Avantara Lake Norden: Staffing, Turnover, and Inspection Record
Avantara Lake Norden is a 50-bed for-profit nursing home in Lake Norden, South Dakota, part of Legacy Healthcare. In the CMS August 2026 release it reported 2.14 nurse aide hours per resident per day, 15% below the South Dakota average of 2.52, and 32.6% nursing staff turnover (South Dakota average 48.2%).
Avantara Lake Norden
803 Park StreetLake Norden, SD 57248
Hamlin 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 Lake Norden, nurse aides logged 2.14 hours per resident per day, 15% below the South Dakota average. With about 47 residents a day, that works out to roughly 100 aide hours a day, or about 13 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.14 | 2.52 | 2.32 |
| Licensed practical nurses | 0.31 | 0.47 | 0.86 |
| Registered nurses | 0.78 | 0.80 | 0.69 |
| All nursing staff | 3.23 | 3.79 | 3.86 |
| All nursing staff, weekends | 2.91 | 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
32.6% of nursing staff at Avantara Lake Norden 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 12.5%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 20, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (South Dakota average 6.9). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Avantara Lake Norden holds 5 of 5 overall; the South Dakota average is 2.9.
About Avantara Lake Norden
- Ownership: For profit - Limited Liability company
- Chain: Legacy Healthcare, 89 homes
- Legal name: Lake Norden SD Skilled Nursing Facility, LLC
- Medicare and Medicaid certified since: May 1, 1991
- Councils: resident council
- Area: rural
Nursing homes near Avantara Lake Norden
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Estelline Nursing and Care Center Estelline · many days without an RN | 12.7 | 60 | 1.38 | 2.04 | 28.8% | 4 | $16,826 |
| Good Samaritan Society de Smet De Smet | 21.6 | 46 | 2.10 | 3.40 | 64.4% | 1 | $27,989 |
| Jenkin's Living Center Watertown | 22.3 | 110 | 2.11 | 3.67 | 54.1% | 3 | $53,086 |
| Avantara Watertown Watertown · SFF candidate · abuse citation | 22.9 | 51 | 2.09 | 3.57 | 44.2% | 1 | $6,368 |
| United Living Community Brookings | 27.6 | 67 | 3.62 | 4.78 | 50.0% | 2 | $33,027 |
| The Neighborhoods at Brookview Brookings | 29.2 | 79 | 3.49 | 4.60 | 53.6% | 5 | None |
| Avantara Clark City Clark | 33.1 | 35 | 2.72 | 4.17 | 42.4% | 4 | $11,057 |
| Hendricks Community Hospital Hendricks · many days without an RN | 39.4 | 48 | 2.38 | 3.53 | 56.9% | 1 | None |
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.