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UPDATED JUL 2026

Nursing Homes · Medicare certified

Avantara Groton

1106 North Second Street · Groton, SD 57445 · 37 certified beds

6053972365

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Public record

CMS Care Compare · Updated Jul 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

3.0

Quality-measure rating

1.0

Inspections on record

2

Cited deficiencies

13

Inspection history (22)

  • December 11, 2025 · E

    Citation F0761

    Federal surveyors cited this nursing home on 2025-12-11 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-11.GOV
  • December 11, 2025 · D

    Citation F0803

    Federal surveyors cited this nursing home on 2025-12-11 under CMS tag F0803 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-11.GOV
  • December 11, 2025 · E

    Citation F0641

    Federal surveyors cited this nursing home on 2025-12-11 under CMS tag F0641 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2026-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-11.GOV
  • December 11, 2025 · D

    Citation F0658

    Federal surveyors cited this nursing home on 2025-12-11 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2026-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-11.GOV
  • December 11, 2025 · D

    Citation F0812

    Federal surveyors cited this nursing home on 2025-12-11 under CMS tag F0812 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2026-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-11.GOV
  • December 11, 2025 · D

    Citation F0700

    Federal surveyors cited this nursing home on 2025-12-11 under CMS tag F0700 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-11.GOV
  • December 11, 2025 · E

    Citation F0880

    Federal surveyors cited this nursing home on 2025-12-11 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2026-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-11.GOV
  • December 11, 2025 · D

    Citation F0578

    Federal surveyors cited this nursing home on 2025-12-11 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-11.GOV
  • December 11, 2025 · F

    Citation F0655

    Federal surveyors cited this nursing home on 2025-12-11 under CMS tag F0655 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2026-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-11.GOV
  • November 26, 2024 · G

    Citation F0578

    Federal surveyors cited this nursing home on 2024-11-26 under CMS tag F0578 (CMS scope/severity G: isolated, actual harm) for 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. The deficiency was recorded as corrected on 2024-10-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-26.GOV
  • July 31, 2024 · E

    Citation F0880

    Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-08-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV
  • July 31, 2024 · E

    Citation F0759

    Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0759 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2024-08-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV
  • July 31, 2024 · E

    Citation F0657

    Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2024-08-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV
  • April 14, 2023 · E

    Citation F0761

    Federal surveyors cited this nursing home on 2023-04-14 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-05-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-14.GOV
  • April 14, 2023 · D

    Citation F0658

    Federal surveyors cited this nursing home on 2023-04-14 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2023-05-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-14.GOV
  • April 14, 2023 · D

    Citation F0550

    Federal surveyors cited this nursing home on 2023-04-14 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2023-05-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-14.GOV
  • April 14, 2023 · E

    Citation F0636

    Federal surveyors cited this nursing home on 2023-04-14 under CMS tag F0636 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. The deficiency was recorded as corrected on 2023-05-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-14.GOV
  • April 14, 2023 · D

    Citation F0756

    Federal surveyors cited this nursing home on 2023-04-14 under CMS tag F0756 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2023-05-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-14.GOV
  • April 14, 2023 · D

    Citation F0561

    Federal surveyors cited this nursing home on 2023-04-14 under CMS tag F0561 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. The deficiency was recorded as corrected on 2023-05-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-14.GOV
  • April 14, 2023 · D

    Citation F0883

    Federal surveyors cited this nursing home on 2023-04-14 under CMS tag F0883 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2023-05-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-14.GOV

Penalties

Total fines on file: $6,168

Staffing

Latest: 3.69 nurse staffing hours per resident per day (2026-06-01)

Staffing trend (2 periods)

  1. 2025Q43.69 hrs/resident/day
  2. 2026-06-013.69 hrs/resident/day

Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit - Limited Liability company

CMS Care Compare chain: Legacy Healthcare

Chain ID 306 · 89 facilities in chain (CMS)

  • Chain average overall rating: 2.9
  • Chain average health inspection rating: 2.9
  • Chain average staffing rating: 2.6
  • Chain average quality measure rating: 3.4

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

  1. Parent organization: Chaim Rajchenbach Descendants Tr Ua 04282008

    parent · PAC 5294988994

    REIT (CMS PECOS disclosure)

PE/REIT labels appear only when CMS structured disclosure columns are Y. never inferred from names.

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth Cost of Care Survey · 2024

This provider doesn't publish a specific price to us. Below is the typical SD range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · SD$8,386/mo
See full SD cost breakdownSource: Genworth Cost of Care Survey · Updated 2024

Nursing Homes

Median · SD$9,444/mo
See full SD cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

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Trust & methodology

Avantara Groton in Groton, SD · ElderCareCosts