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Nursing Homes · Medicare certified

Avantara Groton

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

(605) 397-2365

NPI 1952967473 (opens in a new tab)

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About Avantara Groton

Avantara Groton is a nursing home in Groton, South Dakota. Its capacity is 37 beds, below the Brown County median of 81 for nursing homes. It is run by a for-profit operator and is part of Legacy Healthcare. It is Medicare certified. Its public inspection record shows 22 citations, the most recent on December 11, 2025. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 3.70 hours per resident per day. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

3.0

Staffing

3.0

Quality measures

2.0

CMS Care Compare, October 2026.

Inspection history (22)

Records from April 2023 to December 2025.

  • December 11, 2025

    Tag F0761

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 25, 2026.

  • December 11, 2025

    Tag F0803

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 25, 2026.

  • December 11, 2025

    Tag F0641

    Ensure each resident receives an accurate assessment.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 25, 2026.

  • December 11, 2025

    Tag F0658

    Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 25, 2026.

  • December 11, 2025

    Tag F0812

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 25, 2026.

  • December 11, 2025

    Tag F0700

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 25, 2026.

  • December 11, 2025

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 25, 2026.

  • December 11, 2025

    Tag F0578

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 25, 2026.

  • December 11, 2025

    Tag F0655

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected January 25, 2026.

  • November 26, 2024

    Tag F0578

    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.

    Severity G: isolated, actual harm. Corrected October 24, 2024.

  • July 31, 2024

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 27, 2024.

  • July 31, 2024

    Tag F0657

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 27, 2024.

  • July 31, 2024

    Tag F0759

    Ensure medication error rates are not 5 percent or greater.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 27, 2024.

  • April 14, 2023

    Tag F0761

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 29, 2023.

  • April 14, 2023

    Tag F0883

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 29, 2023.

  • April 14, 2023

    Tag F0550

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 29, 2023.

  • April 14, 2023

    Tag F0636

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 29, 2023.

  • April 14, 2023

    Tag F0756

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 29, 2023.

  • April 14, 2023

    Tag F0561

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 29, 2023.

  • April 14, 2023

    Tag F0658

    Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 29, 2023.

See the source data on data.cms.gov (opens in a new tab)

Penalties (1)

Total fines: $6,168

  • November 26, 2024 · Fine

    CMS recorded a civil money penalty of $6,168 against this nursing home on November 26, 2024.

See the source data on data.cms.gov (opens in a new tab)

Staffing

3.70 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

Part of Legacy Healthcare, a chain of 96 nursing homes.

Average CMS star ratings across the chain: 3.0 overall, 2.8 for health inspections, 2.7 for staffing, 3.5 for quality measures.

  • Parent company: Legacy Healthcare Financial Services LLC

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in South Dakota.

Nursing Homes

South Dakota median$9,444/mo

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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