Lake Norden, South Dakota · CCN 435059 · Phone: 6057853654 · 50 beds · Ownership: For Profit - Limited Liability Company
Avantara Lake Norden is a Medicare-certified skilled nursing facility (CCN 435059) in Lake Norden, South Dakota. It holds a CMS overall Five-Star rating of 5 of 5 stars on CMS Care Compare. FileFlo scores its CMS survey-readiness at 91/100 (Survey-Ready).
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Avantara Lake Norden is a Medicare- and Medicaid-certified skilled nursing facility in Lake Norden, South Dakota, operating under CMS Certification Number (CCN) 435059. 50-bed facility. For Profit - Limited Liability Company. Part of the Legacy Healthcare chain. The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.
Avantara Lake Norden has held its Medicare/Medicaid certification for approximately 35 years (certification date on file: 1991-05-01). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.
Local market context (Hamlin County): Avantara Lake Norden shares Hamlin County with 1 other Medicare-certified SNF in our South Dakota sample. Two-facility counties typically see direct competitive comparison on Care Compare ratings during discharge-planner decisions.
CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.
Long-Stay Quality Measure rating: ★★★★★ (5 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.
Short-Stay Quality Measure rating: ★★★★★ (5 of 5). Short-stay measures cover post-acute residents discharged within 100 days and include rehospitalization within 30 days, successful return to community, and improvement in function.
Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.
Avantara Lake Norden has none of the four CMS-published red-flag indicators active at the most recent publish: not on the Special Focus Facility list, no Abuse Icon on Care Compare, no overdue inspection flag, and no recent change-of-ownership flag. Absence of these flags does not mean the facility is deficiency-free — see the survey history below.
Recent health deficiencies cited at last standard survey: 3. National average for facilities of this size is approximately 8 deficiencies per cycle. Avantara Lake Norden has no CMS fines in its most recent reporting cycle. Last documented standard health survey: 2025-03-20. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.
CMS health survey weighted score: 24. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.
At today's staffing levels, Avantara Lake Norden would not meet the cadre-specific minimums scheduled to take effect on the May 2029 timeline under 89 FR 40876: nurse-aide HPRD is 2.099 vs the 2.45 floor, a 0.35-hour gap. Closing this gap typically requires either net new hires at the specific cadre, shifted scheduling that reallocates existing FTEs to direct-care hours, or a hardship exemption application under 42 CFR 483.35.
Total nurse staffing: 3.189 hours per resident day (HPRD), which is 0.29 hours below the 3.48 total HPRD floor scheduled to take effect for rural-facility facilities by May 2029 (89 FR 40876, May 2024); facilities projected to remain below the floor at the effective date must either close the gap, qualify for a hardship exemption, or face citation under 42 CFR 483.35.
Staffing mix: RN 0.791 HPRD, LPN 0.298 HPRD, CNA 2.099 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2029 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.
Weekend RN staffing: 0.442 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.
Total nurse staff turnover: 38.6% annualized — moderate.
RN-specific turnover: 33.3% annualized. RN turnover above 50% is the single strongest correlate with QM rating decline in CMS's own internal analyses.
Avantara Lake Norden is operated as part of Legacy Healthcare, a chain operating 93 Medicare-certified facilities (CMS chain identifier 306). Chain-operated facilities tend to share corporate compliance staff, standard operating procedures, and survey-prep resources — but also share enforcement exposure when CMS designates a chain-wide issue under the system-wide quality assurance framework.
Provider type designation: Medicare And Medicaid.
The facility is classified by CMS as rural (outside metropolitan statistical areas). Rural SNFs face different challenges — referral pipeline depth, RN availability, ambulance distance for transfers — and CMS applies certain modifiers to the staffing minimums under hardship exemption pathways for rural facilities.
Peer comparisons use a same-state cohort of 96 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.
FileFlo's compliance indicator for Avantara Lake Norden is 91/100 (Survey-Ready). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.
FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.
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Avantara Lake Norden (CCN 435059) holds a CMS overall Five-Star rating of 5 of 5 stars on CMS Care Compare. CMS updates these ratings quarterly from the facility's submitted assessment and claims data.
Avantara Lake Norden is a Medicare-certified skilled nursing facility (CMS Certification Number 435059) in Lake Norden, South Dakota.
FileFlo scores Avantara Lake Norden's CMS survey-readiness at 91/100 (Survey-Ready). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.
As a Medicare-certified skilled nursing facility, Avantara Lake Norden is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.
Run FileFlo's free CMS survey-readiness audit for Avantara Lake Norden — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.
The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:
Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →
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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile