Avantara Groton: Staffing, Turnover, and Inspection Record
Avantara Groton is a 37-bed for-profit nursing home in Groton, South Dakota, part of Legacy Healthcare. In the CMS August 2026 release it reported 2.51 nurse aide hours per resident per day, about the same as the South Dakota average of 2.52, and 37.0% nursing staff turnover (South Dakota average 48.2%).
Avantara Groton
1106 North Second StreetGroton, SD 57445
Brown County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Avantara Groton, nurse aides logged 2.51 hours per resident per day, about the same as the South Dakota average. With about 41 residents a day, that works out to roughly 102 aide hours a day, or about 13 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.51 | 2.52 | 2.32 |
| Licensed practical nurses | 0.59 | 0.47 | 0.86 |
| Registered nurses | 0.62 | 0.80 | 0.69 |
| All nursing staff | 3.72 | 3.79 | 3.86 |
| All nursing staff, weekends | 3.27 | 3.26 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
37.0% of nursing staff at Avantara Groton left over the year CMS measured, against a South Dakota average of 48.2% and a US average of 45.8%. Registered nurse turnover was 33.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 11, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 9 health deficiencies (South Dakota average 6.9). CMS lists 1 fine totaling $6,168 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 26, 2024 | Fine | $6,168 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Avantara Groton holds 2 of 5 overall; the South Dakota average is 2.9.
About Avantara Groton
- Ownership: For profit - Limited Liability company
- Chain: Legacy Healthcare, 89 homes
- Legal name: Groton SD Skilled Nursing Facility LLC
- Medicare and Medicaid certified since: Jan 1, 1991
- Councils: resident council
- Area: rural
Nursing homes near Avantara Groton
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Bethesda Home of Aberdeen Aberdeen | 17.7 | 86 | 2.41 | 3.79 | 38.9% | 3 | $25,265 |
| Sun Dial Manor Bristol | 18.6 | 37 | 2.47 | 4.08 | 55.6% | 3 | $24,528 |
| Avera Mother Joseph Manor Retirement Community Aberdeen | 18.7 | 81 | 2.65 | 4.06 | 55.7% | 1 | $8,824 |
| Prairie Heights Healthcare Aberdeen | 19.1 | 99 | 2.21 | 3.53 | — | 4 | None |
| Aberdeen Health and Rehab Aberdeen | 20.0 | 78 | 2.52 | 3.61 | 38.6% | 1 | $64,270 |
| Wheatcrest Hills Healthcare Center Britton | 28.4 | 60 | 1.90 | 2.69 | 32.4% | 3 | $37,553 |
| Bethesda Home Webster | 28.6 | 50 | 2.88 | 4.53 | 30.6% | 5 | None |
| Strand-Kjorsvig Community Rest Home Roslyn | 29.6 | 35 | 1.81 | 3.25 | 48.0% | 2 | $41,495 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.