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    Nursing home · LAKE NORDEN, SD

    AVANTARA LAKE NORDEN

    803 PARK STREET, LAKE NORDEN, SD 57248

    CMS certification number: 435059 · Updated October 1, 2026

    CMS overall rating

    5 / 5

    Certified beds

    50

    Residents / day

    45.3

    Ownership

    For profit - Limited Liability company

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Limited Liability company
    County
    Hamlin
    Certified beds
    50
    Average residents per day
    45.3
    First certified
    May 1, 1991

    CMS quality ratings

    Overall
    5 / 5
    Health inspections
    4 / 5
    Staffing
    4 / 5
    Quality measures
    5 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Hamlin, South Dakota. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    5.00
    County peers
    5.00
    n=1
    State peers
    2.97

    Nurse hours / resident / day

    This home
    3.35
    County peers
    3.24
    n=1
    State peers
    3.86
    n=90

    Weekend nurse hours / resident / day

    This home
    2.95
    County peers
    2.61
    n=1
    State peers
    3.28
    n=90

    Nursing staff turnover (%)

    This home
    38.60
    County peers
    25.50
    n=1
    State peers
    48.68
    n=86

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 12.1% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 38.6% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    5
    Health citations
    7
    Resident measures
    17
    Ownership records
    21
    Penalties
    1
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.35197
    Reported RN Staffing Hours per Resident per Day
    0.72232
    Reported LPN Staffing Hours per Resident per Day
    0.43761
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.19204
    Total number of nurse staff hours per resident per day on the weekend
    2.94796
    Registered Nurse hours per resident per day on the weekend
    0.34558
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.08974
    Total nursing staff turnover
    38.6
    Registered Nurse turnover
    14.3
    Number of administrators who have left the nursing home
    0
    Chain Name
    LEGACY HEALTHCARE
    Number of Facilities in Chain
    96
    Chain Average Overall 5-star Rating
    3.0
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    SD
    Urban
    N
    Chain ID
    306
    Latitude
    44.5832
    Location
    803 PARK STREET,LAKE NORDEN,SD,57248
    ZIP Code
    57248
    City/Town
    LAKE NORDEN
    Longitude
    -97.212
    QM Rating
    5
    Abuse Icon
    N
    Chain Name
    LEGACY HEALTHCARE
    County/Parish
    Hamlin
    Provider Name
    AVANTARA LAKE NORDEN
    Provider Type
    Medicare and Medicaid
    Overall Rating
    5
    Ownership Type
    For profit - Limited Liability company
    Number of Fines
    1
    Processing Date
    2026-10-01
    Staffing Rating
    4
    Provider Address
    803 PARK STREET
    Telephone Number
    6057853654
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    LAKE NORDEN SD SKILLED NURSING FACILITY, LLC
    Long-Stay QM Rating
    5
    High Performing Icon
    N
    Short-Stay QM Rating
    Not reported
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.29450
    Chain Average QM Rating
    3.5
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    4
    Number of Certified Beds
    50
    Provider SSA County Code
    280
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    14.3
    Total Number of Penalties
    1
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.91792
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    38.6
    Chain Average Staffing Rating
    2.7
    Number of Facilities in Chain
    96
    Short-Stay QM Rating Footnote
    2
    CMS Certification Number (CCN)
    435059
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    14901.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    36
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    27.000
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    45.3
    Chain Average Overall 5-star Rating
    3.0
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    0
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.8
    Rating Cycle 1 Health Deficiency Score
    36
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    0
    Rating Cycle 1 Standard Survey Health Date
    2026-07-09
    Rating Cycle 2 Standard Health Survey Date
    2025-03-20
    Rating Cycle 2/3 Number of Health Revisits
    0
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.78074
    Case-Mix RN Staffing Hours per Resident per Day
    0.63487
    Reported RN Staffing Hours per Resident per Day
    0.72232
    Adjusted LPN Staffing Hours per Resident per Day
    0.47300
    Case-Mix LPN Staffing Hours per Resident per Day
    0.79112
    Reported LPN Staffing Hours per Resident per Day
    0.43761
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    4
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    1
    Rating Cycle 1 Number of Standard Health Deficiencies
    2
    Rating Cycle 2 Number of Standard Health Deficiencies
    1
    Reported Licensed Staffing Hours per Resident per Day
    1.15993
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    2
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    2.36931
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.15468
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.19204
    Adjusted Total Nurse Staffing Hours per Resident per Day
    3.62304
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.58067
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    0
    Reported Total Nurse Staffing Hours per Resident per Day
    3.35197
    Registered Nurse hours per resident per day on the weekend
    0.34558
    Date First Approved to Provide Medicare and Medicaid Services
    1991-05-01
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.08974
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    3.18637
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.15125
    Total number of nurse staff hours per resident per day on the weekend
    2.94796

    COMMUNITY EXPERIENCE

    Reviews of AVANTARA LAKE NORDEN

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

    Community reviews & discussions

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    Third-party opinions are not verified CMS findings. Reviews have not been imported or combined into the CMS rating.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026