Avantara Norton: Staffing, Turnover, and Inspection Record
Avantara Norton is a 110-bed for-profit nursing home in Sioux Falls, South Dakota, part of Legacy Healthcare. In the CMS August 2026 release it reported 2.45 nurse aide hours per resident per day, 3% below the South Dakota average of 2.52, and 55.7% nursing staff turnover (South Dakota average 48.2%).
Avantara Norton
3600 South Norton AvenueSioux Falls, SD 57105
Minnehaha County
CMS Care Compare, August 2026 release
Special Focus Facility. CMS places nursing homes with a history of serious quality issues in its Special Focus Facility program, which brings more frequent inspections.
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Avantara Norton, nurse aides logged 2.45 hours per resident per day, 3% below the South Dakota average. With about 98 residents a day, that works out to roughly 240 aide hours a day, or about 30 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
CMS note: Not rated: this home is in the Special Focus Facility program because of a history of serious quality issues.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.45 | 2.52 | 2.32 |
| Licensed practical nurses | 0.64 | 0.47 | 0.86 |
| Registered nurses | 0.77 | 0.80 | 0.69 |
| All nursing staff | 3.86 | 3.79 | 3.86 |
| All nursing staff, weekends | 3.45 | 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
55.7% of nursing staff at Avantara Norton 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 50.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 31, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 21 health deficiencies (South Dakota average 6.9). CMS lists 7 fines totaling $215,483 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 4, 2026 | Fine | $61,845 |
| Mar 5, 2025 | Fine | $51,376 |
| Sep 26, 2024 | Fine | $12,035 |
| Jul 17, 2024 | Fine | $12,035 |
| Jun 20, 2024 | Fine | $12,035 |
| Mar 13, 2024 | Fine | $37,557 |
| Oct 4, 2023 | Fine | $28,600 |
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. Not rated: this home is in the Special Focus Facility program because of a history of serious quality issues.
About Avantara Norton
- Ownership: For profit - Limited Liability company
- Chain: Legacy Healthcare, 89 homes
- Legal name: Norton SD Skilled Nursing Facility LLC
- Medicare and Medicaid certified since: Apr 1, 1989
- Councils: resident council
- Area: urban
Nursing homes near Avantara Norton
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Good Samaritan Society Luther Manor Sioux Falls | 0.6 | 92 | 2.52 | 3.94 | 43.5% | 2 | $92,066 |
| Bethany Home Sioux Falls Sioux Falls · staffing data not validated | 1.5 | 52 | — | — | 44.9% | 3 | None |
| Avera Prince of Peace Sioux Falls | 2.6 | 126 | 3.59 | 5.74 | 25.0% | 4 | $8,278 |
| Good Samaritan Society Sioux Falls Village Sioux Falls | 2.8 | 177 | 2.49 | 3.75 | 40.8% | 2 | $72,812 |
| Good Samaritan Society Sioux Falls Center Sioux Falls · abuse citation | 3.0 | 98 | 2.10 | 3.58 | 44.2% | 2 | $54,936 |
| Dow Rummel Village Sioux Falls | 3.3 | 50 | 3.57 | 5.10 | 31.5% | 3 | $71,373 |
| Bethany Home - Brandon Brandon · abuse citation | 11.0 | 60 | 3.53 | 4.66 | 54.0% | 1 | $51,350 |
| Good Samaritan Society Canton Canton | 15.8 | 56 | 2.23 | 3.28 | 54.2% | 2 | $19,615 |
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.