CCN 435059
Avantara Lake Norden
803 PARK STREET, Lake Norden, SD 57248 · Hamlin County
- Ownership
- For profit - Limited Liability company
- Certified beds
- 50
- Residents per day
- 46.8
- Health citations
- 7
- Penalties
- 0
- Fines
- 0 · $0
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 2.14
- 2.52
- 2.32
- LPN/LVN
- 0.31
- 0.47
- 0.86
- Registered nurse
- 0.78
- 0.80
- 0.69
- Total nurse staff
- 3.23
- 3.79
- 3.86
- Weekend total
- 2.91
- 3.26
- 3.42
- Weekend RN
- 0.44
- 0.51
- 0.48
Adjusted total nurse hours: 3.62. Adjusted RN hours: 0.87. Case-mix total: 3.42. Case-mix index: 1.250.
Total nursing staff turnover: 32.6%. RN turnover: 12.5%. Administrators who left: 0.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 0 fines totaling $0, and 0 payment denials.
The Penalties file has no individual penalty rows for this CCN.
Cycle 1 standard survey: July 9, 2026. Health deficiencies counted in cycle 1: 4. Cycle 1 total health score: 36.
Cycle 2 standard survey: March 20, 2025. Cycle 2/3 health deficiencies: 1. Total weighted health survey score: 27.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 7 citations for this home, including 1 at immediate jeopardy and 0 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
July 9, 2026
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · August 23, 2026 |
| F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · August 23, 2026 |
February 19, 2026
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F803 | 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. Nutrition and Dietary Deficiencies · Complaint survey · Cycle 1 | J: isolated, immediate jeopardy to resident health or safety | Past Non-Compliance · February 11, 2026 |
| F760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Complaint survey · Cycle 1 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · April 1, 2026 |
March 20, 2025
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 2 | B: pattern, no actual harm, with potential for minimal harm | Deficient, Provider has plan of correction · April 25, 2025 |
November 16, 2023
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Standard survey · Cycle 3 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · December 28, 2023 |
| F658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · December 28, 2023 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections