report (PDF) - Potential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Mar 31, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · Mar 31, 2026 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 31, 2026 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Mar 31, 2026 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 4, 2026 · Full report (PDF) - Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Feb 4, 2026 · Full report (PDF) - Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Feb 4, 2026 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Dec 30, 2025 · Full report (PDF)
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
- 3600 South Norton Avenue
Sioux Falls, SD 57105 - CMS certification #
- 435039
- Ownership
- For profit - Limited Liability company
- Certified beds
- 110
- Avg residents/day
- 96.6
- Provider type
- Medicare and Medicaid
- First certified
- 1989-04-01
- Chain
- Legacy Healthcare (90 facilities)
- Setting
- Urban
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 Norton using Google Maps.
Other public records
- Website says Respite stays, works with hospice, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Avantara Norton says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- 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)
Location and nearby care
- Nearest hospital with an emergency room
- Sanford Usd Medical Center, Sioux Falls. 1.7 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Good Samaritan Society Luther Manor, Sioux Falls. 0.6 miles away, straight line.
- Nearest home health agency office
- Aveanna Home Health, Sioux Falls. 2.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Lewis. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57105 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Sanford Usd Medical Ctr - Hemodialysis, Sioux Falls, 1.4 miles away, straight line (CMS rating 3 of 5 stars)
Sanford Health - Dialysis Unit, Sioux Falls, 1.6 miles away, straight line (CMS rating 4 of 5 stars)
Davita Sioux Falls Community Dialysis, Sioux Falls, 1.7 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 9 Medicare hospices tell CMS they serve ZIP code 57105.
St Croix Hospice, office in Sioux Falls, 1.8 miles away, straight line (CMS family survey rating 3 of 5 stars)
Sanford Hospice, office in Sioux Falls, 2.5 miles away, straight line (CMS family survey rating 3 of 5 stars)
Avera @ Home, office in Sioux Falls, 2.6 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Hutchinson Health, Hutchinson. 150.2 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
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire very low, 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 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| 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 |
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Frequently asked questions
How is Avantara Norton staffed?
Avantara Norton reports 3.77 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Avantara Norton had inspection problems?
Its most recent CMS inspection cited 19 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Avantara Norton have?
Avantara Norton is certified for 110 beds.